Abbass Allan, Town Joel, Ogrodniczuk John, Joffres Michel, Lilliengren Peter
*Department of Psychiatry, Dalhousie University, Halifax; †Department of Psychiatry, University of British Columbia; ‡Faculty of Health Sciences, Simon Fraser University, Vancouver, Canada; and §Department of Psychology, Stockholm University, Sweden.
J Nerv Ment Dis. 2017 Jun;205(6):453-457. doi: 10.1097/NMD.0000000000000684.
This study examined the effects of trial therapy interviews using intensive short-term dynamic psychotherapy with 500 mixed sample, tertiary center patients. Furthermore, we investigated whether the effect of trial therapy was larger for patients who had a major unlocking of the unconscious during the interview compared with those who did not. Outcome measures were the Brief Symptom Inventory (BSI) and the Inventory of Interpersonal Problems (IIP), measured at baseline and at 1-month follow-up. Significant outcome effects were observed for both the BSI and the IIP with small to moderate preeffect/posteffect sizes, Cohen's d = 0.52 and 0.23, respectively. Treatment effects were greater in patients who had a major unlocking of the unconscious compared with those who did not. The trial therapy interview appears to be beneficial, and its effects may relate to certain therapeutic processes. Further controlled research is warranted.
本研究对500名来自三级中心的混合样本患者采用强化短期动态心理治疗进行试验性治疗访谈，并观察其效果。此外，我们还调查了与未在访谈期间出现无意识重大突破的患者相比，在访谈期间出现无意识重大突破的患者接受试验性治疗的效果是否更大。结局指标为简明症状量表（BSI）和人际问题量表（IIP），分别在基线和随访1个月时进行测量。BSI和IIP均观察到显著的结局效应，效应大小为小到中等，科恩d值分别为0.52和0.23。与未出现无意识重大突破的患者相比，出现无意识重大突破的患者治疗效果更佳。试验性治疗访谈似乎有益，其效果可能与某些治疗过程有关。有必要进行进一步的对照研究。
