6533b81ffe1ef96bd1277a27

RESEARCH PRODUCT

Influence of childhood adversities and defense styles on the 1-year follow-up of psychosomatic- psychotherapeutic inpatient treatment

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Abstract The current study explores the connection between reported sexual abuse and physical maltreatment during childhood and immature defense styles as affecting the 1-year follow-up of inpatients who had undergone psychodynamic group therapy. Early traumatization was assessed using a structured patient interview and the defense styles by means of the questionnaire on defense styles. Reduction in psychological distress and improvement in health-related quality of life formed the parameters against which success of treatment was measured. At the 1-year follow-up, the entire sample showed a distinct improvement. The effect sizes for health-related quality of life ranged from 0.82 to 1.21, and that for psychological distress was 0.81. Patients with early traumatization were significantly more impaired both before treatment and at follow-up; yet they profited from treatment to an extent comparable to patients without early traumatization. The quality of life among patients with highly immature defense styl...