抑郁症青少年的短期精神分析心理治疗:良好和不良结果病例的会话互动比较。

IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Research Pub Date : 2024-09-01 Epub Date: 2023-11-09 DOI:10.1080/10503307.2023.2270140
Guilherme Fiorini, Yushi Bai, Peter Fonagy, Nick Midgley
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引用次数: 0

摘要

目的:识别和描述精神分析治疗师和被诊断为重度抑郁障碍的青少年之间的会话互动模式,比较结果良好和较差的案例。方法:使用青少年心理治疗Q集(APQ)对10种短期心理分析性心理治疗的100次心理治疗的录音进行分析。病例和疗程平均分为两组(不良结果和良好结果,每组5名患者和50个疗程)。互动模式采用探索性因素分析(EFA)进行分析,而组间差异采用t检验进行评估。结果:EFA揭示了三个因素:(1)“开放、投入的年轻人与治疗师合作,以理解他们的经历”,(2)“指导治疗师与情绪状态波动且不愿探索的年轻人合作”,(3)“年轻人表达愤怒和愤怒,并挑战治疗师”。因子1在结果良好的病例中显著更突出,而因子3则相反,与结果较差的病例更显著相关。因子2在两组中同样存在。结论:除了向研究人员和临床医生强调合作心理治疗过程与良好结果之间的联系外,我们的研究结果还提供了关于愤怒在青少年抑郁症和心理治疗过程中的作用的经验数据。
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Short-term psychoanalytic psychotherapy with depressed adolescents: Comparing in-session interactions in good and poor outcome cases.

Objective: To identify and describe in-session interaction patterns between psychoanalytic therapists and adolescents diagnosed with major depressive disorder, comparing good and poor outcome cases. Method: Audio recordings for 100 psychotherapy sessions from 10 Short-Term Psychoanalytic Psychotherapies were analysed using the Adolescent Psychotherapy Q-Set (APQ). The cases and sessions were evenly divided into two groups (poor outcome and good outcome, 5 patients and 50 sessions per group). Interaction patterns were analysed with an Exploratory Factor Analysis (EFA), while group differences were assessed through t-tests. Results: The EFA revealed three factors: (1) "Open, engaged young person working collaboratively with a therapist to make sense of their experiences", (2) "Directive therapist with a young person fluctuating in emotional state and unwilling to explore", (3) "Young person expressing anger and irritation and challenging the therapist". Factor 1 was significantly more prominent in the good outcome cases, while factor 3, on the contrary, was more significantly related to the poor outcome cases. Factor 2 was equally present in both groups. Conclusion: Besides reinforcing to researchers and clinicians the association between a collaborative psychotherapy process with good outcomes, our findings also provide empirical data regarding the role of anger in adolescent depression and the psychotherapy process.

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来源期刊
Psychotherapy Research
Psychotherapy Research PSYCHOLOGY, CLINICAL-
CiteScore
7.80
自引率
10.30%
发文量
68
期刊介绍: Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.
期刊最新文献
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