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Klinisch geval of worried well? Een beschrijving van patiënten voorafgaand aan psychoanalytische behandeling

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Psychologie en Gezondheid, jaargang 2007

semenvatting

The present study investigated which mental health aspects were clinically affected in 170 patients who were assigned to long-term ambulatory psychoanalytic treatment, in other words to what extent these patients were sick or distressed. At intake, patients filled in four self-report questionnaires (SCL-90-R, IIP-64, BDI-II, STAI) and underwent a psychodiagnostic assessment consisting of the MMPI-2 and the Rorschach-CS. In order to see how many patients had clinically significant mental health problems in our population, we used the non-clinical norm scores for each measure and the ‘caseness criterion’. After combining the test scores of the questionnaires and personality assessment we found that 91% of our patients were identified as clinical cases. Compared to other ambulatory psychotherapy patients, patients assigned to psychoanalytic treatment reported less symptoms but with regard to personality problems they presented similar levels of psychopathology.

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Notes

  1. Het Gehechtheids Biografisch Interview (GBI/ AAI) ontwikkeld door George, Kaplan en Main (1996) is ook onderdeel van het persoonlijkheidsonderzoek, maar zijn voor deze steekproef niet gecodeerd.

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    Caspar C. Berghout

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  1. Caspar C. Berghout
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  2. Jolien Zevalkink
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Correspondence to Caspar C. Berghout.

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Drs. C.C. Berghout (psycholoog) is als promovendus werkzaam op de afdeling Onderzoek en Kwaliteitszorg van het Nederlands Psychoanalytisch Instituut en dr. J. Zevalkink (psycholoog en antropoloog) is hoofd van de afdeling Onderzoek en Kwaliteitszorg van het Nederlands Psychoanalytisch Instituut.

Dankbetuigingen

De auteurs willen dank betuigen aan prof. dr. J.V.T.M. de Jong, Vrije Universiteit Amsterdam, voor zijn opmerkingen op eerdere versies van het manuscript. Verder danken wij A.N.J. Pieters, Z. Saltzherr en A. Beekhuyzen voor het coderen van de Rorschach protocollen. Het bewerken van de gegevens is mede mogelijk gemaakt door een subsidie van ZonMw (94504-414).

Correspondentieadres: Nederlands Psychoanalytisch Instituut, $2, 1076 AB Amsterdam.

E-mailadres:berghout@npsai.nl.

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Berghout, C.C., Zevalkink, J. Klinisch geval of worried well? Een beschrijving van patiënten voorafgaand aan psychoanalytische behandeling. PSEG 35, 69–76 (2007). https://doi.org/10.1007/BF03071766

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