Kernhof Karin, Merkle Wolfgang
Hospital zum heiligen Geist Psychosomatische Klinik Lange Straße 4-6 D-60311 Frankfurt Deutschland.
Z Psychosom Med Psychother. 2022 Jun;68(2):112-126. doi: 10.13109/zptm.2021.67.oa12. Epub 2021 Sep 24.
The subject of the present study is the recording of emotional experience and its change through inpatient psychodynamic psychotherapy, taking into account the factors of age, gender, and traumatic experiences in childhood and adolescence. The following standardized instruments were used on the clinical sample of 971 patients (413 inpatient, 558 day clinic patients) at the beginning and at the end of the treatment: Questionnaire for the Assessment of Emotional Experience and Emotion Regulation (EER), Childhood-Trauma-Questionnaire (CTQ), Inventory of Interpersonal Problems (IIP), Helping Alliance Questionnaire (HAQ), Symptom-Check-List (SCL-90-R). The mean duration of treatment was 66.8 days (SD = 14.1; range 30-96). Younger patients and polytraumatized patients showed a higher expression of negative emotions. At the end of treatment, the whole group of patients showed a change in emotional experience, especially a strong decrease in passive-negative emotions and a decrease in psychological distress. Age represented a significant factor influencing emotional change. The results underline the importance of emotional change as a prerequisite for treatment success and confirm the effectiveness of inpatient psychodynamic treatment. A further differentiation of the patients with regard to their emotional responsiveness seems to make sense with regard to the suitability of the therapeutic offers.
本研究的主题是记录情感体验及其在住院心理动力心理治疗过程中的变化，同时考虑年龄、性别以及童年和青少年时期的创伤经历等因素。在治疗开始时和结束时，对971名患者（413名住院患者、558名日间门诊患者）的临床样本使用了以下标准化工具：情感体验与情绪调节评估问卷（EER）、儿童创伤问卷（CTQ）、人际问题量表（IIP）、治疗联盟问卷（HAQ）、症状自评量表（SCL-90-R）。治疗的平均时长为66.8天（标准差=14.1；范围30-96天）。年轻患者和多重创伤患者表现出更高的负面情绪表达。在治疗结束时，整个患者群体的情感体验发生了变化，尤其是被动负面情绪大幅减少，心理困扰减轻。年龄是影响情绪变化的一个重要因素。研究结果强调了情感变化作为治疗成功前提条件的重要性，并证实了住院心理动力治疗的有效性。就治疗方案的适用性而言，根据患者的情感反应能力进一步区分患者似乎是有意义的。
