Franz M, Tress W, Schepank H
Clinical Institute of Psychosomatic Medicine and Psychotherapy, Heinrich-Heine-University Duesseldorf, Germany.
Soc Psychiatry Psychiatr Epidemiol. 1998 Jun;33(6):243-51. doi: 10.1007/s001270050050.
This longitudinal study identifies predictors of course and etiologically relevant factors of psychogenic disorders. Since 1979, the Mannheim Cohort Project on the Epidemiology of Psychogenic Disorders has investigated neurotic spectrum disorders, personality disorders, stress reactions, and somatoform disorders in the normal population. Using these data, a cohort of probands suffering from moderate psychogenic impairment (N = 240; 121 men, 119 women) based on a representative sample of the urban adult population (N = 600; with cohorts 1935, 1945, 1955; gender distribution 1:1) of Mannheim, an industrial and university town in Germany, was followed up for almost 10 years. The cohort was investigated three times by psychodynamically trained physicians and psychologists. Tests were performed by means of cluster analysis. Different types of course of psychogenic impairment were identified. Both extreme types--the probands with the most positive and the most negative spontaneous long-term course--were investigated with regard to potential course-determining variables. Personality variables and conditions of early childhood development considerably influenced the spontaneous long-term course.
这项纵向研究确定了心因性障碍病程的预测因素以及病因相关因素。自1979年以来，曼海姆心因性障碍流行病学队列项目一直在对正常人群中的神经症谱系障碍、人格障碍、应激反应和躯体形式障碍进行调查。利用这些数据，基于德国工业和大学城曼海姆城市成年人口（N = 600；有1935年、1945年、1955年三个队列；性别分布为1:1）的代表性样本，对一组患有中度心因性损害的先证者（N = 240；121名男性，119名女性）进行了近10年的随访。该队列由接受过心理动力学培训的医生和心理学家进行了三次调查。通过聚类分析进行测试。确定了心因性损害的不同病程类型。对两种极端类型——自发长期病程最积极和最消极的先证者——就潜在的病程决定变量进行了研究。人格变量和儿童早期发展状况对自发长期病程有相当大的影响。
