Online First Nr12

Psychiatr. Pol. ONLINE FIRST Nr 12.
Epub ahead of print 25 March 2015

DOI: http://dx.doi.org/10.12740/PP/OnlineFirst/36294

Paweł Rodziński, Krzysztof Rutkowski, Agnieszka Murzyn, Jerzy A. Sobański,
Katarzyna Cyranka, Edyta Dembińska, Karolina Grządziel, Katarzyna Klasa,
Michał Mielimąka, Łukasz Müldner-Nieckowski, Bogna Smiatek-Mazgaj

FREE POLISH FULLTEXT: Zmiany w nasileniu objawów nerwicowych wiążące się z redukcją myśli samobójczych u pacjentów poddanych psychoterapii w dziennym oddziale leczenia nerwic i zaburzeń behawioralnych

FREE ENGLISH FULLTEXT: Changes in intensity of neurotic symptoms associated with reduction
of suicidal ideation in patients who underwent psychotherapy in the day hospital for the treatment of neurotic
and behavioral disorders


Summary
Aim. Analysis of associations between changes in the intensity of neurotic symptoms and reduction of suicidal ideation (SI) or lack of SI reduction, in patients who underwent a course of intensive psychotherapy conducted in integrative approach with predominance of psychodynamic approach in a day hospital.
Material and method. Symptom Checklist KO“O” and Life Inventory completed by 473 women and 207 men treated in the psychotherapeutic day hospital due to neurotic, behavioral or personality disorders between 2005–2013. During the qualification for the therapy 134 women and 80 men reported SI, of whom 84.3% and 77.5% respectively improved.
Results. The reduction of neurotic symptoms intensity was greater in patients of both genders who improved in terms of SI than in those who did not. This referred to global intensity of neurotic symptoms (OWK coefficient) in both genders (p<0.001), as well as to the majority of the neurotic symptoms subtypes in both genders (p<0.05): Phobic disorders, Other anxiety disorders, Obsessive-compulsive disorders, Conversions and dissociations, Autonomic disorders, Somatization disorders, Neurasthenia, Avoidance and dependence, Sexual dysfunctions, Dysthymia; and in case of women (p<0.05): Hypochondriasis, Depersonalization and derealization, Impulsiveness and histrionism and Non-organic sleep disorders.
Conclusions. The results show effectiveness and comprehensiveness of intensive psychotherapy as a treatment method that leads to improvement in terms of both SI and neurotic symptoms. This suggests that the applied therapy may be effective in preventing suicidality in this group of patients. The observed associations also point in favor of hypothesis on similarities in etiopathogenesis of and partly identical personality-related factors predisposing to SI and neurotic disorders.












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