Piper W E, Joyce A S, Azim H F, Rosie J S
Department of Psychiatry, University of Alberta, Edmonton, Canada.
J Nerv Ment Dis. 1994 Jul;182(7):381-6. doi: 10.1097/00005053-199407000-00003.
This study examined the ability of seven patient characteristics to predict success (remaining, benefiting) in a day treatment program for psychiatric outpatients. The sample consisted of 165 patients, most with affective and personality disorders, who participated in an intensive psychodynamically and group-oriented program within a controlled clinical trial. Two patient personality characteristics (psychological mindedness, quality of object relations) emerged as the strongest predictors. Other variables that contributed to the predictions, either singly or in an interaction with quality of object relations, were age, marriage, presence of a personality disorder, and previous psychiatric hospitalization. The patient's initial level of symptomatic disturbance was not a significant predictor. The advantage of using predictors that are relevant to the theoretical and technical orientation of a program is emphasized.
本研究考察了七种患者特征对精神科门诊日间治疗项目成功（持续治疗、获得益处）的预测能力。样本包括165名患者，大多数患有情感障碍和人格障碍，他们在一项对照临床试验中参与了一个强化的心理动力学和以团体为导向的项目。两种患者人格特征（心理领悟力、客体关系质量）成为最强的预测因素。其他对预测有贡献的变量，无论是单独还是与客体关系质量相互作用，包括年龄、婚姻状况、人格障碍的存在以及既往精神科住院史。患者最初的症状困扰程度不是一个显著的预测因素。强调了使用与项目的理论和技术取向相关的预测因素的优势。
