Weitkamp Katharina, Daniels Judith K, Baumeister-Duru Anette, Wulf Andrea, Daubmann Anne, Romer Georg, Wiegand-Grefe Silke
MSH Medical School Hamburg Am Kaiserkai 1 20457 Hamburg Deutschland MSH Medical School Hamburg.
Faculty of Behavioural and Social Sciences Universität Groningen Niederlande Faculty of Behavioural and Social Sciences.
Prax Kinderpsychol Kinderpsychiatr. 2019 Mar;68(3):209-218. doi: 10.13109/prkk.2019.68.3.209.
Effectiveness of Psychoanalytic Psychotherapy for Children and Adolescents with Severe Anxiety Psychopathology in a Naturalistic Treatment Setting The aim of the study was to evaluate naturalistic out-patient psychoanalytic youth psychotherapy in Germany. The study was a partly controlled effectiveness trial. While the first treatment interval (25 sessions, 6.13 months) was compared with a wait-list control group (5 supportive sessions, 2.94 months), the effects of long-term psychoanalytical treatment were analyzed using a time-series design. 86 children and adolescents (aged 4 to 21 years) and their parents who entered psychoanalytic therapy in private practices participated in this study. The wait-list control group comprised 35 patients. Questionnaires were administered at the beginning and the end of treatment, as well as 6 and 12 month follow-up (FU). Patients received on average 94.04 therapy sessions (range 8 to 300) over 25.70 months. Data analyses were carried out with multilevel mixed linear models on the intention-to-treat (ITT) sample. The patients in the intervention group reported moderate symptom improvements at the end of therapy (d = .57), these effects are stable at the 1-year follow-up and increase from the patient perspective (d = .80). When comparing the first therapy interval with the (minimal treatment) wait-list control group, both groups improved significantly with small effect sizes and no significant group differences. The results suggest that long-term psychoanalytic therapy is successful in alleviating anxiety pathology and improving quality of life for youth with anxiety disorders, and that improvements remain stable across a 1-year follow-up period.
自然主义治疗环境下精神分析心理治疗对患有严重焦虑心理病理学的儿童和青少年的有效性 本研究的目的是评估德国自然主义门诊精神分析青少年心理治疗。该研究是一项部分对照有效性试验。在将第一个治疗阶段（25次治疗，6.13个月）与等待名单对照组（5次支持性治疗，2.94个月）进行比较的同时，使用时间序列设计分析长期精神分析治疗的效果。86名4至21岁的儿童和青少年及其进入私人诊所接受精神分析治疗的父母参与了本研究。等待名单对照组包括35名患者。在治疗开始和结束时以及6个月和12个月随访（FU）时进行问卷调查。患者在25.70个月内平均接受了94.04次治疗（范围8至300次）。对意向性治疗（ITT）样本使用多水平混合线性模型进行数据分析。干预组患者在治疗结束时报告症状有中度改善（d = 0.57），这些效果在1年随访时稳定，并且从患者角度来看有所增加（d = 0.80）。当将第一个治疗阶段与（最小治疗）等待名单对照组进行比较时，两组均有显著改善，效应量较小且无显著组间差异。结果表明，长期精神分析治疗在减轻焦虑症青少年的焦虑病理和改善生活质量方面是成功的，并且在1年随访期内改善情况保持稳定。
