Severity of psychiatric symptoms as a predictor of benefits from psychotherapy: the Veterans Administration-Penn study.
Severity of psychiatric symptoms as a predictor of benefits from psychotherapy: the Veterans Administration-Penn study.
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精神症状的严重程度作为心理治疗获益的预测指标：退伍军人管理局-宾夕法尼亚大学研究。
DOI：
10.1176/ajp.141.10.1172
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发表时间：
1984
期刊：
影响因子：
--
通讯作者：
Beck,AT
中科院分区：
文献类型：
--
作者：
Woody,GE;McLellan,AT;Luborsky,L;O'Brien,CP;Blaine,J;Fox,S;Herman,I;Beck,AT
110名非精神病性阿片类药物成瘾者被随机分配接受单独的辅助药物咨询，咨询加认知行为心理治疗，或咨询加行为表达心理治疗。根据患者精神症状的数量和严重程度，将患者分为低严重性、中等严重性或高严重性。总的来说，专业心理治疗的增加比单独的药物咨询带来更大的益处。低严重程度的患者在增加心理治疗或单独咨询的情况下取得了相当大的进展。中等严重程度的患者有更好的结果与额外的心理治疗比单独咨询，但咨询确实影响了许多显着的改善。严重程度高的患者在单独的咨询下几乎没有进步，但在增加心理治疗后取得了相当大的进步，并且很少使用处方药和违禁药物。
One hundred ten nonpsychotic opiate addicts were randomly assigned to receive paraprofessional drug counseling alone, counseling plus cognitive-behavioral psychotherapy, or counseling plus supportive-expressive psychotherapy. Patients were classified low-severity, mid-severity, or high-severity on the basis of the number and severity of their psychiatric symptoms. Overall, the addition of professional psychotherapy was associated with greater benefits than was drug counseling alone. Low-severity patients made considerable and approximately equal progress with added psychotherapy or with counseling alone. Mid-severity patients had better outcomes with additional psychotherapy than with counseling alone, but counseling did effect numerous significant improvements. High-severity patients made little progress with counseling alone, but with added psychotherapy made considerable progress and used both prescribed and illicit drugs less often.