Nemirovski Edlund Julia, Carlberg Gunnar
The Erica Foundation, Sweden
The Erica Foundation, Sweden Department of Education, Stockholm University, Sweden.
Clin Child Psychol Psychiatry. 2016 Jan;21(1):66-80. doi: 10.1177/1359104514554311. Epub 2014 Oct 17.
This naturalistic study examined the outcome of psychodynamic psychotherapy with 218 adolescents and young adults aged 14-24 years. Analysis of variance showed significant improvement of general functioning on Children's Global Assessment Scale (CGAS) and Global Assessment of Functioning (GAF) and decreased symptom severity on Symptoms Checklist-90 (SCL-90) upon completion of psychotherapy, as well as a clinically significant improvement in a large percentage of cases. Effect sizes were equivalent to those evident in a clinical comparison group and larger than in prior research. The main limitation of this study was the lack of a control group, partially compensated for through the use of comparison groups and high external validity. The study seeks to fill a gap in an important yet overlooked field of research.
这项自然主义研究考察了针对218名年龄在14至24岁的青少年和青年进行心理动力心理治疗的结果。方差分析显示,心理治疗结束后,在儿童总体评估量表(CGAS)和功能总体评估(GAF)上,总体功能有显著改善,在症状自评量表90(SCL - 90)上症状严重程度降低,并且在很大比例的病例中出现了具有临床意义的改善。效应大小与临床对照组中观察到的相当,且大于先前研究中的效应大小。本研究的主要局限性在于缺乏对照组,不过通过使用比较组和较高的外部效度在一定程度上进行了弥补。该研究旨在填补一个重要但被忽视的研究领域的空白。