Derner School of Psychology, Adelphi University, Garden City, NY, USA.
Clin Psychol Psychother. 2018 Mar;25(2):348-358. doi: 10.1002/cpp.2167. Epub 2017 Dec 25.
We examined the relationship between psychodynamic techniques early in treatment with reliable change in depressive symptomatology. Forty-six patients admitted for individual psychodynamic psychotherapy who received a diagnosis representative of a depressive spectrum disorder were assessed pretreatment and posttreatment through self-report of depressive symptoms. Videotapes from two early treatment sessions (3rd and 9th) were independently rated on the Comparative Psychotherapy Process Scale for use of psychodynamic-interpersonal and cognitive-behavioural techniques, with excellent interrater reliability (intraclass correlation coefficient > .75). We found a significant relationship between overall use of psychodynamic technique across early treatment (r = .31, p = .036), as well as specific psychodynamic techniques delivered across early treatment, with change in patient-reported depressive symptoms. Our findings suggest that focusing on affective experiencing and expression, as well as providing interpretations are particularly helpful early in psychodynamic treatment for depression. Clinical implications and future directions are discussed.
我们考察了心理动力学治疗早期技术与抑郁症状学可靠变化之间的关系。46 名接受个体心理动力学心理治疗的患者入院，他们的诊断代表了抑郁谱障碍。通过抑郁症状的自我报告，在治疗前和治疗后对患者进行评估。从两个早期治疗阶段（第 3 阶段和第 9 阶段）获得的录像带，由独立的比较心理治疗过程量表进行评估，用于评估心理动力学-人际和认知行为技术的使用情况，评分者间信度极好（组内相关系数>.75）。我们发现，早期治疗中整体心理动力学技术的使用（r=.31，p=.036）以及早期治疗中特定心理动力学技术的使用与患者报告的抑郁症状变化之间存在显著关系。我们的发现表明，在抑郁的心理动力学治疗早期，关注情感体验和表达，以及提供解释特别有帮助。讨论了临床意义和未来方向。
