Abstract:
OBJECTIVE:To compare male and female patients with regard to the Operationalized Psychodynamic Diagnosis (OPD-2) system, treatment variables, and outcome after multimodal psychodynamic inpatient psychotherapy. METHODS:At the beginning and at the end of inpatient treatment in a multimodal psychodynamic setting, patients were examined with the OPD-2 systemas well as with three self-assessment questionnaires addressing interpersonal problems (Inventory of Interpersonal Problems, IIP), and psychopathology: Brief SymptomInventory (BSI) and the Hospital Anxiety and Depression Scale (HADS). RESULTS:Data of 850 patients (238 males, 28%), 612 females, 72%) were available for analysis. There were differences between men and women in the main diagnoses, with a higher proportion of eating disorders and a longer treatment duration among the women. Therapy discontinuation rates were low and did not differ between the sexes. Women scored higher on psychopathology at admission on the BSIGlobal Score, IIP and anxiety; the pattern of reported interpersonal problems was consistent with sex roles. While the level of structural integration was similar in both sexes, the distribution of the two main conflicts and the level of improvement of awareness and dealing with the psychodynamic foci showed significant differences. Overall, at the end of inpatient psychotherapy, there was a mean improvement in both men and women, with no significant differences between them. Because of higher scores at the start of psychotherapy, the effect sizes for improvement were higher for women. CONCLUSIONS:On the whole, both sexes seem to benefit equally from psychodynamic inpatient psychotherapy in terms of symptom improvement. :Zusammenfassung Operationalisierte Psychodynamische Diagnostik und Outcome einer stationären psychodynamischen Psychotherapie bei Männern und Frauen Fragestellung: Vergleich der Operationalisierten Psychodynamischen Diagnostik (OPD), von Behandlungsvariablen und Outcome einer multimodalen stationären psychodynamischen Psychotherapie zwischen Männern und Frauen. Methoden: Zu Beginn und Ende einer multimodalen stationären psychodynamischen Psychotherapie wurden die OPD und Selbsteinschätzungsfragebögen erhoben, die interpersonelle Probleme (Inventar Interpersoneller Probleme IIP) und Psychopathologie erfassen: Brief Symptom Inventory (BSI) und Hospital Anxiety and Depression Scale (HADS). Ergebnisse: Auswertbare Daten lagen von 850 Patienten vor, davon 612 Frauen (72%). Es gab Geschlechterunterschiede bezüglich der Haupt-Behandlungsdiagnose, mit mehr Essstörungen und längerer Behandlungsdauer für Frauen. Die Abbruchraten waren niedrig und zwischen den Geschlechtern nicht unterschiedlich. Frauen hatten bei Aufnahme signifikant höhere Skalenwerte für den BSI-Globalwert, die IIP-Summe und Ängstlichkeit. Das Muster der berichteten interpersonellen Probleme entsprach gesellschaftlichen Geschlechterrollen. Weitere Geschlechterunterschiede fanden sich bezüglich der Verteilung der beiden neurotischen Hauptkonflikte und der Fokusveränderung auf der Heidelberger Umstrukturierungsskala, nicht jedoch im Strukturniveau. Beide Geschlechter zeigten signifikante Verbesserungen bezüglich der Psychopathologie von der Aufnahme zur Entlassung, ohne signifikante Geschlechterunterschiede. Aufgrund der höheren Symptomausprägung bei Aufnahme waren die Effektstärken bei Frauen höher. Diskussion: Insgesamt scheinen beide Geschlechter in ähnlichem Ausmaß von der stationären psychodynamischen Psychotherapie zu profitieren.
