National Institute for Health and Welfare (THL), Box 30, 00271 Helsinki, Finland.
Eur Psychiatry. 2013 Feb;28(2):117-24. doi: 10.1016/j.eurpsy.2011.12.002. Epub 2012 Jun 15.
Patient's pre-treatment suitability for short-term psychodynamic psychotherapy (STPP) and solution-focused therapy (SFT) has not been compared. The aim of this study was to compare the prediction of psychological suitability measures on outcome of STPP vs. SFT.
Altogether 198 patients with mood or anxiety disorder were randomized to STPP or SFT. A 7-item Suitability for Psychotherapy Scale (SPS) was assessed at baseline and a cumulative SPS score was formed. Psychiatric symptoms were measured using SCL-90-GSI at baseline and seven times during a 3-year follow-up.
The SPS score predicted the outcome of both short-term psychotherapies; for patients with a good score short-term therapies seemed beneficial, whereas for patients with a poor score they did not seem sufficient. There was no difference between STPP and SFT in the prediction of the SPS score.
Psychological suitability measures may apparently be useful in the prediction of overall short-term psychotherapy outcomes.
尚未比较患者短期精神动力心理治疗（STPP）和问题聚焦治疗（SFT）的治疗前适应性。本研究旨在比较 STPP 与 SFT 的心理适应性测量对结果的预测。
共将 198 名患有情绪或焦虑障碍的患者随机分配至 STPP 或 SFT。在基线时评估 7 项治疗适应性量表（SPS），并形成累积 SPS 评分。在 3 年随访期间，使用 SCL-90-GSI 在基线和 7 次时测量精神症状。
SPS 评分预测了两种短期心理治疗的结果；对于得分良好的患者，短期治疗似乎有益，而对于得分较差的患者，短期治疗似乎不足。在 SPS 评分的预测方面，STPP 和 SFT 之间没有差异。
心理适应性测量似乎可用于预测总体短期心理治疗结果。
