The Longitudinal Parallel Studies Of Psychodynamic Therapy And Cognitive Therapy

ObjectiveIn order to show the whole process of psychological dynamics therapy and cognitive therapy, to determine the specific effects and related factors, then compare the similarities and differences between two kinds of psychotherapy.MethodsThis experiment has chosen two groups of data from the task "the specification and demonstration research on ten kinds of psychotherapies and counseling". By the analysis of these two groups of data and the content of psychotherapies, presenting the process of the therapies and achieve the quantitative result. The independent sample t test, Chi-square test, repeated measures analysis of variance and logistic regression analysis were used to finish the analysis.Result1. Quantitative data analysis of psychodynamic therapy shows the SCL-90total score and factor score differences between the psychotherapy group and drug group are statistically significant (total F=27.888P=0.000; somatization F=24.101, P=0.000; obsession F=9.826, P=0.002; social relationships F=8.502, P=0.005; depressionF=11.412, P=0.001; anxiety F=18.727, P=0.000; hostileF=9.278, P=0.003; terror F=16.453, P=0.000; paranoia F=4.487, P=0.035; psychotic F=4.904, P=0.030).The total score and body function dimension score, mental function dimension score differences of the GQOLI-74between this two groups are statistically significant(total F=11.381, P=0.001; body dimension F=13.667, P=0.000; psychological dimension F=11.783, P=0.001). scl-90reduced-rate analysis shows3and6months after the end of the treatment the healed and improved markedly people in the psychotherapy group are more than these in the drug only group(x2=6.372,8.336,11.577; P<0.05).Logistic regression analysis of factors affecting the treatment improvement display that the variables finally come into the equation is: experimental group, the baseline score of psychological dimension in GQOLI-74, baseline score of subjective supporting score in SSRS.2. By the analysis of the content of the psychodynamic therapy we can learn the process of this psychotherapy and we tend to believe that when the patients’subjective feelings of the therapy has stayed stable unless confronted with "defense and impedance",which can also predict the effects of the therapy more or less.3. Quantitative data analysis of psychodynamic therapy shows the total score of SCL-90(F=5.284, P=0.024), somatization(F=2.122, P=0.150),interpersonalsensitivity(F=5.294,P=0.024),depression(F=5.715,P=0.019)anxiety(F=4.659,P=0.034),horror(F=7.404,P=0.008),psychot ic(F=8.651,P=0.004) are statistically distinguished the two groups. The differences in the GQOLI-74total score(F=19.479, P=0.000),the body function dimension(P=11.988, P=0.001),the social function dimension (F=26.326, P=0.000) are statistically significant. The total score of SSRS between the two group are statistically significant (F=11.337,P=0.000). SCL-90reduced-rate analysis shows that6months after the end of the treatment the healed and significantly improved patients in the psychotherapy group are more than the number of drug treatment group (x2=6.873, p<0.05). Logistic regression analysis shows that factors affecting the treatment improvement displays that the variables finally come into the equation are:experimental group, the baseline score of psychological dimension in GQOLI-74, baseline score positive coping scores in SCSQ.4. By the analysis of the content of the cognitive therapy we can learn the process of this psychotherapy and we tend to believe that when the patients’subjective feelings of the therapy has stayed stable unless confronted with "negative automatic thoughts" which can also predict the effects of the therapy more or less. Conclusions1. Quantitative data analysis shows that comparing with the control group, the experimental groups both showed more significant effect, which can be maintained within6months.2. In addition to receive psychotherapy, the factors that influence the improvement also include the score of baseline GQOLI-74psychological dimension and SSRS in the psychodynamic therapy group, and the score of baseline GQOLI-74psychological dimension and positive coping style of SCSQ in cognitive therapy group.3. In the process of psychodynamic therapy, the somatic and psychological improvement happened when the patients learned to fully exploit the use of their own capability and resources to meet their own emotional needs. In the process of cognitive therapy, the patients could have an improvement when they learned to identify and correct their intermediate values and core beliefs.4. The two types of psychotherapies differentiate each other in the treatment time, structure, and the role the therapist plays. They also have something in common:patient-centric as well as the promoting effect of positive relationship between the therapist and patient and the positive subjective feelings of the patients.