Online First Nr14
Psychiatr. Pol. ONLINE FIRST Nr 14.
Epub ahead of print 25 March 2015
Paweł Rodziński, Krzysztof Rutkowski, Jerzy A. Sobański, Michał Mielimąka,
Agnieszka Murzyn, Katarzyna Cyranka, Edyta Dembińska, Karolina Grządziel,
Katarzyna Klasa, Łukasz Müldner-Nieckowski, Bogna Smiatek-Mazgaj
FREE POLISH FULLTEXT: Zmiany w profilu osobowości nerwicowej wiążące się z redukcją myśli samobójczych u pacjentów poddanych psychoterapii w dziennym oddziale leczenia nerwic i zaburzeń behawioralnych
FREE ENGLISH FULLTEXT: Changes in neurotic personality profile associated with reduction of suicidal ideation in patients who underwent psychotherapy in the day hospital for the treatment of neurotic and behavioral disorders
Analysis of associations between changes in neurotic personality profile and reduction of suicidal ideation (SI) – or lack of such reduction – defined as its elimination or reduction of its intensity in patients who underwent a course of intensive psychotherapy conducted in integrative approach with predominance of psychodynamic approach.
Material and method.
Symptom Checklist KO“O”, Neurotic Personality Questionnaire KON-2006 and Life Inventory completed by 473 women and 207 men treated due to neurotic, behavioral or personality disorders in a day hospital 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.
Patients who improved in terms of SI obtained significantly greater reduction of global neurotic personality disintegration (neuroticism) than others (p<0.0005 in women and p=0.015 in men). Associations were found between improvement in terms of SI and greater reduction of many neurotic personality traits (p<0.05) in both genders: Negative self-esteem, Impulsiveness, Sense of alienation, Demobilization, Difficulties in emotional relations, Lack of vitality, Sense of lack of control, Sense of guilt, Difficulties in interpersonal relations, Sense of being in danger, Exaltation, Ponderings; and only in women: Feeling of being dependent on the Environment, Asthenia, Difficulties with decision making, Conviction of own resourcelessness in life, Deficit in internal locus of control and Imagination. indulging in fiction.
The results confirm effectiveness of intensive psychotherapy as a treatment method that leads to comprehensive improvement encompassing reduction of neurotic personality disorders (neuroticism) and of majority of neurotic personality traits, as well as SI reduction. The revealed associations weigh in favor of hypothesis on neuroticism as SI-predisposing factor in patients with neurotic, behavioral and personality disorders.