Gorschenek Nicola, Schwab Reinhold, Eckert Jochen
Arbeitsbereich Gesprächspsychotherapie, Universität Hamburg, Fachbereich Psychologie.
Psychother Psychosom Med Psychol. 2008 May;58(5):200-7. doi: 10.1055/s-2007-986180. Epub 2007 Sep 10.
The purpose of the present study was to investigate the long-term effects of outpatient client-centered psychotherapy limited to 12 sessions on patients with adjustment disorder (ICD-10 F43.2). The patients in the follow-up study (n = 25) had been diagnosed to be suffering from an adjustment disorder in response to one of the following stressful events: the loss of an important person or a severe negative experience at work or university with lasting negative consequences. Two years after completion of treatment they were examined in regard to their levels of anxiety, depression and satisfaction with life by applying standardized measures. According to self-ratings lasting significant improvements in comparison to the initial symptom severity and no impairment in comparison to the results immediately after the end of the therapy could be observed. Subsequently the symptom decrease gained in the short-term therapy period is clearly maintained over the post-therapy period. Post-treatment gains after two years in the meaning of subsequent improvements - as often discovered in client-centered psychotherapies - could, however, not be demonstrated for patients with this type of disorder.
本研究的目的是调查以患者为中心的门诊心理治疗（限12次疗程）对适应障碍（ICD - 10 F43.2）患者的长期影响。随访研究中的患者（n = 25）被诊断为因以下应激事件之一而患有适应障碍：重要人物的离世，或在工作或大学中遭受严重负面经历并产生持久的负面后果。治疗结束两年后，通过应用标准化测量方法对他们的焦虑水平、抑郁水平和生活满意度进行了检查。根据自我评估，与初始症状严重程度相比，可观察到持续的显著改善，并且与治疗结束后立即获得的结果相比没有损害。随后，在短期治疗期间获得的症状减轻在治疗后阶段得到明显维持。然而，对于这类障碍的患者，未能证明在两年后出现了以患者为中心的心理治疗中经常发现的那种后续改善意义上的治疗后获益。
