转移工作在青少年中首次实验研究（FEST-IT）：一项多中心、观察者和患者双盲、随机对照组分研究。

The first experimental study of transference work-in teenagers (FEST-IT): a multicentre, observer- and patient-blind, randomised controlled component study.

机构信息

Division of Mental Health and Addiction, Institute of Clinical Medicine, University of Oslo, P.O. box 1171, 0318, Blindern, Oslo, Norway.

Vestfold Hospital Trust, Division of Mental Health, Research Unit, P.O. box 2169, 3125, Tønsberg, Norway.

出版信息

BMC Psychiatry. 2021 Feb 17;21(1):106. doi: 10.1186/s12888-021-03055-y.

DOI:10.1186/s12888-021-03055-y

PMID:33596856

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7888176/

Abstract

BACKGROUND

Little is known about the influence on outcome of exploration of the patient-therapist relationship (that is, transference work) in psychoanalytic psychotherapy. We hypothesized that depressed adolescents would have better long-term effects from psychoanalytic psychotherapy with than without transference work.

METHODS

Depressed adolescent (16 to 18 years) were recruited in health authority funded out-patient clinics in Oslo and Vestfold County, Norway. They were randomized to 28 weeks of treatment with psychoanalytic psychotherapy with or without transference work. Change was assessed using linear-mixed models. The primary outcome measure was the Psychodynamic Functioning Scale (pre- post-, and 1-year post-treatment). Level of depression was measured at the same time points and during therapy (week 12, and 20).

RESULTS

69 adolescents were treated with (N = 39) or without (N = 31) transference work. The mean number of sessions was 18.6 (SD = 8,6) in the transference work group and 18.0 (SD = 10.9) in the non-transference work group. Both groups showed large and significant improvement on Psychodynamic Functioning Scale during the whole study period. The difference between the two groups was not significant during the treatment period (95% CI -.79 to 1.2, p = .674, F = .18), or from post-treatment to one-year follow-up (95% CI -.13 to .96; p = .134; F = 2.3). For the secondary outcome measures the transference work group had significantly better outcomes from 12 weeks in treatment to one-year follow-up (Beck Depression Inventory, 95% CI - 1.7 to -.14, p = .022; Montgomery and Åsberg Depression Rating Scale, 95% CI - 1.6 to -.23, p = .009).

CONCLUSION

The findings suggest that exploration of the adolescents' relations to the therapist amplify the effects of short-term psychoanalytic psychotherapy on their depressive symptoms for adolescents with a Major Depressive Disorder.

TRIAL REGISTRATION

ClinicalTrials.gov . Id: NCT01531101 . Registered 8 February 2012.

摘要

背景

关于在精神分析心理治疗中探索医患关系（即转移工作）对结果的影响知之甚少。我们假设，在精神分析心理治疗中，与有转移工作相比，抑郁青少年的长期效果会更好。

方法

在挪威奥斯陆和韦斯特福尔郡的卫生部门资助的门诊诊所招募了抑郁的青少年（16 至 18 岁）。他们被随机分配到 28 周的精神分析心理治疗，有或没有转移工作。使用线性混合模型评估变化。主要结果测量是精神动力学功能量表（治疗前、治疗后和 1 年治疗后）。抑郁水平在同一时间点和治疗期间（第 12 周和第 20 周）进行测量。

结果

69 名青少年接受了有（N=39）或没有（N=31）转移工作的治疗。转移工作组的平均疗程为 18.6（SD=8.6），非转移工作组为 18.0（SD=10.9）。两组在整个研究期间在精神动力学功能量表上都有显著和大幅度的改善。两组在治疗期间（95%CI-.79 至 1.2，p=0.674，F=0.18）或从治疗后到一年随访（95%CI-.13 至.96；p=0.134；F=2.3）之间的差异无统计学意义。对于次要结果测量，从治疗 12 周到一年随访，转移工作组的结果有显著改善（贝克抑郁量表，95%CI-1.7 至-1.4，p=0.022；蒙哥马利和阿斯伯格抑郁评定量表，95%CI-1.6 至-0.23，p=0.009）。