Rodziński Paweł, Rutkowski Krzysztof, Sobański Jerzy A, Murzyn Agnieszka, Mielimąka Michał, Smiatek-Mazgaj Bogna, Cyranka Katarzyna, Dembińska Edyta, Grządziel Karolina, Klasa Katarzyna, Müldner-Nieckowski Łukasz
Katedra Psychoterapii UJ CM.
Klinika Psychiatrii Dzieci i Młodzieży UJ CM.
Psychiatr Pol. 2015;49(6):1303-21. doi: 10.12740/PP/OnlineFirst/34108.
Analysis of associations between initial neurotic personality traits and subsequent reduction of suicidal ideation (SI) - or lack of such reduction - obtained until the end of hospitalization in patients who underwent the course of intensive psychotherapy conducted in integrative approach with predominance of psychodynamic approach.
Symptom Checklist KO"O", Neurotic Personality Questionnaire KON-2006 and Life Inventory completed by 461 women and 219 men hospitalized in the day-hospital due to neurotic, behavioral and personality disorders between 2005-2013. At the stage of qualification 134 women and 80 men reported SI, of whom subsequently 84.3% and 77.5% respectively improved.
Women with prominent Tendency to risk-taking (p=0.002) and Impulsiveness (p=0.038) constituted subgroups with decreased chances of improvement in terms of SI, while men with prominently elevated level of Envy (p=0.041) and women who seemed to have difficulties in expressing anger adequately (p<0.05) had increased chances of SI reduction.
Initially prominent Tendency to risk-taking and Impulsiveness may coexist with SI of increased resistance to psychotherapy. Thus, those subgroups require special attention and diligent selection of therapeutic methods. Also, it is probable that focusing therapy at the above-mentioned personality components may increase effectiveness of SI treatment. Reducing SI during psychotherapy appears to be highly effective especially in women with difficulties in expressing anger adequately and in men with prominently elevated level of Envy, which suggests adequacy of this treatment choice and of targeting those difficulties during psychotherapy.
分析在以心理动力学方法为主的综合治疗方法中接受强化心理治疗的患者，其初始神经质人格特质与住院结束时自杀观念（SI）减轻之间的关联——或者未出现这种减轻的情况。
对2005年至2013年期间因神经症、行为和人格障碍在日间医院住院的461名女性和219名男性进行症状清单KO“O”、神经质人格问卷KON - 2006和生活量表的测评。在入组阶段，134名女性和80名男性报告有自杀观念，其中随后分别有84.3%和77.5%的人症状改善。
具有显著冒险倾向（p = 0.002）和冲动性（p = 0.038）的女性在自杀观念改善方面机会减少，而嫉妒水平显著升高的男性（p = 0.041）和似乎难以充分表达愤怒的女性（p < 0.05）自杀观念减轻的机会增加。
最初显著的冒险倾向和冲动性可能与对心理治疗有更高抗性的自杀观念共存。因此，这些亚组需要特别关注并谨慎选择治疗方法。此外，将治疗重点放在上述人格成分上可能会提高自杀观念治疗的效果。在心理治疗期间减轻自杀观念似乎非常有效，尤其是对于难以充分表达愤怒的女性和嫉妒水平显著升高的男性，这表明这种治疗选择的适当性以及在心理治疗期间针对这些问题的针对性。
