• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Nordic journal of psychiatry. >Long-term outcomes of psychodynamic residential treatment for severely disturbed young adults: A naturalistic study at a Swedish therapeutic community
【24h】

Long-term outcomes of psychodynamic residential treatment for severely disturbed young adults: A naturalistic study at a Swedish therapeutic community

机译：严重困扰年轻人的心理动力住院治疗的长期结果：瑞典治疗社区的一项自然主义研究

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Aims: This study examined the long-term effectiveness of a treatment model at a Swedish therapeutic community for young adults with severe personality disorders, combining milieu therapy and inpatient long-term psychodynamic psychotherapy. Methods: Data were collected for the 56 residents between 1994 and 2008 at intake, termination and 2-year follow-up. Patient residency ranged from 2 to 60 months, with average psychotherapy duration of 30 months. Self-rated outcome was measured using the Symptom Checklist-90-R. Expert-rated outcomes comprised the Global Assessment of Functioning, the StraussCarpenter Outcome Scale and the Integration/Sealing-over Scale. A series of mixed-model analyses of variance with one fixed factor (time) was performed to examine the outcomes for the total sample of completers. Effect sizes for within-group change and percentages of improved, unchanged and deteriorated patients were calculated for patients participating in the data collection on all three time points. Results: All outcome measures showed significant improvement on a group level from intake to discharge. Most patients had maintained the therapeutic gains at the 2-year follow-up. The effect sizes were high and the Reliable Change Index provided evidence of good outcome for 92% of the patients at follow-up. The expert ratings gave somewhat larger effect sizes than the patients' self-ratings. Conclusions: The effect sizes and success rates are at a comparable level with corresponding studies of long-term treatments of personality disorders. Most patients had a substantial individual improvement from intake to termination and follow-up. This indicates the effectiveness of this highly specialized and intensive treatment approach for severely disturbed young adult patients.
机译：目的：这项研究结合了环境疗法和住院长期心理动力心理疗法，研究了瑞典治疗社区对患有严重人格障碍的年轻人的长期治疗效果。方法：收集1994年至2008年之间56名居民的数据，包括入院，终止和两年随访。患者住院时间为2至60个月，平均心理治疗时间为30个月。使用Symptom Checklist-90-R测量自我评估的结局。专家评估的结果包括全球运作评估，StraussCarpenter成果量表和整合/密封量表。进行了一系列具有一个固定因子（时间）的方差混合模型分析，以检验完成者总样本的结果。计算参与所有三个时间点数据收集的患者的组内变化的影响大小以及改善，不变和恶化患者的百分比。结果：所有结局指标均显示从摄入到​​出院的整体水平都有明显改善。大多数患者在2年的随访中均保持了治疗效果。效果大小高，可靠变化指数为随访中92％的患者提供了良好预后的证据。专家评级所产生的效果比患者自身评级要大一些。结论：效果大小和成功率与人格障碍长期治疗的相应研究相当。从摄入到终止和随访，大多数患者都有明显的个体改善。这表明这种高度专业化的强化治疗方法对于严重困扰年轻成人患者的有效性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号