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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rapy in traumatised refugees (unpublished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)

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