Winston A, Laikin M, Pollack J, Samstag L W, McCullough L, Muran J C
Department of Psychiatry, Beth Israel Medical Center, New York, NY 10003.
Am J Psychiatry. 1994 Feb;151(2):190-4. doi: 10.1176/ajp.151.2.190.
The efficacy of short-term psychotherapy has become an area of increasing interest. The primary objective of this study was to assess the results of two forms of short-term psychotherapy in patients with personality disorders.
Eighty-one patients with personality disorders were randomly assigned to brief adaptive psychotherapy, short-term dynamic psychotherapy, or a waiting list for therapy. Outcome at termination of therapy for the treatment groups and at the end of the waiting period for the waiting list group was evaluated by means of ratings of target complaints and scores on the SCL-90 and the Social Adjustment Scale. In addition, for 38 of the treated patients, target complaints were reevaluated an average of 1.5 years after treatment ended.
Patients in the two therapy conditions improved significantly on all measures in comparison with the patients on the waiting list. There was no significant difference between the results in the two therapy conditions. The waiting list period averaged approximately 15 weeks; treatment averaged 40 weeks. At follow-up, after an average of 1.5 years, target complaint ratings were not significantly different from those at the termination of therapy.
These data indicate that brief adaptive psychotherapy and short-term dynamic psychotherapy are effective for patients with certain types of personality disorder and that the two therapy approaches do not differ in overall outcome.
短期心理治疗的疗效已成为一个越来越受关注的领域。本研究的主要目的是评估两种形式的短期心理治疗对人格障碍患者的效果。
81名人格障碍患者被随机分配到简短适应性心理治疗组、短期动态心理治疗组或治疗等候名单组。通过对目标症状的评分以及SCL - 90和社会适应量表的得分，对治疗组治疗结束时以及等候名单组等候期结束时的结果进行评估。此外，对38名接受治疗的患者，在治疗结束后平均1.5年对目标症状进行重新评估。
与等候名单组的患者相比，接受两种治疗的患者在所有测量指标上均有显著改善。两种治疗方式的结果之间没有显著差异。等候名单期平均约15周；治疗平均40周。在平均1.5年的随访中，目标症状评分与治疗结束时相比无显著差异。
这些数据表明，简短适应性心理治疗和短期动态心理治疗对某些类型的人格障碍患者有效，且两种治疗方法在总体结果上没有差异。
