Jerzy A. Sobański Różnice szybkości ustępowania objawów zaburzeń nerwicowych 81 Differential response of neurotic symptoms 81 Summary Aim: Analysis of timing of neurotic disorders' symptoms improvement during intensive
psychotherapy in a day hospital at the Wojewódzki Ośrodek Leczenia Nerwic according to an
integrative theoretical approach and relation of the phenomena observed to therapy outcome.
Material: 3509 symptom checklists "0", filled in by 319 patients treated in day hospital in
1990-1998. The group consisted of 235 females and 84 males, mostly with diagnoses of
somatization disorder, generalised anxiety disorder, dissociative motor and sensoric
disorders as well as with a diagnosis combining elements of listed above. Method: Symptom
checklists "0", filled weekly by patients were examined. For 10 selected neurotic symptoms,
differential treatment-induced improvement rates were looked for. Results: Particular
neurotic symptoms disappeared with different velocity during intensive psychotherapy. In
subgroups of patients with different psychotherapy outcomes, during subsequent 9 weeks of
treatment, different rates of selected 10 neurotic disorders' symptoms improvement were
found. Conclusion: During psychotherapy processes with beneficial final results, higher
improvement speed for selected neurotic symptoms was observed. However, significant
differences in particular symptom improvement rates make treatment monitoring more
complicated. |