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中華團體心理治療

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篇名 憂鬱症動力取向人際團體心理治療之團體療效因素的成長模式
卷期 27:1
並列篇名 Growth model of Therapeutic factors in Dynamically Interpersonal Group Psychotherapy for Depressive Patients
作者 杜家興鍾明勳張達人
頁次 003-018
關鍵字 動力性人際團體憂鬱症療效因素成長因子Dynamically Interpersonal GroupsDepressionTherapeutic FactorsGrowth FactorsTSCI
出刊日期 202103

中文摘要

目的:本研究之目的在瞭解憂鬱症個案在施以動力性人際團體心理治療過程中,療效因素在團體前期、中期和後期之成長模式。
方法:本研究針對門診憂鬱症患者實施為期十六次動力性人際團體心理治療。在8年的時間共開立18期團體,有141位團體成員參與。將團體早期、中期及晚期所收集之療效因素資料以描述性統計方式分析,亦使用階層線性模式,檢定各種療效因素,在團體由早期發展到中期與晚期之成長模式與影響療效因素成長的因子。
結果:本研究結果顯示動力性人際團體心理治療之憂鬱症成員經過十六次團體之後。團體療效因素中,自我暸解及內注性人際學習是最重要的療效因素。療效因素中的凝聚力、仿同、家庭重現、內注性人際學習、自我瞭解、希望灌注以及指導建議會隨著團體的進行而增加,而影響療效因素起始值的特質則包括:40歲以上、團體人數、是否曾住院、是否有死亡意念、是否服用藥物;影響療效因素成長速率的特質則包括:性別、專科以上、40歲以上、台灣人憂鬱量表前測分數、B群人格、是否服用藥物、團體人數。
結論:在憂鬱症患者動力取向人際團體中,內注性人際學習及自我瞭解為本團體最重要的療效因素。影響此團體療效因素改變的因素中,較易發展出療效因素的個人特質則包括高教育程度、40歲以上的年齡、症狀較嚴重但又不至於過於嚴重者及病識感佳且有服藥者;至於較不穩定的B群人格則對團體療效因素的發展為負面影響。

英文摘要

Object: The purpose of this research was to find the growth model of the therapeutic factors in different stages of dynamically interpersonal group psychotherapy.
Method: This research applied the dynamically interpersonal group psychotherapy with 16 sessions in the outpatient setting. The data was collected from 141 members of 18 groups by sorting of therapeutic factor cards during the courses of the group psychotherapy. Data were analyzed by descriptive analysis and examined by hierarchical linear model for growth model of therapeutic factors.
Result: The most important therapeutic factors were self-understanding and interpersonal learning-input in dynamically interpersonal group psychotherapy. According to the linear growth model, therapeutic factors of group cohesiveness, imitating, recapitulation of primary family group, interpersonal learning-input, self-understanding, instillation of hope and didactic instruction increased progressively with time. Factors associated with the initial value of therapeutic factors were above 40 year-old, numbers of members in the group, history of hospitalization, idea of death and taking medication. Factors associated with growth the therapeutic factors were gender, educational level above college, above 40 year-old, the score of Taiwanese Depression Questionnaire(TDQ), cluster B personality, taking medication and numbers of members in the group.
Conclusion: In dynamically interpersonal group psychotherapy for depressive patients, the interpersonal learning-input and self-understanding are the important therapeutic factors. The therapeutic factors are influenced by some demographic characteristics such as high education, age over 40, moderate to severe symptoms but not very severe, having good insight, and good compliance. Members who have those characteristics will get better progression on therapeutic factors. As for unstable cluster B personality patients, it has a negative influence on the development of therapeutic factors.

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