McCallum M, Piper W E
Department of Psychiatry, University of Alberta Hospitals, Edmonton, Canada.
Int J Group Psychother. 1990 Oct;40(4):431-52. doi: 10.1080/00207284.1990.11490621.
A controlled, clinical trial investigation of short-term psychoanalytically oriented group psychotherapy (STG) was conducted which included eight psychotherapy groups led by experienced therapists. Patient psychological mindedness (PM) was investigated as a selection criterion and prognostic variable. Seventy-nine psychiatric outpatients experiencing prolonged or delayed grief reactions were matched for level of PM and then randomly assigned to STG or a wait list. There was repeated measurement of several areas and sources of outcome. Results indicated a strong main effect for STG but not for PM on outcome, and minimal evidence for an interaction effect. Benefits were maintained at six-month follow-up. Psychological mindedness emerged as highly predictive of attrition. A clinical discussion is presented wherein the efficacy of STG is considered as reflecting a good patient-treatment match.
开展了一项关于短期精神分析取向团体心理治疗（STG）的对照临床试验研究，其中包括由经验丰富的治疗师带领的八个心理治疗小组。将患者的心理领悟力（PM）作为一项选择标准和预后变量进行了调查。79名经历长期或延迟悲伤反应的精神科门诊患者根据PM水平进行匹配，然后随机分配到STG组或等待名单组。对几个结果领域和来源进行了重复测量。结果表明，STG对结果有很强的主效应，但PM没有，且几乎没有交互效应的证据。在六个月的随访中，疗效得以维持。心理领悟力被证明对脱落率具有高度预测性。本文进行了临床讨论，其中认为STG的疗效反映了良好的患者-治疗匹配。
