[Prognostic factors for the success of psychoanalytically founded inpatient psychotherapy].

M Bassler
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Abstract

In the scope of our study for evaluation of the differential effect of inpatient psychotherapy we investigated by retrospective analysis of data at admission and 6. week of treatment, which factors were prognostic relevant for therapy success. We defined therapy-success as an equally weighted combination of patients' assessment of satisfaction with treatment success, which was evaluated by the Helping Relationship Questionnaire of Luborsky (1984), and the therapists' assessment of symptomatic and ego-structural improvement of the patients. For the variables, which were related to the patients or therapists, especially the therapists' judgement of the ego-structural disturbance of the patients (r = -.43, N = 218, p < 0.1) and motivation for psychotherapy (r = .27, N = 70, p < .01) exhibited relevant prognostic potency. The variables concerning the therapeutic relationship however gained increased prognostic value first after six weeks of treatment duration.

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[以精神分析为基础的住院心理治疗成功的预后因素]。
在我们的研究范围内,评估住院心理治疗的不同效果,我们通过回顾性分析入院和6时的数据进行调查。治疗周数,哪些因素与治疗成功预后相关。我们将治疗成功定义为患者对治疗成功的满意度评估(采用Luborsky(1984)的帮助关系问卷进行评估)和治疗师对患者症状和自我结构改善的评估的等加权组合。对于与患者或治疗师相关的变量,尤其是治疗师对患者自我结构障碍的判断(r = -)。43, N = 218, p < 0.1)和心理治疗动机(r = 0.27, N = 70, p < 0.01)表现出相关的预后效力。然而,有关治疗关系的变量在治疗持续6周后首先获得了增加的预后价值。
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