Mielimąka Michał, Rutkowski Krzysztof, Cyranka Katarzyna, Sobański Jerzy, Müldner-Nieckowski Łukasz, Dembińska Edyta, Smiatek-Mazgaj Bogna, Klasa Katarzyna
Katedra Psychoterapii UJ CM.
Zakład Psychoterapii Szpitala Uniwersyteckiego w Krakowie.
Psychiatr Pol. 2015 Jan-Feb;49(1):29-48. doi: 10.12740/PP/26093.
The aim of this study was to analyze the effectiveness of intensive (150 - 210 sessions), short-term (10 - 14 weeks) group psychotherapy in the treatment of neurotic disorders, and selected personality disorders.
The study involved 145 patients treated in day hospital due to neurotic disorders and selected personality disorders. The measurements were performed twice - at the beginning and at the end of hospitalization. The effectiveness of psychotherapy in the reduction of symptoms of neurotic disorders was measured with symptom checklist "0". The change in the severity of personality traits characteristic for neurotic disorders was examined using Neurotic Personality Questionnaire KON-2006.
A significant reduction in symptoms of neurotic disorders was found in 84% of patients (85,7% women and 80,8% men). 70,3% of the examined patients obtained in the measurement at the end of treatment results indicating the level of severity of neurotic disorders symptoms below the cutoff point separating population of healthy individuals from patients. A significant reduction in the severity of personality traits characteristically occurring in patients suffering from neurotic disorders was found in 76% of patients (74.5% women and 78.7% men). 42.8% of the examined patients obtained in the measurement at the end of the treatment the value of neurotic personality traits index (X-KON) typical for healthy population.
Intensive, short-term group psychotherapy with elements of individual therapy is an effective treatment for neurotic disorders. The majority of treated persons obtains a significant symptomatic improvement and a reduction in the severity of neurotic personality traits.
本研究旨在分析强化（150 - 210节）、短期（10 - 14周）团体心理治疗对神经症性障碍及部分人格障碍的治疗效果。
该研究纳入了145例因神经症性障碍及部分人格障碍在日间医院接受治疗的患者。测量在住院开始时和结束时各进行一次。使用症状清单“0”来衡量心理治疗对减轻神经症性障碍症状的效果。采用《神经质人格问卷KON - 2006》来检查神经症性障碍特征性人格特质严重程度的变化。
84%的患者（女性85.7%，男性80.8%）神经症性障碍症状显著减轻。70.3%的受检患者在治疗结束时的测量结果显示，其神经症性障碍症状严重程度低于区分健康人群与患者的临界值。76%的患者（女性74.5%，男性78.7%）神经症性障碍患者特征性出现的人格特质严重程度显著降低。42.8%的受检患者在治疗结束时的测量中获得了健康人群典型的神经质人格特质指数（X - KON）值。
包含个体治疗元素的强化、短期团体心理治疗是治疗神经症性障碍的有效方法。大多数接受治疗的人症状得到显著改善，神经质人格特质严重程度降低。
