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:Construction of the newly developed "ICD-10 Symptom Rating" (ISR) is presented together with some statistical data. This questionnaire is founded on the well-known ICD-10, according to which symptoms are relevant for assessing psychological disorders. The ISR aims at a comprehensive evaluation of the severit...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2008.54.4.409
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVES:According to psychoanalytic models self-harming patients are characterised by an unstable self-system and a disturbed regulation of self-esteem. This is presumed to be denied or dissociated to a greater degree by those who harm themselves secretly (factitious patients) as compared to those who show open self...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2003.49.2.151
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVES:The HEALTH questionnaire, which originally consisted of 79 items, aims to assess generic aspects of psychosocial health. METHODS:Based on large clinical and healthy samples (n = 1548 psychotherapy inpatients, n = 5630 primary-care patients), the questionnaire was shortened and psychometrically analyzed. RE...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2009.55.2.162
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Which psychodiagnostic criteria indicate artificial donation motives at work in living organ donation? METHODOLOGY:Using a casuistic we investigated self-harmful behaviour with regard to peculiarities in transference as well as countertransference. RESULTS:Diagnostically of great important is the discrepan...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2010.56.4.419
更新日期:2010-01-01 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::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:OBJECTIVE:This study investigates body image with respect to the age, gender, and psychiatric diagnosis (ICD-10) of psychosomatic outpatients based on apriori formulated hypotheses. METHODS/SAMPLE:865 of the 1114 patients examined over the course of 10 months in a psychosomatic clinic agreed to participate in the stud...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2010.56.3.283
更新日期:2010-01-01 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: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: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: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::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: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:OBJECTIVES:Police officers frequently face traumatic stressors of different origins and thus bear an increased risk of developing a post-traumatic stress disorder. The most mentally burdening situations range from shootings, death of fellow officers, dealing with dead bodies in general, the effects of shift work, time ...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2007.53.1.42
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVES:We tested the hypothesis that inpatient psychosomatic treatment would improve both psychological distress and autonomic dysfunction, indexed as heart rate variability (HRV). METHODS:135 patients (mean age 47.2 years, 68.1% women) were enrolled. The most frequent diagnoses were somatoform disorders, adjustme...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2016.62.1.20
更新日期:2016-01-01 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: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:OBJECTIVES:The subject of this paper is a review of qualitative research in psychotherapy and psychosomatic medicine in German speaking countries. METHODS:A short systematic survey of the relevant topics is given. RESULTS:The methodology and methods are reviewed as well as subjects and results, e.g. first interview a...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章,评审
doi:10.13109/zptm.2003.49.1.74
更新日期:2003-01-01 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: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::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: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: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
abstract:OBJECTIVE:We examined how personal resources develop during inpatient psychodynamic psychotherapy, their relationship to symptom development, Operationalized Psychodynamic Diagnosis (OPD-2), and sociodemographic aspects. METHODS:483 patients were examined using self-assessment questionnaires (Brief Symptom Inventory (...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2015.61.2.139
更新日期:2015-01-01 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:To date we have only a limited understanding of the concrete verbal intervention techniques used in psychodynamic psychotherapy. In particular, there is no standard classification of these techniques. METHODS AND RESULTS:We analyzed the various types of verbal psychodynamic interventions from a theoretical ...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章,评审
doi:10.13109/zptm.2014.60.3.219
更新日期:2014-01-01 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: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::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:OBJECTIVES:The study investigates the psychic structure and psychiatric comorbidity of chronic pain patients according to Kernberg's concept of personality organization. METHODS:We assessed 48 chronic pain patients attending the Behavioural Medicine Pain Clinic in the Department of Psychiatry. Patients were diagnosed ...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2010.56.1.34
更新日期:2010-01-01 00:00:00