Paez Izabel Cristina, Nunes Maria Lucia Tiellet, Hirakata Vânia Naomi
Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
Trends Psychiatry Psychother. 2015 Apr-Jun;37(2):67-71. doi: 10.1590/2237-6089-2014-0020.
This empirical study was based on the analysis of the results of a study about dropout predictors among in child psychoanalytic psychotherapy. The objectives were to characterize the sample of children discharged from psychoanalytic psychotherapy, examine the association between sociodemographic/ clinical variables and child psychoanalytic psychotherapy discharge, and determine predictors of discharge in child psychoanalytic psychotherapy.
This quantitative, descriptive and retrospective study analyzed the clinical records of 600 children treated in three institutions that offer graduate courses in psychoanalytic psychotherapy in Porto Alegre, Brazil.
The analysis of clinical records revealed that 24.2% of the child patients were discharged from treatment. Neurological assessment and treatment duration were predictors of discharge in child psychoanalytic psychotherapy.
The predictors of discharge and dropout may coincide, but they are not the same. In this sample, the construction of the therapeutic alliance and the understanding of the reasons why children need psychotherapy by their parents or guardians may explain our findings.
本实证研究基于对一项关于儿童精神分析心理治疗中辍学预测因素研究结果的分析。其目的是对从精神分析心理治疗中出院的儿童样本进行特征描述，检验社会人口统计学/临床变量与儿童精神分析心理治疗出院之间的关联，并确定儿童精神分析心理治疗出院的预测因素。
这项定量、描述性和回顾性研究分析了在巴西阿雷格里港提供精神分析心理治疗研究生课程的三个机构中接受治疗的600名儿童的临床记录。
临床记录分析显示，24.2%的儿童患者停止治疗出院。神经学评估和治疗时长是儿童精神分析心理治疗出院的预测因素。
出院和辍学的预测因素可能一致，但并不相同。在这个样本中，治疗联盟的构建以及父母或监护人对儿童需要心理治疗原因的理解或许可以解释我们的研究结果。
