Lindfors Olavi, Knekt Paul, Virtala Esa, Laaksonen Maarit A
National Institute for Health and Welfare, Helsinki, Finland.
J Nerv Ment Dis. 2012 Nov;200(11):946-53. doi: 10.1097/NMD.0b013e3182718c6b.
This study compares the effectiveness of solution-focused therapy (SFT) and short- and long-term psychodynamic psychotherapy (SPP and LPP) on self-concept during a 3-year follow-up. Altogether, 326 patients with mood or anxiety disorder were randomized to SFT, SPP, and LPP in the Helsinki Psychotherapy Study. Outcome was assessed using the Structural Analysis of Social Behavior questionnaire at baseline and 7, 12, 24, and 36 months after. Overall, during the first year of follow-up, self-concept improved more in both SFT and SPP than in LPP, indicated by the primary outcome indicators self-directed affiliation (AF) and self-directed autonomy, as well as by most of the eight secondary cluster scores. After the 3-year follow-up, LPP was more effective than SFT in AF and in the cluster scores self-affirm, self-blame, and self-neglect, whereas no difference was noted between LPP and SPP. Long duration and psychodynamic orientation of therapy may be beneficial for self-concept improvement.
本研究比较了聚焦解决疗法（SFT）以及短期和长期心理动力心理治疗（SPP和LPP）在3年随访期间对自我概念的疗效。在赫尔辛基心理治疗研究中，共有326名患有情绪或焦虑障碍的患者被随机分配至SFT、SPP和LPP组。在基线以及之后的7、12、24和36个月，使用社会行为结构分析问卷评估结果。总体而言，在随访的第一年，SFT和SPP组的自我概念改善均比LPP组更多，主要结果指标自我导向性归属（AF）和自我导向性自主以及八个次要聚类分数中的大多数均表明了这一点。3年随访后，LPP在AF以及自我肯定、自我责备和自我忽视聚类分数方面比SFT更有效，而LPP和SPP之间未发现差异。治疗的长时间和心理动力取向可能有利于自我概念的改善。
