心理治疗后人格功能变化:利用机器学习在精神动态心理治疗样本中识别预测因素
I Dönnhoff1, D Kindermann1, S Stahl-Toyota1
1Centre for Psychosocial Medicine, Department of General Internal Medicine and Psychosomatics, University Hospital Heidelberg, Heidelberg, Germany.
概括
心理治疗后的人格功能改善通常保持稳定. 然而,诸如童年逆境和强的初步成绩等因素可以影响长期的人格发展结果.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 人格功能是精神动力学传统的一个关键领域,在DSM-5和ICD-11中重新引起了兴趣.
- 关于心理治疗后人格功能长期发展过程和预测因素的理解有限.
研究的目的:
- 为了研究在门诊精神动力学心理治疗后个性功能变化的稳定性.
- 在1年的随访期内确定影响个性运行轨迹的预测因素.
主要方法:
- 分析了1208个完成的门诊精神动力学心理治疗病例,随访1年.
- 机器学习用于从227个变量中识别人格功能变化的潜在预测因素.
主要成果:
- 对大多数患者来说,心理治疗后的人格功能改善是稳定的.
- 确定了14个预测因素,包括心理治疗的长度,不良童年经历,PTSD/复发性抑郁症诊断,改善人际关系/症状功能以及治疗联盟的稳定性.
- 显著的初步改善可能矛盾地预测后续的人格功能下降.
结论:
- 心理治疗引起的人格功能上的收益通常是长期维持的.
- 许多小效应,通常与人际关系经验有关,影响人格功能变化.
- 了解这些预测因素可以为治疗和患者管理策略提供信息.
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