Cromer Thomas D, Hilsenroth Mark J
The Graduate Center, The City University of New York, New York, USA.
J Nerv Ment Dis. 2010 Jan;198(1):59-66. doi: 10.1097/NMD.0b013e3181c820fc.
The current study examines pretherapy patient personality characteristics that may be related to outcome in Short-Term Psychodynamic Psychotherapy. The prognostic ability of the Capacity for Dynamic Process Scale (CDPS; Thackrey et al., A Collection of Psychological Scales. 1993:57-63) was examined in a sample of 71 outpatient adults seeking treatment at a university-based community clinic. The relationship of CDPS to various outcome variables, including both patient and clinician perspectives, were investigated. A Principal Components Factor Analysis of the items comprising the CDPS was used to identify salient item clusters representing the insight, affective, or relational capacities of patients. Results indicated that the CDPS Total score was positively correlated to several of the outcome measures, but not at a level of significance. Certain CDPS items, and to a greater extent items composing the Insight subscale, demonstrated significant positive relationships to a number of patient and clinician rated outcome measures. Results from the study will be discussed in regard to their applied clinical implications.
本研究考察了治疗前患者的人格特征,这些特征可能与短期心理动力心理治疗的结果相关。在一个由71名在大学社区诊所寻求治疗的门诊成年患者组成的样本中,检验了动态过程能力量表(CDPS;Thackrey等人,《心理量表集》。1993年:57 - 63)的预后能力。研究了CDPS与各种结果变量之间的关系,包括患者和临床医生的观点。对构成CDPS的项目进行主成分因子分析,以识别代表患者洞察力、情感或关系能力的显著项目集群。结果表明,CDPS总分与一些结果测量指标呈正相关,但未达到显著水平。某些CDPS项目,以及在更大程度上构成洞察力子量表的项目,与许多患者和临床医生评定的结果测量指标呈现出显著的正相关关系。将讨论该研究结果的应用临床意义。