a Department of Psychology , University of Zurich , Zurich , Switzerland.
Psychother Res. 2014;24(4):429-41. doi: 10.1080/10503307.2013.829253. Epub 2013 Sep 13.
We examined interpersonal problems in psychotherapy outpatients with a principal diagnosis of a depressive disorder in routine care (n=361). These patients were compared to a normative non-clinical sample and to outpatients with other principal diagnoses (n=959). Furthermore, these patients were statistically assigned to interpersonally defined subgroups that were compared regarding symptoms and the quality of the early alliance. The sample of depressive patients reported higher levels of interpersonal problems than the normative sample and the sample of outpatients without a principal diagnosis of depression. Latent Class Analysis identified eight distinct interpersonal subgroups, which differed regarding self-reported symptom load and the quality of the early alliance. However, therapists' alliance ratings did not differentiate between the groups. This interpersonal differentiation within the group of patients with a principal diagnosis of depression may add to a personalized psychotherapy based on interpersonal profiles.
我们在常规治疗中研究了主要诊断为抑郁症的心理治疗门诊患者的人际问题（n=361）。将这些患者与规范的非临床样本和其他主要诊断的门诊患者（n=959）进行比较。此外，这些患者被统计分配到人际定义的亚组中，这些亚组在症状和早期联盟质量方面进行了比较。抑郁患者样本报告的人际问题水平高于规范样本和没有主要抑郁诊断的门诊患者样本。潜在类别分析确定了八个不同的人际亚组，这些亚组在自我报告的症状负荷和早期联盟质量方面存在差异。然而，治疗师的联盟评估并没有在组间区分。主要诊断为抑郁症的患者群体中的这种人际差异可能会增加基于人际特征的个性化心理治疗。
