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[人际问题、人际取向与住院团体心理治疗后的治疗成功]

[Interpersonal problems, interpersonal orientation and success of treatment after inpatient group psychotherapy].

作者信息

Strauss B, Hess H

机构信息

Klinik für Psychotherapie und Psychosomatik, Christian-Albrechts-Universität, Kiel.

出版信息

Psychother Psychosom Med Psychol. 1993 Mar-Apr;43(3-4):82-92.

PMID:8464967
Abstract

To describe and estimate the importance of interpersonal problems and orientations for inpatient group psychotherapy, a total of 78 inpatients from two different hospitals (university hospital Kiel, psychotherapeutic hospital Berlin-Hirschgarten) were investigated using the Inventory of Interpersonal Problems and the SCL90R prior to and (partly) following longterm psychotherapy. Both groups reported more interpersonal problems than a group of 55 outpatients. The subgroups differed from each other in terms of their symptoms reported in the SCL90R and their interpersonal orientation (sensu Horowitz) which was smaller in the patient group from the Berlin Hospital (an institution of the former German Democratic Republic). Within this subgroup, treatment success (obtained with a variety of different measures) appeared to be less in those patients whose interpersonal problems were mainly related to the dimension of dominance. The ratio of interpersonal to impersonal problems was not significantly related to therapy outcome in either of the subgroups. The results of this study are mainly discussed with respect to the different psychotherapeutic concepts practiced in both hospitals. Generally, the investigation supported the significance of the interpersonal dimension for empirical research within the field of inpatient psychotherapy.

摘要

为描述和评估人际问题及取向对住院患者团体心理治疗的重要性,在长期心理治疗之前(部分患者在治疗之后),使用人际问题量表和症状自评量表90修订版(SCL90R)对来自两家不同医院(基尔大学医院、柏林- Hirschgarten心理治疗医院)的78名住院患者进行了调查。与一组55名门诊患者相比,这两组住院患者均报告了更多的人际问题。两个亚组在SCL90R报告的症状及其人际取向(按照霍洛维茨的定义)方面存在差异,来自柏林医院(前德意志民主共和国的一家机构)的患者组的人际取向较小。在这个亚组中,人际问题主要与支配维度相关的患者,其治疗成功率(通过多种不同测量方法得出)似乎较低。人际问题与非人际问题的比例在两个亚组中均与治疗结果无显著相关性。本研究结果主要根据两家医院所采用的不同心理治疗理念进行讨论。总体而言,该调查支持了人际维度在住院心理治疗领域实证研究中的重要性。

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