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心理治疗对神经症患者有益吗?

Does psychotherapy benefit neurotic patients.

作者信息

Andrews G, Harvey R

出版信息

Arch Gen Psychiatry. 1981 Nov;38(11):1203-8. doi: 10.1001/archpsyc.1981.01780360019001.

DOI:10.1001/archpsyc.1981.01780360019001
PMID:7305600
Abstract

Smith, Glass, and Miller examined the benefits of psychotherapy in 475 controlled studies. Their data were reexamined, and only studies of patients coded as having neuroses, true phobias, and emotional-somatic complaints and who had sought treatment were included in the present analysis. The results of 81 controlled trials were integrated statistically using the metaanalytic technique. The findings provide further evidence on the efficacy of psychotherapy. The condition of the typical patient after treatment was better than that of 77% of untreated controls measured at the same time. The rate of relapse in the first two years was small. The behavior and psychodynamic verbal therapies appeared to be superior to other therapies. The relation between severity of illness and choice of therapy is unknown. This factor could account for some of the differential effects but does not vitiate the main finding.

摘要

史密斯、格拉斯和米勒在475项对照研究中考察了心理治疗的益处。他们重新审视了数据,本次分析仅纳入了被编码为患有神经症、真性恐惧症以及情绪 - 躯体主诉且寻求过治疗的患者的研究。使用元分析技术对81项对照试验的结果进行了统计整合。这些发现为心理治疗的疗效提供了进一步的证据。治疗后典型患者的状况比同时测量的77%未接受治疗的对照患者更好。头两年的复发率较低。行为疗法和心理动力学言语疗法似乎优于其他疗法。疾病严重程度与治疗选择之间的关系尚不清楚。这个因素可能解释了一些差异效应,但并不削弱主要发现。

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