Comparison of clinical and psychological characteristics in patients with neurotic disorders who chose active versus passive role in psychotherapy. Part 2

The relevance is determined by the need to solve one of the most difficult methodological problems in evidence-based psychotherapy – assessment of clinical, medical- and clinical-psychological changes in patients during psychotherapy in order to increase its effectiveness and simultaneously reduce its duration.

The objective is to perform comparative analysis of clinical and psychological characteristics of patients with neurotic disorders who actively choose psychotherapeutic treatment and passively participate in psychotherapy.

Methods. Clinical and clinical-psychological methods were used. The dynamics of clinical and psychological characteristics of 82 patients with neurotic disorders aged 18 to 55 years is presented. Forty five persons (54.9 %) actively chose psychotherapy and 37 persons (45.1 %) – passively. These groups were homogeneous in terms of gender, age and other socio-demographic characteristics. Here Part 2 of the article is presented revealing the treatment effectiveness in patients who have chosen psychotherapy passively.

Results and discussion. The results of the study showed that the greater efficiency of psychotherapy was observed in Group 1 patients. Group 2 patients, despite a decrease in neurotic symptomatology and improvement of some clinical and psychological characteristics, had a decrease in the level of “constructive aggression,” which contributed to a decrease in the desire to openly express their emotional experiences, to form and implement their life goals, there was an increase in neurotic symptomatology, which increased interpersonal isolation, and a decrease in the level of internalism in the relationship to health and illness.

Conclusion. The data obtained indicate the specificity of the dynamics of clinical and clinical and psychological characteristics and give reason to assume positive effects of the active choice of psychotherapy on the effectiveness of psychotherapy.

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