Bressi Cinzia, Porcellana Matteo, Marinaccio Paola Marianna, Nocito Emanuela Paola, Magri Lorenzo
Psychiatric Clinic, Università degli Studi di Milano, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
J Nerv Ment Dis. 2010 Sep;198(9):647-52. doi: 10.1097/NMD.0b013e3181ef3ebb.
This randomized clinical trial aimed to evaluate the clinical efficacy of short-term psychodynamic psychotherapy (STPP) in the treatment of patients suffering from anxiety or depressive disorders, as compared with a control case sample composed of patients undergoing treatment as usual (TAU). Sixty patients with depressive or anxiety disorders according to DSM IV-TR were randomly assigned in a 1:1 ratio to an intervention group (STPP) or control group for 12 months (T1). Primary outcome measures were the Symptom Checklist 90-Revised (SCL-90-R), the Inventory of Interpersonal Problems (IIP), and the Clinical Global Impression Improvement Scale. Intention to treat analysis revealed that patients who received STPP showed significantly more improvements in comparison with those who were in the TAU group on Clinical Global Impression Improvement Scale and IIP measures. This study offers evidence that STPP is an effective treatment for patients with anxiety or depressive disorders, and it could be more effective than TAU in improving interpersonal problems as measured by IIP.
这项随机临床试验旨在评估短期心理动力心理治疗（STPP）在治疗焦虑或抑郁障碍患者方面的临床疗效，并与由接受常规治疗（TAU）的患者组成的对照病例样本进行比较。根据《精神疾病诊断与统计手册》第四版修订版（DSM IV-TR），60名患有抑郁或焦虑障碍的患者以1:1的比例被随机分配到干预组（STPP）或对照组，为期12个月（T1）。主要结局指标包括症状自评量表90修订版（SCL-90-R）、人际问题量表（IIP）和临床总体印象改善量表。意向性分析显示，与TAU组患者相比，接受STPP治疗的患者在临床总体印象改善量表和IIP测量方面有显著更多的改善。这项研究提供了证据，表明STPP是治疗焦虑或抑郁障碍患者的有效方法，并且在改善IIP所测量的人际问题方面可能比TAU更有效。
