慢性与非慢性重度抑郁症短期动态心理治疗结果的影响因素
Factors in Outcomes of Short-Term Dynamic Psychotherapy for Chronic vs. Nonchronic Major Depression.
作者信息
Luborsky L, Diguer L, Cacciola J, Barber J P, Moras K, Schmidt K, Derubeis R J
机构信息
University of Pennsylvania, Philadelphia, Pennsylvania; Laval University, Quebec, Canada; and George Washington University, Washington, D.C.
出版信息
J Psychother Pract Res. 1996 Spring;5(2):152-9.
The benefits, and variables influencing the benefits, of short-term dynamic psychotherapy for chronic major depression versus nonchronic major depression were examined for 49 patients. The two diagnostic groups started at the same level on the Beck Depression Inventory (BDI) and Global Assessment of Functioning Scale (GAF) and benefited similarly. The bases for the benefits were examined by linear models explaining 35% of termination BDI variance and 47% of termination GAF scores. By far the largest contributor to outcome was initial GAF, followed by presence of more than one comorbid Axis I diagnosis. Initial level of depression on the BDI was not a significant predictor of termination BDI. The chronic/ nonchronic distinction accounted for less than 1% of explained variance, and little was added by personality disorder, age, or gender.
对49名患者研究了短期动态心理治疗对慢性重度抑郁症和非慢性重度抑郁症的疗效以及影响疗效的变量。两个诊断组在贝克抑郁量表（BDI）和功能总体评定量表（GAF）上的起始水平相同，获益情况也相似。通过线性模型对疗效的依据进行了检验，该模型解释了35%的BDI终止时方差和47%的GAF终止时得分。到目前为止，对治疗结果影响最大的因素是初始GAF，其次是存在一种以上共病的轴I诊断。BDI上的初始抑郁水平不是BDI终止的显著预测因素。慢性/非慢性的区别在解释的方差中占比不到1%，人格障碍、年龄或性别增加的影响很小。
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