心理化能力的提高可预测精神障碍患者人际困扰的改善。
Improvements in mentalization predict improvements in interpersonal distress in patients with mental disorders.
机构信息
Alpen-Adria-Universität Klagenfurt, Klagenfurt, Austria.
Öffentliches Krankenhaus Waiern, Feldkirchen i. K., Austria.
出版信息
J Clin Psychol. 2018 Dec;74(12):2276-2286. doi: 10.1002/jclp.22673. Epub 2018 Jul 11.
OBJECTIVES
Associations between interpersonal problems and mentalization have rarely been investigated. In this study, we explored patterns of interpersonal problems, mentalization, symptom severity, and attachment during inpatient treatment and at follow-up. Additionally, we investigated whether mentalization predicts a decrease in interpersonal distress.
METHOD
We analyzed time-series data from patients with mental disorders. Data were collected at the beginning and at the end of inpatient treatment, and approximately 6 months after discharge from hospital.
RESULTS
Patterns of correlations were stable from admission to the hospital until follow-up. Treatment significantly increased the levels of mentalization and decreased the levels of interpersonal problems and symptom severity, whereas attachment was only partially targeted. Improvements in mentalization significantly predicted reduction in interpersonal distress at each point in time.
CONCLUSION
Results revealed characteristic patterns of interpersonal problems, mentalization, symptom severity, and attachment. Mentalization was found to play a key role in the reduction of interpersonal distress.
目的
人际问题与心理化之间的关联很少被研究。在本研究中，我们探讨了住院治疗期间和随访期间人际问题、心理化、症状严重程度和依恋的模式。此外，我们还研究了心理化是否可以预测人际困扰的减少。
方法
我们分析了患有精神障碍的患者的时间序列数据。数据在入院时、住院结束时以及出院后大约 6 个月时收集。
结果
从入院到随访，相关模式是稳定的。治疗显著提高了心理化水平，降低了人际问题和症状严重程度的水平，而依恋只部分被针对。心理化的改善显著预测了在每个时间点人际困扰的减少。
结论
结果揭示了人际问题、心理化、症状严重程度和依恋的特征模式。心理化被认为在减少人际困扰方面起着关键作用。
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