Philips Björn
Centre for Dependency Disorders, Stockholm County Council, Stockholm, Sweden.
Psychol Psychother. 2009 Sep;82(Pt 3):323-36. doi: 10.1348/147608309X431491. Epub 2009 Apr 8.
The aim is to investigate whether different modalities and orientations of psychotherapy diverge with regard to patient characteristics and treatment goals, in a naturalistic setting for patients with substance use disorders.
All psychotherapies (N=262) during a year were surveyed at the Centre for Dependency Disorders, Stockholm County Council. Data were collected from the psychotherapists (N=38).
A therapist questionnaire was used, covering the topics of interest. Data regarding problems and goals were categorized using a qualitative clustering method. Differences between therapy formats were analysed using statistical methods.
The prevalence of psychological problems among the patients was high (88%). Patients in cognitive behaviour therapy (CBT) and family therapy (FT) had less severe psychological problems than patients in the other psychotherapy formats. With regard to treatment goals, FT focused on improved family relations, group therapies on relational improvements, psychodynamic therapies on insight and improved functioning, while CBT focused on behaviour change and improved motivation for change.
These findings suggest a shortcoming of the aim of the EST movement to consider reduction of target symptom as the only relevant treatment goal and to compare the efficacy of different treatments in this regard.
旨在调查在物质使用障碍患者的自然主义环境中，不同形式和取向的心理治疗在患者特征和治疗目标方面是否存在差异。
对斯德哥尔摩郡议会成瘾障碍中心一年期间的所有心理治疗（N = 262）进行了调查。数据从心理治疗师（N = 38）处收集。
使用治疗师问卷，涵盖感兴趣的主题。使用定性聚类方法对有关问题和目标的数据进行分类。使用统计方法分析治疗形式之间的差异。
患者中心理问题的患病率很高（88%）。认知行为疗法（CBT）和家庭疗法（FT）的患者比其他心理治疗形式的患者心理问题较轻。关于治疗目标，家庭疗法侧重于改善家庭关系，团体疗法侧重于人际关系改善，心理动力疗法侧重于洞察力和功能改善，而认知行为疗法侧重于行为改变和改变动机的改善。
这些发现表明，实证支持疗法运动将减少目标症状视为唯一相关治疗目标并在这方面比较不同治疗效果的目标存在缺陷。
