Nielsen G, Barth K, Haver B, Havik O E, Mølstad E, Rogge H, Skåtun M
Department of Clinical and Community Psychology, University of Bergen, Norway.
Psychother Psychosom. 1988;50(1):35-41. doi: 10.1159/000288098.
Ten outpatients who complained of physical symptoms, without organic pathology, were treated with brief dynamic psychotherapy. Outcome ratings were provided by independent assessors at the end of therapy and 2 years post treatment. Improvement criteria included symptoms, adaptive functioning, and specific internal predispositions. The results showed that most of the patients gained substantially from their therapy experiences. Change did not only occur with regard to psychological difficulties, but also in their particular physical symptoms. Therapy gains at termination were maintained, and had even increased, at follow-up. Clinical improvement was confirmed by psychological test findings. In several patients marked positive change was also observed in their general body response patterns.
十名主诉有身体症状但无器质性病变的门诊患者接受了短程动力心理治疗。在治疗结束时以及治疗后两年,由独立评估者给出结果评级。改善标准包括症状、适应性功能和特定的内部易感性。结果显示,大多数患者从治疗经历中获益颇丰。变化不仅发生在心理问题方面,也体现在他们特定的身体症状上。治疗结束时的治疗效果在随访中得以维持,甚至有所增强。心理测试结果证实了临床改善。在几名患者中,还观察到他们的全身反应模式有明显的积极变化。