Vermote Rudi, Lowyck Benedicte, Luyten Patrick, Vertommen Hans, Corveleyn Jozef, Verhaest Yannick, Stroobants Rob, Vandeneede Bart, Vansteelandt Kristof, Peuskens Jozef
University Psychiatric Centre, University of Leuven, Campus Kortenberg, 3070 Kortenberg, Belgium.
J Nerv Ment Dis. 2010 Feb;198(2):110-5. doi: 10.1097/NMD.0b013e3181cc0d59.
This study examined the relationship between the psychotherapeutic process and outcome in 44 patients who completed hospitalization-based psychodynamic treatment for personality disorders. Using self-report and interview ratings, outcome was assessed in terms of symptoms and personality functioning, and the psychotherapeutic process in terms of self and object relations, felt safety, and reflective functioning. Symptom and process measures were administered at intake, every 3 months during treatment, and at 3 and 12 months follow-up. Personality measures were collected at intake, the end of treatment, and at 3 and 12 months follow-up. Using Piecewise Linear Growth Curve Analysis results showed improvement in symptoms, personality functioning, self and object relations and felt safety, but not in reflective functioning. Linear changes in self and object representation and felt safety, but not in reflective functioning, predicted improvement in outcome.
本研究调查了44名完成住院式人格障碍心理动力治疗的患者的心理治疗过程与治疗结果之间的关系。通过自我报告和访谈评分，从症状和人格功能方面评估治疗结果，从自我与客体关系、感知到的安全感和反思功能方面评估心理治疗过程。在治疗开始时、治疗期间每3个月以及治疗后3个月和12个月进行症状和治疗过程测量。在治疗开始时、治疗结束时以及治疗后3个月和12个月收集人格测量数据。使用分段线性增长曲线分析，结果显示症状、人格功能、自我与客体关系以及感知到的安全感有所改善，但反思功能没有改善。自我与客体表征以及感知到的安全感的线性变化（而非反思功能的线性变化）预测了治疗结果的改善。
