Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-03T18:38:40.907Z Has data issue: false hasContentIssue false
  • English
  • Français

Factores curativos percibidos y su relación con la evolución: un estudio de pacientes esquizofrénicos en un programa de tratamiento amplio basado en la terapia cognitiva

Published online by Cambridge University Press:  12 May 2020

B. Svensson  and
L. Hansson
B. Svensson
Affiliation:
Department of Clinical Neuroscience, Division of Psychiatry, University Hospital, Lund University, S-221 85Lund, Suecia
L. Hansson
Affiliation:
Department of Clinical Neuroscience, Division of Psychiatry, University Hospital, Lund University, S-221 85Lund, Suecia
Get access

Resumen

Veintiocho pacientes esquizofrénicos y otros pacientes enfermos mentales a largo plazo que recibieron sesiones de terapia cognitiva dos veces por semana en el contexto de un programa de tratamiento amplio para pacientes internos fueron evaluados cada 5 semanas con respecto a los factores curativos percibidos. Las evaluaciones se hicieron por un cuestionario de autoinforme (Cuestionario de Factores Curativos [CFQ]) y una evaluación cualitativa de los pacientes de lo que percibían como útil en el tratamiento. Los resultados mostraron que los elementos de terapia del medio y las sesiones de terapia se percibieron como los factores más útiles durante todo el período de tratamiento. No se encontraron correlaciones entre las características del paciente y los factores curativos percibidos. Los factores de “instilación de esperanza”, “solución de problemas” y “saber que no estoy solo” evaluados en la fase inicial del tratamiento mostraron una relación positiva con una evolución favorable del tratamiento en el alta.

Keywords

terapia cognitivafactores curativosesquizofrenia
Type
Artículo Original
Information
European Psychiatry (Ed. Española) , Volume 6 , Issue 4 , May 1999 , pp. 215 - 223
Copyright
Copyright © European Psychiatric Association 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bibliografía

