LVR-Klinikum Düsseldorf Hospital of the Heinrich-Heine University ...
LVR-Klinikum Düsseldorf Hospital of the Heinrich-Heine University ...
LVR-Klinikum Düsseldorf Hospital of the Heinrich-Heine University ...
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<strong>LVR</strong>-KLINIKUM DÜsseLDORF – hOsPITaL OF The heINRIch-heINe UNIVeRsITY DÜsseLDORF<br />
3.2 Department <strong>of</strong> Psychosomatic Medicine<br />
and Psycho<strong>the</strong>rapy<br />
3.2.1 Research groups<br />
3.2.1.1 Microprocedural treatment course and long-term<br />
148<br />
results in patients with different personality<br />
structures<br />
Director: W. Tress<br />
Personnel: B. Junkert-Tress, N. Schmitz, L. König,<br />
D. Hecke<br />
Time-limited psychodynamic treatments are provided in<br />
outpatient settings for a broad spectrum <strong>of</strong> psychogenic<br />
disorders. The <strong>Düsseldorf</strong> Short-term Psycho<strong>the</strong>rapy Study<br />
is investigating short-term psycho<strong>the</strong>rapies (25 sessions).<br />
The various instruments <strong>of</strong> <strong>the</strong> SASB-CMP methods are<br />
used to identify indicators <strong>of</strong> short-, mid- and long-term<br />
effects, as well as predictors for favourable or unfavourable<br />
psycho<strong>the</strong>rapeutic procedures, and for <strong>the</strong> success or failure<br />
<strong>of</strong> psychodynamic short-term treatments. Various disorder<br />
groups are compared with one ano<strong>the</strong>r, under consideration<br />
<strong>of</strong> patient variables such as differences in personality<br />
structures. The Problem Treatment Outcome Congruency<br />
principle is used to relate mental disorders, treatment<br />
courses and outcomes with each o<strong>the</strong>r. The stability <strong>of</strong> <strong>the</strong><br />
success <strong>of</strong> <strong>the</strong> treatment is evaluated at several follow-up<br />
evaluations.<br />
As a result <strong>of</strong> this research project, relevant results are<br />
expected to help optimise <strong>the</strong>rapeutic activity in treatment<br />
with psychoanalytical short-time psycho<strong>the</strong>rapy, and for<br />
fur<strong>the</strong>r training.<br />
Figures 28 a-e: Reduction <strong>of</strong> symptoms after 25 hrs <strong>of</strong> native-language,<br />
specific, stabilising psycho<strong>the</strong>rapy in traumatised refugees (unpublished<br />
results)<br />
BSS total score<br />
6<br />
4<br />
2<br />
0<br />
Admission Discharge 6 months 1 year 2 years<br />
Time <strong>of</strong> assessment<br />
Figure 28 a: General mental impairment measured as <strong>the</strong> GSI value <strong>of</strong><br />
<strong>the</strong> SCL-90-R in traumatised refugees before and after psycho<strong>the</strong>rapy<br />
compared with <strong>the</strong> waiting group<br />
GAF current mean value<br />
100<br />
75<br />
50<br />
25<br />
0<br />
Admission Discharge 6 months 1 year 2 years<br />
Time <strong>of</strong> assessment<br />
Figure 28 b: Development <strong>of</strong> trauma symptoms (PTSD) in refugees before<br />
and after psycho<strong>the</strong>rapy compared with <strong>the</strong> waiting group<br />
T values<br />
80<br />
60<br />
40<br />
20<br />
Admission Discharge 6 months 1 year 2 years<br />
Time <strong>of</strong> assessment<br />
Figure 28 c: Physical symptoms (SOMS) in refugees before and after<br />
psycho<strong>the</strong>rapy compared with <strong>the</strong> waiting group<br />
T values<br />
80<br />
60<br />
40<br />
20<br />
Admission Discharge 6 months 1 year 2 years<br />
Time <strong>of</strong> assessment<br />
Figure 28 d: Current anxiety (SCL 90)<br />
T values<br />
80<br />
60<br />
40<br />
20<br />
Admission Discharge 6 months 1 year 2 years<br />
Time <strong>of</strong> assessment<br />
Figure 28 e: Current depression (SCL 90)