Di Lorenzo Rosaria, D'Amore Jessica, Amoretti Sara, Bonisoli Jessica, Gualtieri Federica, Ragazzini Ilaria, Rovesti Sergio, Ferri Paola
Mental Health Department and Drug Abuse, AUSL-Modena, 41125 Modena, Italy.
Nursing Programme, University of Modena and Reggio Emilia, 41125 Modena, Italy.
Healthcare (Basel). 2023 Oct 19;11(20):2772. doi: 10.3390/healthcare11202772.
(1) Background: Group psychotherapy improves therapeutic process, fosters identification with others, and increases illness awareness; (2) Methods: In 40 weekly group sessions held in an acute psychiatric ward during one year, we retrospectively evaluated the inpatients' participation and the demographic and clinical variables of the individuals hospitalized in the ward, the group type according to Bion's assumptions, the main narrative themes expressed, and the mentalization processes by using the Mentalization-Based Therapy-Group Adherence and Quality Scale (MBT-G-AQS); (3) Results: The "working" group was the prevailing one, and the most represented narrative theme was "treatment programs"; statistically significant correlations were found between the group types according to Bion's assumptions and the main narrative themes (Fisher's exact, = 0.007); at our multivariate linear regression, the MBT-G-AQS overall occurrence score (dependent variable) was positively correlated with the number of group participants (coef. = 14.87; = 0.011) and negatively with the number of participants speaking in groups (coef. = -16.87, = 0.025); (4) Conclusion: our study suggests that the group shows consistent defense mechanisms, relationships, mentalization, and narrative themes, which can also maintain a therapeutic function in an acute ward.
(1) 背景：团体心理治疗可改善治疗过程，促进对他人的认同，并提高疾病意识；(2) 方法：在一年时间里，于急性精神科病房每周进行40次团体治疗，我们回顾性评估了住院患者的参与情况、病房内住院患者的人口统计学和临床变量、根据比昂假设划分的团体类型、所表达的主要叙事主题，以及使用基于心理化治疗的团体依从性和质量量表（MBT-G-AQS）评估心理化过程；(3) 结果：“工作”团体是主要团体类型，最常出现的叙事主题是“治疗方案”；根据比昂假设划分的团体类型与主要叙事主题之间存在统计学显著相关性（费舍尔精确检验，P = 0.007）；在我们的多元线性回归分析中，MBT-G-AQS总体出现得分（因变量）与团体参与者数量呈正相关（系数 = 14.87；P = 0.011），与团体中发言参与者数量呈负相关（系数 = -16.87，P = 0.025）；(4) 结论：我们的研究表明，该团体呈现出一致的防御机制、人际关系、心理化和叙事主题，这些在急性病房中也可维持治疗功能。
