The Role of Mentalization in the Psychoanalytic Treatment of Chronic Depression
The Role of Mentalization in the Psychoanalytic Treatment of Chronic Depression
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DOI：
10.1521/psyc.2011.74.1.49
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发表时间：
2011-03-01
影响因子：
2.4
通讯作者：
Staun, Lenka
中科院分区：
文献类型：
--
作者：
Taubner, Svenja;Kessler, Henrik;Staun, Lenka
精神化被认为是理解边缘性人格障碍(BPD)患者治疗变化的一个关键概念。然而，人们对慢性抑郁症的精神化知之甚少。这项研究调查了精神化在慢性抑郁症的长期精神分析治疗中的作用。采用反射功能量表(RFS)对接受长期精神分析治疗的慢性抑郁症患者(n=20)进行精神化测试，并与健康对照组(n=20)进行比较。结果显示，患者和对照组之间的整体RF评分没有显著差异。然而，抑郁症患者在失落问题上的RF得分往往较低。此外，贝克抑郁量表(BDI)和症状自评量表(SCL-90)评估的RF与症状和苦恼无关。RF不能预测BDI测量的治疗结果，但能预测SCL-90测量的8个月精神分析治疗后一般痛苦的变化。此外，射频与帮助联盟问卷的相关性表明，射频较高的患者比射频较低的患者更容易建立治疗联盟。
Mentalization has been proposed as a key concept in understanding therapeutic change in patients with Borderline Personality Disorder (BPD). However, little is known about mentalization in chronic depression. This study investigated the role of mentalization in the long-term psychoanalytic treatment of chronic depression. Mentalization measured with the Reflective Functioning Scale (RFS) was examined in patients with chronic depression (n = 20) in long-term psychoanalytic treatment and compared to healthy controls (n = 20). Results show that global RF scores did not differ significantly between patients and controls. However, depressed patients tended to have lower RF scores concerning issues of loss. Furthermore, RF was unrelated to symptoms and distress as assessed by the Beck Depression Inventory (BDI) and the SCL-90. RF did not predict therapeutic outcome as measured with the BDI but predicted changes in general distress after 8 months of psychoanalytic treatment as measured by the SCL-90. Moreover, correlations between RF and the Helping Alliance Questionnaire indicated that patients with higher RF were able to establish a therapeutic alliance more easily compared to patients with low RF.