Psychological mindedness and symptom reduction after psychotherapy in a heterogeneous psychiatric sample

被引:27
作者
Nyklicek, Ivan [1 ]
Majoor, Daphne [1 ]
Schalken, Pierre A. A. M. [2 ]
机构
[1] Tilburg Univ, Dept Med Psychol, Ctr Res Psychol Somat Dis, NL-5000 LE Tilburg, Netherlands
[2] Ctr Psychol Recovery, NL-5248 NT Rosmalen, Netherlands
关键词
PATIENT PERSONALITY; ALEXITHYMIA; DEPRESSION; VALIDITY; THERAPY;
D O I
10.1016/j.comppsych.2010.02.004
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: Psychological mindedness (PM) has been claimed to be beneficial for outcome of various forms of psychotherapy. The purpose of this study was to investigate the influence of PM on the therapy results of a psychiatric patient sample with heterogeneous psychological symptoms. Methods: Participants were 110 patients with different diagnoses who were hospitalized at the Center for Psychological Recovery (Rosmalen, Netherlands). Before and after treatment, they were asked to complete the Balanced Index of Psychological Mindedness and the Symptom Checklist-90. Results: Baseline PM was not associated with a decrease in symptom scores (F(8,73) < 1.0; P > .20; partial eta(2) > 0.10). However, PM increased over the course of the intervention (F(2,84) = 43.54; P < .001; eta(2) = 0.51) and larger increases in the insight component of PM were associated with larger decreases on 6 of 8 symptom scores (F(8,70) = 3.55; P < .005; partial eta(2) = 0.29). Conclusions: These results suggest that although a high PM is not a prerequisite for successful cognitive behavioral therapy, an increase in insight is associated with better outcome. (c) 2010 Elsevier Inc. All rights reserved.
引用
收藏
页码:492 / 496
页数:5
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