Böhme H, Finke J, Teusch L
Klinik für Allgemeine Psychiatrie, Bereich Psychotherapie, Rheinischen Landes- und Hochschulklinik Essen.
Psychother Psychosom Med Psychol. 1998 Jan;48(1):20-9.
The long-term effect (1-year-follow-up) of an inpatient client-centred psychotherapy programme was evaluated in 202 severe and chronically disturbed patients with a bread diagnose range (ICD-10 F1-F6). These 202 patients represented 74% of a total of 272 patients who had originally been examined and tested at admission and had now been re-identified after a follow-up of one year. Patients were investigated via Clinical Global Impressions (CGI), Bech-Rafaelsen-Melancholia-Scale (BRMES) and the Personality Inventory (Giessen-Test). Severity of illness, depressivity and self-and-other acceptance improved significantly; social incompetence was especially reduced in patients who had personality disorders. The range of effects reached from good to very good improvement: the magnitude of effect on social variables is probably even under estimated due to high pre-therapy variance. At follow-up 68% of the patients were in occupation or professional education. 32% needed no further treatment. Readmission rate was 14%. Results are discussed with regard to specific client-centred therapy.
对202名患有广泛诊断范围（ICD - 10 F1 - F6）的重症和慢性精神障碍患者进行了一项以患者为中心的住院心理治疗项目的长期效果（1年随访）评估。这202名患者占最初在入院时接受检查和测试的272名患者总数的74%，这些患者在一年的随访后被重新确认。通过临床总体印象量表（CGI）、贝克 - 拉法尔森抑郁量表（BRMES）和人格问卷（吉森测试）对患者进行调查。疾病严重程度、抑郁程度以及自我和他人接纳度均有显著改善；患有个性障碍的患者的社交无能尤其有所减轻。效果范围从良好到非常显著的改善：由于治疗前差异较大，对社会变量的影响程度可能甚至被低估。在随访时，68%的患者就业或接受职业教育。32%的患者无需进一步治疗。再入院率为14%。针对特定的以患者为中心的治疗对结果进行了讨论。
