The Nic Waal Institute, Lovisenberg Hospital, 0440 Oslo, Norway.
Institute of Clinical Medicine, University of Oslo, 0316 Oslo, Norway.
Int J Environ Res Public Health. 2022 Sep 2;19(17):10952. doi: 10.3390/ijerph191710952.
A significant proportion of adolescents suffering from major depressive disorder (MDD) are likely to have a co-morbid personality disorder (PD). Short-term psychoanalytic psychotherapy (STPP) was found to be one treatment of choice for adolescents suffering from MDD.
The first experimental study of transference work-in teenagers (FEST-IT) demonstrated the efficaciousness of transference work in STPP with adolescents suffering from MDD. The usefulness of STPP may be enhanced by exploring possible moderators.
Depressed adolescents ( = 69), aged 16-18 years, were diagnosed with the structured interview for DSM-IV PDs and randomized to 28 weeks of STPP with or without transference work. A mixed linear model was applied. The moderator effect was investigated by a three-way interaction including "time", "treatment group" and "number of PD criteria".
A small but significant moderator effect was found for cluster B personality pathology. Patients with a higher number of cluster B PD criteria at baseline did better up to one-year post-treatment where therapists encouraged patients to explore the patient-therapist relationship in the here and now.
When treated with psychoanalytic psychotherapy for MDD, adolescents with cluster B PD symptoms seem to profit more from transference work than adolescents without such pathology.
患有重度抑郁症（MDD）的青少年中，很大一部分可能同时患有共病人格障碍（PD）。短期精神分析心理疗法（STPP）被发现是治疗患有 MDD 的青少年的一种选择。
对青少年（FEST-IT）的转移工作的首次实验研究表明，转移工作在治疗患有 MDD 的青少年的 STPP 中的有效性。通过探索可能的调节因素，可能会增强 STPP 的有效性。
诊断患有 DSM-IV PD 的 16-18 岁抑郁青少年（=69），并随机分配至接受 28 周的 STPP 治疗，或同时接受 STPP 加转移工作治疗。采用混合线性模型。通过包括“时间”、“治疗组”和“PD 标准数量”的三向交互作用来研究调节作用。
发现 B 群人格病理学有一个小但显著的调节作用。基线时具有更多 B 群 PD 标准的患者在治疗后一年时表现更好，因为治疗师鼓励患者在此时此地探索医患关系。
在接受精神分析心理疗法治疗 MDD 时，患有 B 群 PD 症状的青少年似乎比没有这种病理的青少年从转移工作中获益更多。