journal_name
Z Psychosom Med Psychotherauthors
Schneider G,Heuft Gdoi
10.13109/zptm.2018.64.3.281subject
Has Abstractpub_date
2018-09-01 00:00:00pages
281-297issue
3eissn
1438-3608issn
2196-8349journal_volume
64pub_type
杂志文章abstract:OBJECTIVES:As part of the concurrent validity, we aimed to empirically study the association between the axis IV (structure) of the Operationalized Psychodynamic Diagnostics (OPD) and corresponding constructs, which were assessed byself-report measures. METHODS:The structural level of 132 psychiatric inpatients was re...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2002.48.3.299
更新日期:2002-01-01 00:00:00
abstract::The psychological significance of the body changes in the course of a person's life. Using clinical cases it was examined how conversion symptoms influence these changes. Elder patients having conversion symptoms hardly perceive the aging processes of the body. Based on the assumption that the body self develops in th...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2001.47.2.167
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVE:This study investigates body concept with respect to psychiatric diagnosis, age and gender of inpatients before and after treatment. METHODS/SAMPLE:We examined 153 inpatients with 131 complete datasets. The examination was done at the beginning and at the end of the treatment using the Frankfurt Body Concept...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2011.57.2.172
更新日期:2011-01-01 00:00:00
abstract::The study presents the subjective responses of a representative sample of the German population (2050 subjects, aged 14 to 92 years) on the prevalence of somatoform complaints, using the SOMS (Screening for somatoform disorders) developed by Rief et al. (1997). The results show that somatoform disorders are widespread...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2002.48.1.38
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:There is a growing body of evidence for the efficacy of psychodynamic therapy. Some representatives of other approaches, however, have repeatedly questioned its efficacy. Recently, another line of argumentation emerged, claiming that psychodynamic therapy may work, but that the mechanisms of change underlyin...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章,评审
doi:10.13109/zptm.2018.64.1.16
更新日期:2018-03-01 00:00:00
abstract::Development of an evaluation system for online self-help groups by using the example of German-speaking cancer forumsObjectives: This paper pursues the question how the quality of forums can be evaluated. Therefor a grading system was designed and 23 German-speaking cancer forums were evaluated by content and formal c...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2019.65.3.272
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVES:To obtain data and hypotheses regarding the amelioration of risk estimation and preventive psychotherapy in patients in a prodromal state of schizophrenia by using OPD. METHODS:20 participants with a prodromal condition--6 subjects far from psychosis and 14 close to psychosis--along with 10 patients with pa...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2010.56.2.150
更新日期:2010-01-01 00:00:00
abstract::Psychometric evaluation of the German version of the Health Regulatory Focus Scale Objectives: This study examines the psychometric properties of the German version of the Health Regulatory Focus Scale (HRFS), which measures health-related promotion- and prevention-based motivation. METHODS:The study is based on data...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2018.64.4.394
更新日期:2018-12-01 00:00:00
abstract::In a quasi-experimental design, four groups were compared, (a) patients who had terminated psychoanalysis of more than two years' duration; (b) patients who had terminated individual psychotherapy of more than two years' duration; (c) patients who had terminated various kinds of low-dose psychotherapies; (d) patients ...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.1999.45.1.43
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVES:The quality of medical care by somatically treating physicians has considerable influence on the coping process in cancer patients. In outpatient psychosocial care, information supply and doctor-patient interaction are often considered difficult by the patients. This study therefore investigates the effects ...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 临床试验,杂志文章
doi:10.13109/zptm.2003.49.3.232
更新日期:2003-01-01 00:00:00
abstract::The neuroendocrine and physiological systems related to pain and stress have long been subjected to study. More recently, the corresponding systems promoting anti-stress and restoration have also come into focus. It is not only important to investigate the mechanisms underlying disease but also to examine the physiolo...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章,评审
doi:10.13109/zptm.2005.51.1.57
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVE:The preparation for treatment represents a specific and crucial issue in psychosomatic medicine and psychotherapy. ASPECTS OF OUTPATIENT DIAGNOSTICS:A comprehensive interdisciplinary diagnosis is necessary that comprises both, the patient's psychopathology and biographical background. Since many patients are...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2009.55.1.27
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Diagnostics and therapy of environmentally related disorders are hampered by one-sided assumptions and by discrepancies between therapists' and patients' assessments of the disease cause. OBJECTIVES:Discrepancies between patient and expert opinions are examined as to (1) whether the sample can be classified...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2004.50.3.288
更新日期:2004-01-01 00:00:00
abstract::In clinical theory transference interpretations represent a central therapeutic technique and a specific mechanism of change in psychodynamic psychotherapies. However, the empirical basis lags behind the theoretical considerations. This article reviews both the results of empirical research on transference interpretat...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章,评审
doi:10.13109/zptm.2012.58.3.219
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:This study investigates the relationships between mindfulness, depression, and quality of life (QoL) in cancer patients. METHODS:A total of 51 cancer patients were assessed with the FreiburgMindfulness Inventory (FFA;Walach et al. 2004), the Hospital Anxiety and Depression Scale (HADS-D; Herrmann et al. 199...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2014.60.4.337
