ABSTRACT
AIM: The previous psychotherapy duration was the main independent variable. METHOD: 301 patients successively reporting for inpatient treatment in the Clinic of Neurotic Disorders received questionnaires. 274 patients completed the treatment and returned all the tests and were divided into three groups: a) those without previous psychotherapy, b) those with the experience of previous short-term therapy, c) those with previous long-term psychotherapy. The following tools were used: Hopkins Symptom Checklist, Sense of Coherence, Questionnaire of Motivation, and Adjective Check List. RESULT: Previous psychotherapy duration discriminates symptoms, coherence, motivational factors, personality aspects, both in the beginning of psychotherapy and at the time of discharge from the hospital.
Subject(s)
Ambulatory Care/methods , Inpatients/psychology , Neurotic Disorders/therapy , Patient Compliance/statistics & numerical data , Psychotherapy/methods , Female , Humans , Male , Neurotic Disorders/psychology , Outcome Assessment, Health Care , Poland , Psychotherapy, Brief/methods , Psychotherapy, Group/methods , Severity of Illness Index , Sick Role , Surveys and Questionnaires , Treatment OutcomeSubject(s)
Abortion, Induced/psychology , Anxiety , Child , Depression/etiology , Female , Humans , Male , Pregnancy , SyndromeABSTRACT
AIM: We examined changes in general psychopathology during psychotherapy of patients with eating disorders. We were also interested in distinguishing motivational characteristics of completers and dropouts with anorexia and bulimia nervosa. METHOD: All subjects completed two self-descriptive measures: Motivational Inventory and Hopkins Symptoms Checklist (HSCL-72). Questionnaires were completed three times: during the qualification visit, at admission and two weeks before discharge. RESULTS: It was observed that general psychopathology among patients with anorexia nervosa and bulimia nervosa decreased. Comparing to completers with bulimia nervosa completers with anorexia nervosa had a higher level of activity factor before the treatment. Dropouts with anorexia nervosa differed from completers in decreased level of threat factor and activity factor. Completers with bulimia contrasted markedly with statistically meaningful decrease of the Body Mass Index. CONCLUSIONS: The efficacy of cognitive-behavioural-social psychotherapy of patients with eating disorders seems to be confirmed by large decrease of general psychopathology. Dropouts with anorexia seem to have poorer insight concerned with lower need of health activity.
Subject(s)
Cognitive Behavioral Therapy/methods , Feeding Behavior/psychology , Feeding and Eating Disorders/psychology , Feeding and Eating Disorders/therapy , Patient Dropouts/psychology , Adult , Anorexia Nervosa/psychology , Anorexia Nervosa/therapy , Attitude to Health , Body Mass Index , Bulimia/psychology , Bulimia/therapy , Case-Control Studies , Female , Health Behavior , Humans , Middle Aged , Poland , Surveys and Questionnaires , Time FactorsABSTRACT
El objetivo de este estudio fue hacer una comparación de la eficacia y la economía de la terapia focalizada en el análisis de los pensamientos automáticos registrados en marco de Terapia Comportamental Cognitiva individual y grupal. Doce pacientes admitidos en la Unidad de Trastornos Afectivos fueron asignados azar en dos grupos equivalentes: Terapia de Grupo Coportamental-Cognitiva (TGCC) o Terapia individual Comportamental-Cognitiva (TICC). Cada participante tomó parte en seis sesiones consecutivas de 90 minutos de grupo abierto o en 60 minutos de terapia individual; en ambos casos el foco estuvo en el registro de los pensamientos automáticos. Los síntomas depresivos fueron evaluados con el HAM-D y el BDI (Inventario de Depresión de Beck). De acuerdo a los resultados, la terapia de grupo (TGCC) pareciera ser más efectiva en términos de los puntajes evaluados en el HAM-D y menos costosa que la terapia individual (TICC) para el tratamiento de la depresión. Se presentan conclusiones para futuras investigaciones.
Subject(s)
Humans , Cognitive Behavioral Therapy , Depression , Psychotherapy, GroupABSTRACT
El objetivo de este estudio fue hacer una comparación de la eficacia y la economía de la terapia focalizada en el análisis de los pensamientos automáticos registrados en marco de Terapia Comportamental Cognitiva individual y grupal. Doce pacientes admitidos en la Unidad de Trastornos Afectivos fueron asignados azar en dos grupos equivalentes: Terapia de Grupo Coportamental-Cognitiva (TGCC) o Terapia individual Comportamental-Cognitiva (TICC). Cada participante tomó parte en seis sesiones consecutivas de 90 minutos de grupo abierto o en 60 minutos de terapia individual; en ambos casos el foco estuvo en el registro de los pensamientos automáticos. Los síntomas depresivos fueron evaluados con el HAM-D y el BDI (Inventario de Depresión de Beck). De acuerdo a los resultados, la terapia de grupo (TGCC) pareciera ser más efectiva en términos de los puntajes evaluados en el HAM-D y menos costosa que la terapia individual (TICC) para el tratamiento de la depresión. Se presentan conclusiones para futuras investigaciones.(AU)
Subject(s)
Humans , Cognitive Behavioral Therapy/methods , Depression , Psychotherapy, GroupABSTRACT
The authors surveyed the literature focused on childhood mistreatment and pregnancy loss. They present definitions and classifications of child abuse (emotional, verbal, physical, sexual), child neglect (physical, emotional-intellectual) and pregnancy losses (especially miscarriage and abortion). In the second part of the paper a correlation between abuse and pregnancy loss is displayed as well as a correlation between child abuse and neglect. The different kinds of pregnancy losses are viewed as similar in aspect of psychological sequel, though their intensity and particular character depends on the mother's contribution to the loss of her child. In the last part, the consequences of the above correlation are discussed. The clinical observations suggest, that abuse and neglect experienced in childhood increases the probability of pregnancy loss in adulthood. On the other hand, the loss of on unborn child is one of the factors causing child abuse and neglect.
Subject(s)
Abortion, Induced/psychology , Abortion, Spontaneous/psychology , Child Abuse/psychology , Child , Emotions , Female , Humans , Mothers/psychology , Personality Development , Pregnancy , Psychology, ChildABSTRACT
The authors reviewed the literature focused on groups for people damaged by childhood mistreatment and pregnancy loss. They also presented II-PLCARR therapy designed for those who suffer from a sequel of abuse, neglect and pregnancy loss combination. Time limited group therapy for people damaged by abuse, neglect and pregnancy loss was designed at the Institute of Pregnancy Loss Child Abuse Research and Recovery, Victoria, Canada. The phases of the program include e.g.: realising mistreatment and damage; realising excuses, denial and resistance; training of assertion; resisting manipulation; accepting partial responsibility; facing guilt, mourning the loss of childhood; passing through despair; dead babies rehumanization and mourning; reconciliation with victims, observers and perpetrators; negotiation of realistic expectations; attenuations of unnecessary pair bonding; learning to love; celebration; good good-byes. The study of IIPLCARR therapy effectiveness is displayed as well.
