Psychological predictors of the recovery from mood or anxiety disorder in short-term and long-term psychotherapy during a 3-year follow-up
Psychological predictors of the recovery from mood or anxiety disorder in short-term and long-term psychotherapy during a 3-year follow-up
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DOI：
10.1016/j.psychres.2012.09.053
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发表时间：
2013-07-30
影响因子：
11.3
通讯作者：
Lindfors, Olavi
中科院分区：
文献类型：
--
作者：
Laaksonen, Maarit A.;Knekt, Paul;Lindfors, Olavi
精神病患者的最佳治疗时间选择需要了解患者的治疗前适宜性。本研究比较了7种心理适宜性测量对短期和长期心理治疗中精神症状变化的预测。来自赫尔辛基心理治疗研究的326名年龄在20-46岁、患有情绪或焦虑障碍的门诊患者，在基线上使用心理治疗适宜性量表（SPS）进行心理适宜性评估，然后随机分配他们接受以解决方案为中心的治疗、短期或长期心理动力治疗。在基线和随访期间对精神症状（症状检查表-90全球严重程度指数）进行7次评估。当使用累积的SPS评分（综合7个单项适宜性指标的值）来预测症状发展时，发现了3组预后不同的患者：评分好（4分或以上）的患者从短期治疗中获益更多，评分差（4-6分）的患者从长期治疗中获益更多，评分差（4-6分）的患者从长期治疗中获益更多，而评分差的患者无论是短期治疗还是长期治疗都没有获益。SPS显然可以在治疗开始前应用，以预测患者需要恢复的治疗量，尽管其在不同类型治疗中的适用性有待证实。2012爱思唯尔爱尔兰有限公司版权所有。
Choice of optimal treatment length for psychiatric patients requires knowledge about the patients' pre-treatment suitability. This study compares the prediction of seven psychological suitability measures on changes in psychiatric symptoms in short- and long-term psychotherapy over a 3-year follow-up. The psychological suitability of 326 outpatients from the Helsinki Psychotherapy Study, aged 20-46 years, and suffering from mood or anxiety disorders, was assessed at baseline using the Suitability for Psychotherapy Scale (SPS) before randomly assigning them to solution-focused therapy, short-term or long-term psychodynamic psychotherapy. Psychiatric symptoms (Symptom Checklist-90 Global Severity Index) were assessed at baseline and seven times during follow-up. Three patient groups with different prognosis were found when a cumulative SPS score, summing up the values of the seven single suitability measures, was used to predict symptom development: patients with more good (4 or more) than poor values benefited more from short-term therapy, patients with more poor (4-6) than good values benefited more from long-term therapy, and patients with all seven values poor failed to benefit from either short- or long-term therapy. The SPS can apparently be applied before the start of treatment to predict the amount of therapy patients need to recover, although its suitability in therapies of different types needs to be confirmed. (C) 2012 Elsevier Ireland Ltd. All rights reserved.