Franz Matthias, Seidler Daniel, Jenett Dörte, Schäfer Ralf, Wutzler Uwe, Kämmerer Wolfgang, Deters Maria Anna, Schauenburg Henning, Becher-Dortschy Nina, Frommhold Kerstin, Keller Wolfram, Gosda Jürgen, Tress Wolfgang, Zeller Adolf, Beutel Manfred E, Langenbach Michael, Hoffmann Thilo, Haberger Rita, Hartkamp Norbert
Z Psychosom Med Psychother. 2015;61(1):19-35. doi: 10.13109/zptm.2015.61.1.19.
While the general effectiveness of psychodynamic psychotherapy in both outpatient and inpatient treatment has been proven, few studies document the effectiveness of clinical inpatient treatment of depression through psychodynamic psychotherapy.
This paper presents first results of a naturalistic multicenter intervention study. Included were female inpatients suffering from depressive symptoms who had been admitted to 15 psychodynamically oriented psychosomatic hospital units (N = 487). The mean duration of treatment was 61.8 days. Data were acquired at admission (T1) and discharge (T2).
Our findings support previous evidence and show that psychodynamically oriented inpatient psychotherapy of depressive disorders is efficient. High pre-post effect sizes were documented in all psychometric instruments used (BDI, HAM-D, SCL-90-R, BSS, GAF). Initial subgroup comparisons reveal that the benefits for patients with comorbid personality disorder are significantly lower than for depressed patients without comorbid personality disorder.
Psychodynamic inpatient psychotherapy, as practiced under naturalistic conditions, is an effective treatment of depression. Predictors of therapeutic effects within different therapeutic settings, however, remain unclear. The sustainability of the therapeutic effects found and their impact on psychodynamic relevant constructs have still to be proven.
虽然心理动力心理治疗在门诊和住院治疗中的总体有效性已得到证实，但很少有研究记录通过心理动力心理治疗对抑郁症进行临床住院治疗的有效性。
本文介绍了一项自然主义多中心干预研究的初步结果。纳入的是入住15个以心理动力为导向的身心医院科室的患有抑郁症状的女性住院患者（N = 487）。平均治疗时长为61.8天。在入院时（T1）和出院时（T2）获取数据。
我们的研究结果支持先前的证据，并表明针对抑郁症的以心理动力为导向的住院心理治疗是有效的。在所使用的所有心理测量工具（贝克抑郁量表、汉密尔顿抑郁量表、症状自评量表90修订版、简明症状量表、大体功能评定量表）中，治疗前后的效应量都很高。初步的亚组比较显示，合并人格障碍的患者所获得的益处明显低于未合并人格障碍的抑郁症患者。
在自然主义条件下实施的心理动力住院心理治疗是一种有效的抑郁症治疗方法。然而，不同治疗环境下治疗效果的预测因素仍不明确。所发现的治疗效果的可持续性及其对心理动力相关结构的影响仍有待证实。
