Department of Psychology, University of Trier, Trier, Germany.
Psychother Res. 2013;23(1):14-24. doi: 10.1080/10503307.2012.693837. Epub 2012 Jun 18.
Psychotherapy does not always follow a linear path. The present study explores the frequency of sudden gains and losses during the course of outpatient psychotherapy. The sample includes 1500 patients treated at three different outpatient centers. The patients were 57.4% female, and suffered primarily from anxiety and depressive disorders. Progress was measured by session reports. Significant sudden shifts in both directions were prevalent for 28.9% of the patients. Patients with early sudden gains showed the highest effect sizes and patients with sudden losses showed the smallest at the end of treatment. The therapeutic relationship was significantly better after the sudden gain sessions. Results suggest further investigation of the occurrence of sudden gains in relation to early response as well as further exploration of sudden losses during the course of treatment with respect to differential patterns of change and outcome.
心理治疗并非总是遵循线性路径。本研究探讨了门诊心理治疗过程中突然增益和损失的频率。样本包括在三个不同门诊中心接受治疗的 1500 名患者。患者中 57.4%为女性，主要患有焦虑症和抑郁症。进展通过会议报告进行衡量。对于 28.9%的患者来说，出现了明显的双向突然转变。早期突然增益的患者在治疗结束时显示出最高的效果量，而突然损失的患者显示出最小的效果量。治疗关系在突然增益后明显改善。结果表明，需要进一步研究与早期反应相关的突然增益的发生，以及在治疗过程中进一步探索突然损失，以了解不同的变化模式和结果。
