强化长期精神分析心理治疗中极具挑战性的患者的变化轨迹
Refael Yonatan-Leus1, Maayan Abargil2, Gaby Shefler2,3
1Department of Psychology, The College of Management Academic Studies, Rishon LeTsiyon, Israel.
Journal of clinical psychology
|June 17, 2023
概括
应急轨迹在长期心理治疗中对于具有挑战性的患者来说有所不同. 有些人很早就有所改善,而另一些人需要超过三年才能显著减少症状.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 心理治疗研究 心理治疗研究
- 纵向研究 纵向研究
背景情况:
- 具有挑战性的患者往往需要长期,密集的精神分析心理治疗.
- 了解痛苦轨迹对于优化治疗持续时间和强度至关重要.
研究的目的:
- 在接受长期精神分析心理治疗的患者中,识别和描述痛苦变化的不同轨迹.
- 分析复杂患者群体随着时间的推移改善的模式.
主要方法:
- 在四个精神卫生中心的74名患者的结果数据上使用了纵向K-means算法.
- 收集的结果对每个患者每6个月间隔5次进行测量.
主要成果:
- 根据最初的严重程度和改善时间,观察到各种各样的应急轨迹.
- 对于OQ45和Symptom Checklist-90来说,出现了两种轨迹:早期改善与平原,以及晚些时候改善更严重的病例.
- 贝克抑郁症库存显示,一个轨迹持续改善,另一个轨迹从第三年开始有延迟的改善.
结论:
- 对于具有高度挑战性的患者,长期心理治疗的治疗反应是异质的.
- 很大一部分患者需要延长治疗时间才能开始有意义的改善.
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