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A NATURALISTIC PSYCHODYNAMIC PSYCHOTHERAPY STUDY: EVALUATING OUTCOME WITH A PATIENT PERSPECTIVE

机译:自然心理学的心理治疗研究:以患者的视角评估结果

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摘要

The difficulties in conducting psychodynamic psychotherapy research are well documented. More recent meta-analyses have demonstrated clear benefits; however, it has been argued that naturalistic studies are of more direct relevance to clinical services. UK National Health Services (NHS) provide psychodynamic psychotherapy within psychiatric settings for heterogeneous and generally complex patient populations. Much of the psychodynamic psychotherapy is provided by trainee psychiatrists who rarely have prior experience of delivering such therapy, but who are supervised by senior staff. Our naturalistic outcome study uses both quantitative and qualitative methodology, and describes a symptomatic-ally and functionally impaired patient group (n = 384) deriving significant and clinically meaningful benefit from their therapy. Patient satisfaction and perceived change were positively correlated with each other and with symptomatic improvement. Patients' descriptive comments provided additional rich information, most commonly describing a positive outcome for therapy and the belief that therapy was too short. This study complements more formal research showing that psychodynamic psychotherapy is efficacious in outpatient settings.
机译:进行心理动力学心理治疗研究的困难已得到充分证明。最近的荟萃分析显示出明显的益处。然而,有人认为自然主义研究与临床服务更直接相关。英国国家卫生服务局(NHS)在精神病学环境中为异质性和一般复杂的患者群体提供心理动力心理治疗。大部分的心理动力心理治疗是由受过训练的精神科医生提供的,他们以前没有提供这种疗法的经验,但是受高级人员的监督。我们的自然结果研究使用定量和定性方法,并描述了有症状和功能受损的患者组(n = 384),这些患者从治疗中获得了明显的临床意义。患者的满意度和感知的变化彼此之间以及与症状改善之间呈正相关。患者的描述性评论提供了更多丰富的信息,最常见的是描述了治疗的积极结果以及对治疗太短的信念。这项研究补充了更为正式的研究,这些研究表明心理动力心理疗法在门诊病人中是有效的。

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