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针对青少年和青年的心理动力心理治疗:常规实践中的结果。

Psychodynamic psychotherapy with adolescents and young adults: Outcome in routine practice.

作者信息

Nemirovski Edlund Julia, Carlberg Gunnar

机构信息

The Erica Foundation, Sweden

The Erica Foundation, Sweden Department of Education, Stockholm University, Sweden.

出版信息

Clin Child Psychol Psychiatry. 2016 Jan;21(1):66-80. doi: 10.1177/1359104514554311. Epub 2014 Oct 17.

Abstract

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.

摘要

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。

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