儿童和青少年的操作性心理动力学诊断(OPD-CA):儿童和青少年心理动力学治疗的变化

IF 0.6 4区 心理学 Q4 PSYCHOLOGY, MULTIDISCIPLINARY
K. Weitkamp, Sandra Claassen, S. Wiegand-Grefe, G. Romer
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引用次数: 0

摘要

心理动力疗法在减轻心理健康症状方面是有效的。然而,就核心心理动力学概念的变化而言,如结构水平、人际关系和心理内部冲突,人们知之甚少。目前的研究集中在这些心理动力学概念上——用操作性儿童和青少年心理动力学诊断(OPD-CA)来测量——在治疗过程中及其与治疗结果的关系。此外,OPD-CA轴治疗先决条件作为预后的预测因子进行了测试。治疗师在治疗开始和结束时评估了146名患者(年龄M = 12.7岁,62%为女性)的OPD-CA以及心理社会障碍水平,这是一项关于心理动力心理治疗有效性的大型研究的一部分。结构水平、人际关系和冲突在治疗过程中显著改善。治疗开始时的沟通能力、积极的自我关系和高冲突水平以及治疗期间这些变量的改善预测了积极的结果。在治疗的先决条件中,只有主观的社会心理障碍水平和心理资源是预测结果的。儿童和青少年的心理动力学心理治疗可以改善核心的心理动力学概念,如结构水平、人际关系和冲突。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Operationalized psychodynamic diagnosis in childhood and adolescence (OPD-CA): Changes across psychodynamic child and adolescent therapy
Abstract Psychodynamic therapies are effective in reducing mental health symptoms. However, little is known in terms of changes in the core psychodynamic concepts, like the structural level, interpersonal relatedness, and intrapsychic conflicts. The current study focused on these psychodynamic concepts – measured with the Operationalized Psychodynamic Diagnosis in Childhood and Adolescence (OPD-CA) – over the course of therapy and its relation to therapy outcome. Additionally, the OPD-CA axis treatment prerequisites was tested as a predictor of outcome. Therapists assessed the OPD-CA as well as the level of psychosocial impairment of 146 patients (aged M = 12.7 years, 62% female) at the beginning and end of therapy as part of a larger study on the effectiveness of psychodynamic psychotherapy. Structural level, interpersonal relations, and conflicts improved significantly over the course of therapy. Positive outcome was predicted by communicative abilities, positive self-relatedness and a high conflict level at the beginning of therapy as well as the improvement of these variables during therapy. Among the treatment prerequisites, only the subjective level of psychosocial impairment and the intrapsychic resources were predictive of outcome. Psychodynamic psychotherapy for children and adolescents may improve central psychodynamic concepts like structural level, interpersonal relations, and conflicts.
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来源期刊
Nordic Psychology
Nordic Psychology PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
2.50
自引率
0.00%
发文量
31
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