Table of Contents
ISRN Psychiatry
Volume 2013, Article ID 540134, 7 pages
http://dx.doi.org/10.1155/2013/540134
Research Article

SCL-90-R Symptom Profiles and Outcome of Short-Term Psychodynamic Group Therapy

1Medical Psychology Unit, Department of Environmental Health, Faculty of Health and Medical Sciences, Institute of Public Health, University of Copenhagen, Øster Farimagsgade 5A, P.O. Box 2099, 1014 Copenhagen, Denmark
2Psychiatric Department E, Bispebjerg Hospital, Copenhagen, Denmark

Received 4 February 2013; Accepted 7 April 2013

Academic Editors: X. Gonda, Z. Kronfol, and A. Vance

Copyright © 2013 Hans Henrik Jensen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Psychodynamic group psychotherapy may not be an optimal treatment for anxiety and agoraphobic symptoms. We explore remission of SCL-90-R Global Severity Index (GSI) and target symptoms in 39 sessions of psychodynamic group therapy. Methods. SCL-90-R “target symptom” profile and GSI remission according to Danish norms were identified in 239 patients and evaluated according to reliable and clinical significant change. Results. Four major groups of target symptom cases (depression, interpersonal sensitivity, anxiety, and phobic anxiety) covered 95.7% of the sample. As opposite to phobic anxiety and anxiety patients, patients with interpersonal sensitivity obtained overall the most optimal outcome. The phobic anxiety scale, social network support, and years of school education were independent predictors of GSI remission, and a low anxiety score and absence of phobic anxiety target symptoms were independent predictors of remission of target symptom pathology. Conclusions. The negative results as associated with the SCL-90-R phobic anxiety scale and the phobic anxiety target symptom group are largely in agreement with recent studies. In contrast, whatever the diagnoses, patients with interpersonal sensitivity target symptom may be especially suited for psychodynamic group therapy. The SCL-90-R subscales may allow for a more complex symptom-related differentiation of patients compared with both diagnoses and GSI symptom load.