National Institute for Health and Welfare, Helsinki, Finland.
National Institute for Health and Welfare, Helsinki, Finland.
Psychiatry Res. 2014 Apr 30;216(1):44-51. doi: 10.1016/j.psychres.2013.12.050. Epub 2014 Jan 9.
Social support is known to be important for well-being of individuals, but it is not clear how it predicts psychotherapy outcome in patients suffering from depressive or anxiety disorders. The aim of the present study was to study the prediction of social support on the outcome of short-term and long-term psychotherapy. In the Helsinki Psychotherapy Study, 326 psychiatric outpatients, aged 20-46 years, and suffering from depressive or anxiety disorders, were randomly assigned to short-term psychotherapy (short-term psychodynamic or solution-focused) or long-term psychodynamic psychotherapy. The level of social support at baseline was assessed using the Brief Inventory of Social Support and Integration (BISSI). Psychiatric symptoms were assessed with the Symptom Check List, Global Severity Index (SCL-90-GSI) at baseline and four times during a 3-year follow-up. Patients with a high level of social support before treatment benefitted more from long-term than short-term therapy at the 3-year follow-up, whereas patients with a low level of social support experienced no such benefit. Pretreatment social support seems to predict differentially short- and long-term psychotherapy and thus needs to be acknowledged when evaluating patient's resources and treatment options. More research is needed to verify these findings.
社会支持被认为对个体的幸福感很重要，但目前尚不清楚它如何预测患有抑郁或焦虑障碍的患者的心理治疗效果。本研究旨在研究社会支持对短期和长期心理治疗效果的预测作用。在赫尔辛基心理治疗研究中，326 名年龄在 20-46 岁之间、患有抑郁或焦虑障碍的精神科门诊患者被随机分配到短期心理治疗（短期精神动力学或问题焦点治疗）或长期精神动力学心理治疗组。基线时采用简短社会支持和整合量表（BISSI）评估社会支持水平。采用症状检查表、全球严重程度指数（SCL-90-GSI）在基线和 3 年随访期间的 4 次评估精神症状。治疗前社会支持水平较高的患者在 3 年随访时从长期治疗中获益多于短期治疗，而社会支持水平较低的患者则没有这种获益。治疗前的社会支持似乎可以预测短期和长期心理治疗的效果，因此在评估患者的资源和治疗选择时需要考虑这一点。需要进一步的研究来验证这些发现。
