Herrmann Anna Sophie, Huber Dorothea
Prof. Dr. Dr. Dorothea Huber, Klinik für Psychosomatische Medizin und Psychotherapie, Klinikum Harlaching, Sanatoriumsplatz 2, 81545 München, E-Mail:
Z Psychosom Med Psychother. 2013;59(3):273-89.
This study investigates the symptomatic and interpersonal efficacy of inpatient psychodynamic psychotherapy as well as the influence of several patient- and treatment-related factors on the success of psychotherapy.
In this naturalistic study, 715 patients were assessed with the Symptom Checklist (SCL-90-R) and the Inventory of Interpersonal Problems (IIP). The influence of several patient-and treatment-related factors on the success of psychotherapy was analyzed using logistic regression.
Patients improved significantly on all SCL-90-R and IIP scales. The patients' attachment style, ICD-10 diagnosis, and motivation for therapy, as well as additionally job situation for the symptomatic outcome and additionally age for the interpersonal outcome, were significant predictors of therapeutic success.
Patients with a secure attachment style, a diagnosis of depression, and a high motivation for therapy are more likely to experience therapeutic success than other patients. Furthermore, regular occupational activity has a positive effect on symptomatic treatment outcome, while a younger age has a positive effect on interpersonal treatment outcome.
本研究调查住院心理动力心理治疗的症状疗效和人际效能，以及若干患者相关因素和治疗相关因素对心理治疗成功的影响。
在这项自然主义研究中，715名患者接受了症状自评量表（SCL - 90 - R）和人际问题清单（IIP）评估。使用逻辑回归分析若干患者相关因素和治疗相关因素对心理治疗成功的影响。
患者在所有SCL - 90 - R和IIP量表上均有显著改善。患者的依恋风格、国际疾病分类第10版（ICD - 10）诊断、治疗动机，以及症状结果方面的工作状况和人际结果方面的年龄，是治疗成功的显著预测因素。
与其他患者相比，具有安全依恋风格、诊断为抑郁症且治疗动机高的患者更有可能获得治疗成功。此外，规律的职业活动对症状治疗结果有积极影响，而较年轻的年龄对人际治疗结果有积极影响。
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