更新日期:2014-01-01 00:00:00
abstract::Psychological stress caused by epidemics among health care workers and implications for coping with the corona crisis: a literature reviewObjectives: COVID-19 has significantly changed the working and living conditions within a short period. Despite the milder course of the disease in comparison to other countries, em...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章,评审
doi:10.13109/zptm.2020.66.3.220
更新日期:2020-09-01 00:00:00
abstract::Endometriosis is one of the most frequent gynecological disorders in the reproductive age. Discrepancies between clinical findings and subjective Symptoms cause the question of the determing factors for the subjective experience. In the present study an hermeneutic, sense-orientated approach was employed by using qual...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.1999.45.4.372
更新日期:1999-12-01 00:00:00
abstract::Psychosomatic aspects of the normal aging process are not discussed by the international literatur nor psychotherapeutic treatment strategies with functional disorders or somatization disorders. By creating the concept "gerontopsychosomatics" 1990 in Germany there is an increasing interest for the implications of the ...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.1999.45.3.201
更新日期:1999-09-01 00:00:00
abstract:OBJECTIVES:Does the subjective emotional experience of patients change in the course of psychoanalytic treatment? METHODS:Ten patients were interviewed four times during their first two years in psychoanalytic therapy. Interviews were coded with regard to the patients' subjective emotional experience. Changes in indiv...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2006.52.1.39
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVES:The present study investigated the workplace experiences of junior physicians in their first year of residency, and the impact of these experiences on their physical and psychological well-being. METHODS:In a prospective longitudinal study 518 junior physicians (54.4% women, 45.6% men) were investigated twi...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2005.51.2.163
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVES:The study explores the course and outcome of inpatient psychodynamic psychotherapy (N=200) with particular regard to interpersonal experiences and behaviour. Based on the implementation of a focus conference, the multi-professional team members formulated an interpersonal treatment focus and individualised h...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVES:The success of referral for psychotherapy and the predictors thereof are investigated in dentistry in an outpatient unit for psychosomatics. METHODS:238 patients were asked in a telephone interview concerning their satisfaction with the consultation as well as any change in their complaints and treatments a...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2008.54.3.285
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVES:Patient satisfaction plays an important role in the outcome quality of treatment for localized prostate carcinoma. This paper identifies factors that impact patients' assessment of therapy success one year after surgery. METHODS:Patient assessment of therapy success was measured with the Hamburger Frageboge...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2011.57.4.356
更新日期:2011-01-01 00:00:00
abstract::Inpatient psychotherapy is characterized by a combination of different therapeutic approaches. Research on psychotherapeutic processes in inpatient psychotherapy uses often only a single observer's perspective, based on the assumption that there exists a unitary process underlying the total process of inpatient psycho...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2000.46.2.166
更新日期:2000-05-01 00:00:00
abstract::In this piece of work the primary affects, as rage, fear, sadness and lacking of joy (anhedonia) are defined and discussed as specific causes for the development and outbreak of depressive states. Then conflicting primary emotions and depressive mental states are depicted to be followed by a discussion about the signi...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2000.46.4.331
更新日期:2000-10-01 00:00:00
abstract:INTRODUCTION:Quality assurance in psychosomatic medicine in Austria is currently based on a voluntary continuing medical education programme in psychosocial, psychosomatic and psychotherapeutic medicine. It is questionable whether psychosomatic care can be sufficiently provided in this manner. In addition, a broadly ba...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:
更新日期:2013-01-01 00:00:00
abstract::Objectives: Integrating a stronger focus on patients' existing strengths in traditional psychotherapy approaches is suggested by recent developments in psychological science, positive psychology, and psychotherapy research. However, the empirical status of treatments focusing on patients' existing strengths is unclear...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章,meta分析
doi:10.13109/zptm.2019.65.2.144
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:In World War II, 2.5 million children in Germany lost their fathers. Most of them grew up with their single mother, often accompanied by financial hardship. In a questionnaire carried out in 2003 in persons born before 1947, a rate of 19 % reported that they grew up with their mother alone. METHODS:The prese...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2007.53.3.216
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVES:This study evaluates the effectiveness of short-term dynamic psychotherapy for patients with psychosomatic and personality disorders (target groups) compared to those with neurotic disorders (anxiety and depression). METHODS:Using a naturalistic design, 25 sessions of the CMP/SASB model of short-term dynami...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2008.54.2.107
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVES:This article investigates the development of the inpatient treatment capabilities of older patients from the age of 50 onward in inpatient psychosomatic-psychotherapeutic departments over a period of 15 years. METHOD:A Germany-wide postal survey that was almost identical to two previously conducted cross-se...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:
更新日期:2013-01-01 00:00:00