Restek-Petrović Branka, Bogović Anamarija, Grah Majda, Filipčić Igor, Ivezić Ena
Psychiatric Hospital "Sveti Ivan", Jankomir 11, 10 000 Zagreb, Croatia,
Psychiatr Danub. 2015 Sep;27 Suppl 1:S364-70.
This study aimed to examine the relationship between some personality characteristics of patients diagnosed with psychotic disorders and the quality of their engagement in psychodynamic group psychotherapy. Given that previous research has shown that self-stigma is significantly negatively associated with the engagement of patients, the measure of self-stigma was used as a correlate of patients' motivation to participate in group psychotherapy.
A total of 48 outpatients (52.1% women; mean age 35.30 years) attending group psychodynamic psychotherapy completed The Inventory of Personality Organization, The Pathological Narcissism Inventory, The Measure of Parental Style, The Relationship Questionnaire, and The Internalized Stigma of Mental Illness scale.
The findings showed that patients with higher levels of self-stigma have unhealthy attachments styles, perceived their mothers' parental style as indifferent and achieved greater scores on narcissistic vulnerability scale. They are also are prone to primitive psychological defences, have poorly integrated identity, and achieved lower scores on reality testing dimension.
Taking into account the limitations of this study, these findings may contribute to improved understanding of the quality of participation and engagement of psychotic patients in group psychotherapy, and may help to develop more effective therapeutic approaches.
本研究旨在探讨被诊断为精神障碍的患者的某些人格特征与其在心理动力团体心理治疗中的参与质量之间的关系。鉴于先前的研究表明自我污名与患者的参与度显著负相关，自我污名的测量被用作患者参与团体心理治疗动机的一个相关因素。
共有48名接受团体心理动力治疗的门诊患者（52.1%为女性；平均年龄35.30岁）完成了人格组织量表、病理性自恋量表、父母教养方式量表、关系问卷和精神疾病内化污名量表。
研究结果表明，自我污名程度较高的患者具有不健康的依恋风格，认为其母亲的教养方式冷漠，在自恋易感性量表上得分更高。他们也更容易采用原始的心理防御机制，身份认同整合不佳，在现实检验维度上得分较低。
考虑到本研究的局限性，这些发现可能有助于增进对精神病患者在团体心理治疗中的参与质量的理解，并可能有助于开发更有效的治疗方法。
