Rückert Kamiar Kersten, Ernst Mareike, Zwerenz Rüdiger, Michal Matthias, Beutel Manfred E, Krakau Lina
Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie Universitätsmedizin der Johannes Gutenberg-Universität Mainz Untere Zahlbacher Str. 8 55131 Mainz Deutschland.
Z Psychosom Med Psychother. 2023 Oct;69(3):261-277. doi: 10.13109/zptm.2023.69.3.261.
Personality organization or functioning describes biographically acquired characteristics for the regulation of psychological processes. Limitations correlate with symptom load. This study examines whether significant improvement in personality functioning can be achieved in the framework of a multimodal psychodynamic treatment and its influence on the psychological symptoms. In this naturalistic study design (N = 318) personality organization was measured with the OPD-SQS and the symptoms were obtained using PHQ-9, GAD-7, SCL-9 and mini- Spin. Changes in the functioning levels were calculated using a t-test. The associations between the functional and symptom improvements were calculated using hierarchical regressionmodels. ANOVAs for dependent samples were used to calculate the association of the personality organization changes on symptom reduction Treatment resulted in significant improvement in personality structure.The greater the changes, the lower the symptom burden at the end of treatment. Patients with lower personality structure benefited equally well from treatment. Personality functioning improves with multimodal psychodynamic therapy and is accompanied by reduction of psychological symptoms. Structural changes proceed equally in high and low structured patients.
人格组织或功能描述了通过个人经历获得的用于调节心理过程的特征。局限性与症状负荷相关。本研究考察在多模式心理动力治疗框架下人格功能是否能实现显著改善及其对心理症状的影响。在这项自然主义研究设计（N = 318）中，使用OPD-SQS测量人格组织，并使用PHQ-9、GAD-7、SCL-9和mini-Spin获取症状。使用t检验计算功能水平的变化。使用分层回归模型计算功能改善与症状改善之间的关联。使用相关样本方差分析计算人格组织变化与症状减轻之间的关联。治疗导致人格结构显著改善。变化越大，治疗结束时的症状负担越低。人格结构较低的患者从治疗中同样获益良好。多模式心理动力治疗可改善人格功能，并伴有心理症状减轻。高低结构患者的结构变化进程相同。
