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[人际亚型与住院心理治疗患者人际问题改善之间的关系]

[The relationship between interpersonal subtypes and the modification of interpersonal problems in psychotherapy inpatients].

作者信息

Salzer Simone, Streeck Ulrich, Jaeger Ulrich, Masuhr Oliver, Warwas Jasmin, Leichsenring Falk, Leibing Eric

机构信息

Abteilung Psychosomatische Medizin und Psychotherapie, Universitätsmedizin Göttingen, von-Siebold-Str. 5, 37075 Göttingen.

出版信息

Z Psychosom Med Psychother. 2010;56(2):191-206. doi: 10.13109/zptm.2010.56.2.191.

DOI:10.13109/zptm.2010.56.2.191
PMID:20623463
Abstract

OBJECTIVES

Interpersonal problems are typically assessed with the Inventory of interpersonal Problems (IIP; Horowitz et al. 2000). Although patients show different interpersonal profiles, these have to date not been considered in outcome evaluation. We examined whether interpersonal subtypes can be found in inpatients, and whether they differ in the modification of interpersonal problems. Furthermore, we examined the impact of subtypes regarding overall outcome.

METHODS

The Structural Summary Method for Circumplex Data was used to examine the interpersonal problems of N=2809 inpatients from the Asklepios Clinic Tiefenbrunn. Subtypes of interpersonal problems were determined by the centroid method of cluster analysis and were compared with regard to treatment effects.

RESULTS

Patients were distributed in the interpersonal Circumplex and were assigned to eight IIP subtypes, which differed in improvement with regard to interpersonal problems and overall outcome.

CONCLUSIONS

According to the circumplex structure of IIP data, for group level evaluation it is necessary to generate interpersonal subtypes so that clinically relevant results can be demonstrated.

摘要

目的

人际问题通常使用人际问题清单(IIP;霍洛维茨等人,2000年)进行评估。尽管患者表现出不同的人际特征,但迄今为止,这些特征在结果评估中尚未得到考虑。我们研究了住院患者中是否存在人际亚型,以及它们在人际问题改善方面是否存在差异。此外,我们还研究了亚型对总体结果的影响。

方法

使用环形数据的结构总结法,对来自阿斯克勒庇俄斯铁芬布伦诊所的2809名住院患者的人际问题进行研究。人际问题的亚型通过聚类分析的质心法确定,并对治疗效果进行比较。

结果

患者分布在人际环形模型中,并被分为8种IIP亚型,这些亚型在人际问题改善和总体结果方面存在差异。

结论

根据IIP数据的环形结构,对于群体水平的评估,有必要生成人际亚型,以便能够证明临床相关结果。

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