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Effectiveness of psychoanalysis and long-term psychodynamic psychotherapy on personality and social functioning 10 years after start of treatment

机译：精神分析与长期心理动力心理治疗的有效性与治疗开始10年的人格和社会功能

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The evidence on potentially greater benefits of psychoanalysis (PA) vs. long-term psychodynamic psychotherapy (LPP) is scarce. This study compared the effectiveness of PA and LPP on personality and social functioning during a 10-year follow-up from the beginning of the treatments. The eligible patients, 41 self-selected for PA and 128 assigned to LPP, were 20-45 years of age and had anxiety or mood disorder. Outcomes were analyzed using ten standard measures of personality and social functioning, carried out 5-9 times during the follow-up. Different change patterns by time in PA and LPP emerged, suggesting less benefit of PA during the first years of follow-up and more benefit in most outcomes thereafter. Greater post-treatment improvement in PA than in LPP was seen up to 1-2 years after PA had ended in more mature defense style (DSQ), level of personality organization (LPO), more positive self-concept (SASB), more improved social adjustment (SAS-SR) and sense of coherence (SOC). However, at the 10-year follow-up the differences were non-significant. In conclusion, PA may give some additional benefits when long-term aims are linked to personality and social functioning. The relatively small differences and higher costs in comparison to LPP may restrict the feasibility of PA.
机译：关于精神分析（PA）与长期心理动力学心理治疗（LPP）潜在更大益处的证据是稀缺的。本研究比较了PA和LPP在治疗开始的10年后的人格和社会功能上的有效性。符合条件的患者41名自我选择的PA和128分配给LPP，患有20-45岁，患有焦虑或情绪障碍。使用十个人格和社会功能的标准测量分析结果，在后续行动期间进行了5-9次。 PA和LPP在PA和LPP的时间内不同的变化模式，在此后续的后续行动和更多的好处提出了较少的益处。 PA在PA达到了LPP中的大于LPP的更大的治疗后改善，在PA曾在更成熟的防御风格（DSQ），人格组织水平（LPO），更积极的自我概念（SASB），更加改善社会调整（SAS-SR）和一致性（SOC）。但是，在10年的后续行动中，差异是非重要性的。总之，当长期目标与人格和社会运作有关时，PA可能会提供一些额外的好处。与LPP相比，相对较小的差异和更高的成本可以限制PA的可行性。

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