有家庭功能的年轻人的一般精神病理与心理治疗的关系。

IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL
Psychotherapy Research Pub Date : 2024-09-01 Epub Date: 2023-11-18 DOI:10.1080/10503307.2023.2281549
Vera Regina Röhnelt Ramires, Guilherme Fiorini, Fernanda Munhoz Driemeier Schmidt, Camila Piva Da Costa, Elenice Deon, Rob Saunders
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引用次数: 0

摘要

目的:探讨在接受心理动力治疗的儿童和青少年中是否存在潜在的一般精神病理因素(p因素),以及这种一般精神病理因素是否与家庭功能和心理治疗的参与有关。方法:参与者是1976名儿童和青少年及其家人,他们在巴西南部的一家社区诊所寻求心理动力学治疗。使用儿童行为检查表和家庭适应性和凝聚力评估量表来评估症状和家庭功能,并通过相关记录提供治疗参与数据。验证性因素分析方法检验精神病理,并建立回归模型检验关联。结果:确定了一般的精神病理因素和特定的内化和外化因素。与完成治疗相比,在评估中较高的一般精神病理学分数与退学的可能性增加和出勤率较低有关。父亲受教育程度、与父母共同生活、缺乏家庭适应性和凝聚力、受虐待经历与p因子严重程度增加有关。结论:一般精神病理严重程度似乎有助于儿童和青少年心理治疗的结果,增加了不遵守和辍学的风险。家庭困难和创伤经历可能会增加p因子的严重程度。常规识别一般精神病理对于制定有效的治疗计划至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The relationship between general psychopathology in young people with family functioning and engagement with psychotherapy.

Objective: to examine whether an underlying general psychopathology factor (p factor) existed in children and adolescents attending psychodynamic psychotherapy and whether this general psychopathology factor was associated with family functioning and engagement with psychotherapy.

Method: Participants were 1976 children and adolescents, and their families, who sought psychodynamic psychotherapy from a community-based clinic in Southern Brazil. The Child Behavior Checklist and the Family Adaptability and Cohesion Evaluation Scales for assessing symptoms and family functioning were used, with treatment engagement data available through linked records. Confirmatory factor analytic methods examined psychopathology and regression models were constructed to examine associations.

Results: A general psychopathology factor and specific internalizing and externalizing factors were identified. Higher general psychopathology scores at assessment were associated with an increased likelihood of dropout and poorer attendance compared to completing treatment. Father's educational level, living with both parents, lack of family adaptability and cohesion, and maltreatment experience were related to increased p factor severity.

Conclusion: General psychopathology severity seems to contribute to child and adolescent psychotherapy outcomes, increasing the risk of non-adherence and dropout. Family difficulties and traumatic experiences may increase p factor severity. Identifying general psychopathology routinely can be crucial for developing effective treatment plans.

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来源期刊
Psychotherapy Research
Psychotherapy Research PSYCHOLOGY, CLINICAL-
CiteScore
7.80
自引率
10.30%
发文量
68
期刊介绍: Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.
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