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[心理治疗过程中的消极指标:社交焦虑障碍患者的出现频率及其与依恋特征和治疗结果的关系]

[Negative Indicators in the Psychotherapeutic Process: Frequency and Relationship with Attachment Characteristics and Treatment Outcome among Patients with Social Anxiety Disorder].

作者信息

Strauß Bernhard, Grass Nadja, Ritter Viktoria, Stangier Ulrich, Nolting Björn, Herpertz Stephan, Dymel Wibke, Willutzki Ulrike, Nodop Steffi

机构信息

Institut für Psychosoziale Medizin und Psychotherapie, Universitätsklinikum Jena.

Institut für Psychologie, Goethe-Universität Frankfurt am Main.

出版信息

Psychother Psychosom Med Psychol. 2018 Sep;68(9-10):408-416. doi: 10.1055/a-0639-5568. Epub 2018 Oct 4.

Abstract

Within the SOPHO-Net-Project, mainly focusing on a randomized-controlled trial comparing short term cognitive and psychodynamic psychotherapy for social anxiety disorder, a subsample consisting of 88 patients from 3 of the 5 study sites was investigated to examine the relationship between outcome, initial attachment characteristics and negative indicators during the process. These negative indicators were assessed with the Vanderbilt Negative Indicators Scale which was applied to an early (3), a middle (9) as well as a late therapy (22) session. The study shows that negative indicators as a whole were relatively rare with a higher frequency within the psychodynamic therapies for which a relationship between negative indicators and outcome could be found. Contrary to expectation, initial attachment characteristics were not related to negative indicators.

摘要

在SOPHO-Net项目中,该项目主要聚焦于一项比较社交焦虑障碍短期认知和心理动力心理治疗的随机对照试验,对来自5个研究地点中3个地点的88名患者组成的子样本进行了调查,以检验治疗结果、初始依恋特征与治疗过程中的负面指标之间的关系。这些负面指标通过范德比尔特负面指标量表进行评估,该量表应用于早期(第3次)、中期(第9次)以及后期治疗(第22次)疗程。研究表明,总体而言负面指标相对较少,在心理动力治疗中出现频率较高,且能发现负面指标与治疗结果之间存在关联。与预期相反,初始依恋特征与负面指标无关。

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