Ost L G, Stridh B M, Wolf M
Department of Psychology, Stockholm University, Sweden.
Behav Res Ther. 1998 Jan;36(1):17-35. doi: 10.1016/s0005-7967(97)10018-3.
The present clinical study was aimed at investigating predictors of treatment success, attrition and the extent of treatment needed to achieve clinically significant improvement in spider phobic patients. A total of 103 patients were included in the study after a detailed screening interview. There were four treatment conditions; self-help manual, video, group, and individual treatment, which the patients received in a hierarchical order providing they were not clinically significantly improved after the previous treatment. Pre and post each treatment the patients went through a behavioral approach test and filled in a number of self-report questionnaires. The results showed that 38 patients dropped out during the manual treatment, and 59 fulfilled the treatments to become clinically improved. The patients achieving clinical improvement after the two self-help treatments were significantly predicted, as was the extent of treatment needed. The significant predictors were credibility of the manual treatment and motivation for psychotherapy in general.
本临床研究旨在调查蜘蛛恐惧症患者治疗成功的预测因素、治疗中断情况以及实现临床显著改善所需的治疗程度。经过详细的筛查访谈后，共有103名患者纳入研究。有四种治疗条件：自助手册、视频、团体治疗和个体治疗，患者按等级顺序接受治疗，前提是在前一种治疗后未取得临床显著改善。每次治疗前后，患者都要进行行为方法测试并填写一系列自我报告问卷。结果显示，38名患者在手册治疗期间退出，59名患者完成治疗并实现临床改善。两次自助治疗后实现临床改善的患者以及所需治疗程度均得到了显著预测。显著的预测因素是手册治疗的可信度和总体心理治疗动机。
