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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Effectiveness of psychoanalytic psychotherapy for adolescents with serious mental illness: 12 month naturalistic follow-up study.
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Effectiveness of psychoanalytic psychotherapy for adolescents with serious mental illness: 12 month naturalistic follow-up study.

机译：心理分析心理治疗对患有严重精神疾病的青少年的有效性：12个月的自然随访研究。

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OBJECTIVE: The aim of this naturalistic longitudinal study was to examine the effectiveness of individual psychoanalytic psychotherapy in reducing symptoms and improving overall functioning for adolescents with severe mental illness beyond the changes observed with treatment as usual. Changes to family functioning were also examined. METHOD: Participants at 12 month follow up were 55 of an initial group of 80 Child and Adolescent Mental Health Services patients with complex, severe mental illness (32 female, mean age = 15.11 years). At initial assessment 40 participants were offered psychoanalytic psychotherapy when a psychotherapist became available; 23 accepted and received once- or twice-weekly psychoanalytic psychotherapy for 4-12 months. Out of the initial 57 participants who received Child and Adolescent Mental Health Services treatment as usual, 33 were reassessed at 12 months. Self-reported depressive symptoms, parent-reported social and attention problems and researcher-evaluated overall functioning and family functioning were measured at initial assessment and 12 months later. RESULTS: At 12 months, psychotherapy was associated with a greater reduction in depressive, social and attention problems than treatment as usual, alone, if these problems were initially in the clinical range. There was no effect on participant overall functioning or family functioning. CONCLUSIONS: This naturally occurring sample of seriously ill adolescents referred to Child and Adolescent Mental Health Services for assessment were suffering complex mental illness and poor mental health. Empirical evidence is presented that psychoanalytic psychotherapy is an effective addition to Child and Adolescent Mental Health Services treatment as usual for mental illness in adolescence, particularly for more severe and complex cases. The naturalistic study design and participant attrition are possible study limitations.
机译：目的：这项自然主义的纵向研究的目的是检验个体心理分析心理治疗在减轻重症精神疾病青少年的症状和改善其总体功能方面的有效性，而这些变化超出了通常的治疗方法所观察到的范围。还检查了家庭功能的变化。方法：在最初的80例儿童和青少年心理健康服务患者中，有12例随访，参与者为复杂，严重的精神疾病（32例女性，平均年龄= 15.11岁）。初步评估时，当有心理治疗师出现时，对40位参与者进行了心理分析心理治疗; 23名接受了每周一次或两次的精神分析心理治疗并接受了4-12个月的心理治疗。在最初接受常规儿童和青少年心理健康服务治疗的57位参与者中，有12位在33个月后重新评估。在初次评估时和12个月后，对自我报告的抑郁症状，父母报告的社交和注意力问题以及研究人员评估的总体功能和家庭功能进行了测量。结果：在12个月的时间里，如果这些心理治疗最初在临床范围内，那么与单独进行常规治疗相比，心理治疗与抑郁，社交和注意问题的减少幅度更大。对参与者的整体功能或家庭功能没有影响。结论：这种自然发生的重症青少年样本被转介给儿童和青少年心理健康服务机构进行评估，患有复杂的精神疾病和不良的心理健康。经验证据表明，精神分析心理疗法是对儿童和青少年心理健康服务治疗的有效补充，照常用于青少年精神疾病，尤其是对于更严重和更复杂的情况。自然主义的研究设计和参与者的减员可能是研究的局限性。

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