Originalbeiträge (Originals). Veränderungen in der Konfliktpathologie während stationärer Psychotherapie und ihr Zusammenhang mit Symptomreduktion.

IF 0.8 4区医学 Q4 PSYCHIATRY

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie Pub Date : 2024-09-01 DOI:10.13109/zptm.2024.70.3.266

Miriam Henkel, Cord Benecke, Matthias Volz, Carola Cropp, Carsten Spitzer

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引用次数: 0

Abstract

Changes in conflict pathology during inpatient psychotherapy and their relationship with symptom reduction Background: In psychodynamic psychotherapy, the treatment of a patient's unconscious conflicts represents an essential aspect of psychotherapeutic success. The present study therefore investigated whether 1) the significance of conflict issues changes during inpatient psychodynamic psychotherapy, and whether 2) greater changes in the significance of conflicts are associated with a greater reduction in symptoms.

Method: 113 patients provided information on their symptoms (BSI-18) and the significance of six OPD conflict themes in active and passive mode (12 conflict scales) by self-report on admission and discharge. Using Welch's t-tests and multiple regression models, both pre-post changes in symptoms and conflict significance and the influence of conflict changes on symptom reduction were analyzed.

Results: Four OPD conflict scales changed significantly during treatment. Patients who changed more strongly in terms of the manifestation of conflicts also showed a greater reduction in symptoms.

Discussion: The results indicate both a certain stability of conflict issues and their changeability and confirm the psychodynamic theory that change in conflict issues is associated with symptom reduction.

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原创性稿件（Originals）。住院心理治疗期间冲突病理学的变化及其与症状减轻的关系。

住院心理治疗期间冲突病理变化及其与症状减轻的关系背景：在心理动力学心理治疗中，治疗病人的无意识冲突是心理治疗成功的一个重要方面。因此，本研究对以下两个问题进行了调查：1）在住院心理动力学心理治疗过程中，冲突问题的重要性是否会发生变化；2）冲突重要性的进一步变化是否与症状的进一步减轻有关：113名患者在入院和出院时通过自我报告的方式提供了有关其症状（BSI-18）以及在主动和被动模式下六种 OPD 冲突主题（12 个冲突量表）的重要性的信息。通过韦尔奇 t 检验和多元回归模型，分析了症状和冲突重要性的前后变化以及冲突变化对症状减轻的影响：结果：在治疗过程中，四个 OPD 冲突量表发生了显著变化。讨论：讨论：研究结果表明，冲突问题具有一定的稳定性和可变性，并证实了冲突问题的改变与症状减轻相关的心理动力学理论。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie 医学-精神病学

CiteScore

1.50

自引率

11.10%

发文量

审稿时长

>12 weeks

期刊介绍： This journal provides a systematic overview of the entire field of psychosomatic medicine. It is also the official organ of the German Society for Psychosomatic Medicine and Medical Psychotherapy (DGPM). It serves as a forum for discussions of the interdisciplinary experiences in the field of psychosomatics, the goal being the furtherance of scientific insights into the interactions between mental and physical factors in the development of disease. It also provides a way to deepen one´s knowledge of psychoanalysis and to explore new therapeutic directions.