Some like it specific: The difference between treatment goals of anxious and depressed patients
Some like it specific: The difference between treatment goals of anxious and depressed patients
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DOI：
10.1348/147608308x397040
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发表时间：
2009-09-01
影响因子：
3.4
通讯作者：
Michalak, Johannes
中科院分区：
文献类型：
--
作者：
Holtforth, Martin Grosse;Wyss, Tamara;Michalak, Johannes
目标.虽然临床诊断是心理治疗中鉴别适应症的主要标准，但治疗目标主题可能提供有关治疗动机的诊断特异性和诊断外方面的额外信息。本研究假设焦虑症患者的目标集中在症状缓解上，而抑郁症患者的目标在主题上更具有异质性。此外，假设患有各种特定焦虑症的患者可以根据其治疗目标主题进行区分。为了获得足够大数量的诊断非共病患者，328例非共病焦虑和抑郁患者的样本合并两个子样本：255例来自德国的大学诊所的门诊患者和73例来自瑞士德语区的可比诊所的门诊患者。采用伯尔尼治疗目标量表对328例门诊患者的治疗目标主题进行编码。非共病诊断的抑郁症或焦虑症的患者不同的假设。焦虑症患者的治疗目标主要集中在症状缓解上，而抑郁症患者的治疗目标在主题上更为异质。此外，不同类型焦虑症患者的治疗目标不同。临床评估和治疗计划的影响进行了讨论。
Objectives. While clinical diagnoses are the primary criteria for differential indication in psychotherapy, treatment-goal themes may provide additional information on diagnosis-specific and extra-diagnostic aspects of treatment motivation. It is hypothesized that the goals of anxiety patients focus on symptom relief, while the goals of depression patients are thematically more heterogeneous. Additionally, it is hypothesized that patients with various specific anxiety disorders can be differentiated on their treatment-goal themes.Design. To obtain a sufficiently large number of diagnostically non-comorbid patients, a sample of 328 patients with non-comorbid anxiety and depression patients was merged from two subsamples: 255 outpatients from a university-based clinic in Germany and 73 outpatients from a comparable clinic in German-speaking Switzerland.Methods. The treatment-goal themes of the 328 outpatients were coded using the Bern inventory of treatment goals.Results. Patients with non-comorbid diagnoses of depression or anxiety differed as hypothesized. Anxiety patients' treatment goals predominantly focused on symptom relief, while depression patients' treatment goals were thematically more heterogeneous. In addition, patients with various specific anxiety disorders differed in their treatment-goal themes.Conclusions. Implications for clinical assessment and treatment planning are discussed.