首页|期刊导航|中国心理卫生杂志|抑郁症患者在短程动力性人际治疗中治疗体验的定性研究

抑郁症患者在短程动力性人际治疗中治疗体验的定性研究OACHSSCD

A qualitative study of treatment experiences of patients with major depressive disorder in short-term dynamic interpersonal therapy

中文摘要英文摘要

目的:从抑郁症患者的视角探索其接受短程动力性人际治疗(DIT)的体验.方法:对 10名完成 16 周DIT的抑郁症患者进行半结构化访谈,对访谈结果进行定性的主题分析,提取治疗中患者体验相关主题.结果:治疗中患者主观体验的变化包括:自身人际模式的觉察与调节能力提升、情绪的识别与整合能力提升、反思性能力发展、抑郁症状与功能改善.患者体验到的治疗机制包括:聚焦于其适应不良的人际模式、对情绪感受和觉察能力的锻炼、在安全的治疗关系中促进对自我及他人心理过程的理解.结论:DIT对抑郁症的治疗效果可能不仅体现在缓解抑郁症状,也初步显示其在促进患者人际模式觉察、情绪整合、反思能力上的潜在价值;DIT聚焦适应不良人际模式的干预策略可能通过情绪识别与整合训练与心智化技术促成改变.

Objective:To explore the subjective treatment experience of patients with major depressive disor-der receiving short-term dynamic interpersonal therapy(DIT).Methods:Semi-structured interviews were conducted with 10 patients with depression who completed 16-week DIT.Thematic analysis was used to extract themes related to patients'experiences during treatment.Results:Patients reported four main areas of change during DIT:increased awareness and regulation ability of their own interpersonal patterns,enhanced ability to recognize and integrate emo-tions,development of reflective ability,and improvement in depressive symptoms and functions.The perceived ther-apeutic mechanisms included a focus on their maladaptive interpersonal patterns,training in emotional awareness and expression,and promoting the understanding of the psychological processes of oneself and others in a safe ther-apeutic relationship.Conclusion:Therapeutic effects of DIT for depression may extend beyond symptom allevia-tion,with preliminary evidence suggesting its potential value in enhancing patients'awareness of interpersonal pat-terns,emotional integration,and reflective functioning.The intervention strategy may facilitate therapeutic changes by employing emotion recognition,emotion integration training,and mentalization techniques.

孙迅;赵亚婷;仇剑崟

上海交通大学医学院附属精神卫生中心,上海 200030上海交通大学医学院附属精神卫生中心,上海 200030上海交通大学医学院附属精神卫生中心,上海 200030

医药卫生

动力性人际治疗定性研究抑郁症主题分析治疗体验

dynamic interpersonalqualitative researchdepressionthematic analysistreatment experience

《中国心理卫生杂志》 2026 (4)

297-304,8

国家自然科学基金资助项目——抑郁障碍患者自我图式加工异常的神经机制及干预研究(82371555),上海市科委科技创新行动计划——动力性人际治疗治疗难治性抑郁症的随机对照临床研究(21Y11905400)

10.3969/j.issn.1000-6729.2026.04.04

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