Rodziński Paweł, Rutkowski Krzysztof, Sobański Jerzy A, Mielimąka Michał, Murzyn Agnieszka, Cyranka Katarzyna, Dembińska Edyta, Grządziel Karolina, Klasa Katarzyna, Müldner-Nieckowski Łukasz, Smiatek-Mazgaj Bogna
Katedra Psychoterapii UJ CM.
Klinika Psychiatrii Dzieci i Młodzieży UJ CM.
Psychiatr Pol. 2015;49(6):1323-41. doi: 10.12740/PP/OnlineFirst/37308.
Analysis of associations between changes in neurotic personality profile and reductionof suicidal ideation (SI) - or lack of such reduction - defined as its elimination or reduction of its intensity in patients who underwent a 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 treated due to neurotic, behavioral or personality disorders in a day hospital between 2005-2013. During the qualification for the therapy 134 women and 80 men reported SI, of whom 84.3% and 77.5% respectively improved.
Patients who improved in terms of SI obtained significantly greater reduction of global neurotic personality disintegration (neuroticism) than others (p<0.0005 in women and p=0.015 in men). Associations were found between improvement in terms of SI and greater reduction of many neurotic personality traits (p<0.05) in both genders: Negative self-esteem, Impulsiveness, Sense of alienation, Demobilization, Difficulties in emotional relations, Lack of vitality, Sense of lack of control, Sense of guilt, Difficulties in interpersonal relations, Sense of being in danger, Exaltation, Ponderings; and only in women: Feeling of being dependent on the Environment, Asthenia, Difficulties with decision making, Conviction of own resourcelessness in life, Deficit in internal locus of control and Imagination. indulging in fiction.
The results confirm effectiveness of intensive psychotherapy as a treatment method that leads to comprehensive improvement encompassing reduction of neurotic personality disorders (neuroticism) and of majority of neurotic personality traits, as well as SI reduction. The revealed associations weigh in favor of hypothesis on neuroticism as SI predisposing factor in patients with neurotic, behavioral and personality disorders.
分析在以心理动力疗法为主导的综合方法进行强化心理治疗的患者中，神经质人格特征的变化与自杀观念（SI）的减少（或未减少，定义为消除或强度降低）之间的关联。
2005年至2013年期间，在日间医院因神经症、行为或人格障碍接受治疗的461名女性和219名男性完成了症状清单KO“O”、神经质人格问卷KON - 2006和生活量表。在治疗资格评估期间，134名女性和80名男性报告有自杀观念，其中分别有84.3%和77.5%的人病情有所改善。
在自杀观念方面有所改善的患者，其整体神经质人格解体（神经质）的减少程度明显高于其他患者（女性p<0.0005，男性p = 0.015）。在男女两性中，自杀观念的改善与许多神经质人格特征的更大程度减少之间均存在关联（p<0.05）：消极自尊、冲动性、疏离感、动员障碍、情感关系困难、缺乏活力、缺乏控制感、内疚感、人际关系困难、处于危险感、兴奋感、沉思；仅在女性中：依赖环境感、无力感、决策困难、生活中认为自己无助的信念、内控缺失和沉迷虚构想象。
结果证实了强化心理治疗作为一种治疗方法的有效性，该方法可带来全面改善，包括减少神经质人格障碍（神经质）和大多数神经质人格特征，以及减少自杀观念。所揭示的关联支持了关于神经质是神经症、行为和人格障碍患者自杀观念易感因素的假设。