Alden, L.Treatment environment and patient improvement. J Nerv Ment Dis 1878; 166: 327–34.CrossRefGoogle Scholar
American Psychiatric Association. Diagnostic and statistical manual for mental disorders. (3rd ed, rev). Washington, DC: APA; 1987Google Scholar
Åsberg, M, Montgomery, SA, Perris, C, Schalling, D, Sedvall, G.A Comprehensive Psychopathological Rating Scale. Acta Psychiatr Scand 1978; suppll 271.CrossRefGoogle ScholarPubMed
Battle, CC, Imber, SD, Hoehn-Saric, RH, Stone, AR, Mash, ER, Frank, JD.Target Complaints as criteria of improvement. Am J Psychiatry 1966; 20: 184–92.Google ScholarPubMed
Bednar, RL, Kaul, T.Experiential group research: Can the canon fire? In: Bergin, AE, Garfield, SL, eds. Handbook of psychotherapy an behavior change, 4 ed. New York: Jonh Wiley & Sons; 1994, 631–63.Google Scholar
Cantazaro, M, Using qualitative analytical techniques. In: Woods, NF, Cantazaro, M, eds. Nursing research theory an practice. Washington, DC: Mosby; 1988; 437–56.Google Scholar
Derogatis, LR, Fasth, BG.Confirmation of the dimensional structure of the SCL-90: A study in construct validation. J Clin Psychol 1977; 33: 981–9.3.0.CO;2-0>CrossRefGoogle Scholar
Frank, AF, Gundersen, JG.The role of the therapeutic alliance in the treatment of schizophrenia. Relationship to course and outcome. Arch Gen Psychiatry 1990; 47: 228–36.CrossRefGoogle ScholarPubMed
Fox, DJ.Fundamentals of research in nursing, 4 ed. Norwalk: Appleton-Century-Crofts; 1982.Google Scholar
Garety, PA, Kuipers, L, Fowler, F, Camberlain, F, Dunn, G.Cognitive behavioural therapy for drug-resistant psychosis. Br J Med Psychol 1994; 67: 259–71.CrossRefGoogle ScholarPubMed
Horvath, A, Symonds, B.Relation between working alliance an outcome in psychoterapy: A meta-analysis. J Couns Psychol 1991; 38: 139–49.CrossRefGoogle Scholar
Kajandi, M.A psychiatric and interactional perspective on quality of life. In: Nordenfeldt, L, ed. Concepts and measurement of quality o life in healt care. Dordrecht: Kluwer Academic Publishers; 1994, 257–76.CrossRefGoogle Scholar
Kellam, SG, Coldberg, SC, Scholer, NRet al.War atmosphere an outcome of treatment of acute schizophrenia. J Psychiatr Res 1977; 5: 145–63.CrossRefGoogle Scholar
Lambert, MJ, Bergin, AE.The Effectiveness of Psychotherapy. In: Bergin, AE, Garfield, SL, eds. Handbook of psychotherapy and behavoir change, 4 ed. New York: Jonh Wiley & Sons; 1994; 143–89.Google Scholar
Llewelyn, SP, Elliott, R, Shapiro, DA, Hardy, G, Firth-Cozens, J.Client perceptions for significant events in prescriptive and exploratory periods of individual therapy. Br. J Clin Psychol 1998; 27: 105–14.CrossRefGoogle Scholar
Luborsky, L.Principies of psychoanalytic psychotherapy: A manual for supportive-expressive (SE) treatment. New York: Basic Books; 1984.Google Scholar
Luborsky, L, Crits-Christoph, P, Mintz, J, Auerbach, A.Who will benefit from psychotherapy? Predicting therapeutic outcomes. New York: Basic Books; 1988.Google Scholar
Luborsky, L, Barber, JP, Beutler, L.Introduction to special section: a briefing on curative factors in dinamic psychotherapy. J Consul Clin Psychol 1993; 61: 539–41.CrossRefGoogle Scholar
Luborsky, L, Diguer, L, Luborsky, E, McLellan, T, Woody, G, Alexander, L.Psychological Health-Sickness (PHS) as a Predictor of Outcomes in Dynamic and Other Psychotherapies. J Consul Clin Psychol 1993; 61: 542–8.CrossRefGoogle ScholarPubMed
Miller, N, Luborsky, L, Barber, JP, Docherty, J, eds, Dynamic psychotherapy research: A handbook for clinical practice. New York: Basic Books; 1993.Google Scholar
Murphy, PM, Cramer, D, Lillie, FJ.The relationship between curative factors perceived by patients in their psychotherapy and treatment outcome: an exploratory study. Br J Med Psychol 1984; 57: 187–92.CrossRefGoogle Scholar
Norusis, MJ.Statistical package for the social Sciences, SPSSPC+7.0. Chicago: Spss Inc; 1995.Google Scholar
Perris, C.Cognitive therapy with schizophrenic patients. New York: Guilford; 1989.Google Scholar
Perris, C, Toresson, P, Skagerlind, L, Warburton, E, Gustavsson, H, Johansson, T.Integrating components in a comprehensive cognitive treatment program for patients with a schizophrenic disorder. In: Stefanis, CNet al, eds. Psychiatry: a world perspective, vol 3. Amsterdam: Elsevier; 1990; 724–9.Google Scholar
Perris, C.A Cognitive-Behavioural Treatment Program for Patients with a Schizophrenic Disorder. New Dir Ment Health Serv 1992; 53: 21–32.CrossRefGoogle Scholar
Perris, C.Skagerlind, L.Cognitive therapy with schizophrenic patients. Acta Psychiatr Scand 1994; 89: 65–70.CrossRefGoogle Scholar
Strauss, JS, Carpenter, WT.The prediction of outcome in schizophrenia. I. Characteristics of outcome. Arch Gen Psych 1972; 27: 739–46.CrossRefGoogle Scholar
Strauss, JS, Carpenter, WT.The prediction of autcome in schizophrenia.II. Relationship between predictor and outcome variables: A report from the WHO international pilot study of schizophrenia. Arch Gen Psych 1974; 31: 37–42.CrossRefGoogle Scholar
Tarrier, N, Beckett, R, Hardwood, S, Baker, A, Yusupoff, L, Ugarteburu, I.A trial of two cognitive-behavioural methods of treating drug-resistand residual psychotic symptoms in schizophrenic patients: J Outcome. Br I Psychiatry 1993; 162: 524–32.CrossRefGoogle Scholar
Tarrier, N, Sharpe, L, Beckett, R, Harwood, S, Yusopoff, L.A trial of two cognitive bahavioural methods of treating drug-resistant residual psychotic symptoms in schizophrenic patients. II. Treatment-specific changes in coping and problem-solving skills. Soc Psychiatry Psychiatr Epidemiol 1993; 28: 5–10.CrossRefGoogle Scholar