Magalhães Pedro Vieira da Silva, Pinheiro Ricardo Tavares, Faria Augusto Duarte, Osório Camila Moreira, da Silva Ricardo Azevedo, Botella Luis
Master's Programme in Health and Behaviour, Catholic University of Pelotas, Pelotas, Brazil.
J Nerv Ment Dis. 2007 Oct;195(10):870-3. doi: 10.1097/NMD.0b013e3181569c32.
In this study, we evaluated the impact of defense style (DS) on outcome and its relation to the therapeutic alliance. Women with postpartum depression were allocated to a brief psychotherapeutic intervention. To evaluate DS and the therapeutic alliance, the Defense Style Questionnaire and the Working Alliance Inventory were employed. The main outcome was the Edinburgh Postnatal Depression Scale score at end point; anxiety and retention in treatment were also evaluated. Fifty-nine patients were included; 46 completed the therapy and 65.4% responded (Edinburgh Postnatal Depression Scale score <10). Intense use of immature defenses was related to persistence of depression and anxiety symptoms at end point, even when controlled for potential confounders. Results tended to confirm a hierarchy of DSs independently of the alliance. Clinicians should be aware of possible differential responses to brief psychotherapies related to DS.
在本研究中，我们评估了防御方式（DS）对治疗结果的影响及其与治疗联盟的关系。产后抑郁症女性被分配接受一种简短的心理治疗干预。为评估防御方式和治疗联盟，使用了防御方式问卷和工作联盟量表。主要结局是终点时的爱丁堡产后抑郁量表评分；还评估了焦虑和治疗保留率。纳入了59名患者；46名完成了治疗，65.4%有反应（爱丁堡产后抑郁量表评分<10）。即使在控制了潜在混杂因素后，大量使用不成熟防御仍与终点时抑郁和焦虑症状的持续存在有关。结果倾向于证实防御方式的层级关系独立于联盟。临床医生应意识到与防御方式相关的对简短心理治疗可能存在的不同反应。
