[Influence of therapy effectiveness of neurotic and stress disorders on selected aspects of psychological function].
The popularization of biopsychosocial model allowed for broader introduction of psychological means of treatment methods, among which, a group therapy takes a special place. This form of therapy, although held in groups, focuses on helping an individual patient to recover. Neurotic disorders connected with stress and somatoform disorders are group of diseases in which symptoms like anxiety, insomia, decreased self-assessment, pessimistic thoughts reduce the level of patients' functioning. Group therapy, besides realization of each patient's individual goals, allows for reduction of symptoms of a disease and general improvement of functioning. In spite of standarized therapeutical actions, effects of a therapy are different in case of each patient. The authors decided to realize comparative researches of selected aspects of psychological functioning at the beginning and at the end of the therapy. The aim of the study was to verify an effectiveness of a group therapy in the neurotic and stress disorders and evaluation of the influence of motivation of therapy on the recovery process.


METHODS
Patients with neurotic and stress disorders, hospitalized in Psychosomatic Ward of 7th Navy Hospital in Gdańsk were qualified for the examinations. In the study the following methods were used: (1) GHQ-28 by D. Goldberg (2) Scale of the motivation to the therapy--Author's own conception (3) STAI--C.D. Spielberger, J. Strelau, M. Tysarczyk, Wrześniewski. (4) SWLS (5) GSES--Schwarcer. (6)LOT--R. Scheier. (7) CECS--Watson. A group of 36 patients was examined in the research--27 (75%) women and 9 (25%) men. The age of patients was from 20 to 68 years (average age--44.2 yrs.).


RESULTS
In the most of examined patients the psychological improvement was noticed. The lack of noticeable improvement was observed in 8 cases (22.2%) patients. Results of the examinations showed the effectiveness of group therapy in improving of general patients' activity. Level of anxiety, self-satisfaction, sense of self-efficacy and disposable optimism were improved. Patients with low motivation to the therapy and with low social status didn't achieve noticeable improvement.


CONCLUSIONS
In the majority of patients the improvement of health condition and reduction of anxiety level were determined. More than half of examined patients finished hospitalization with higher sense of self-efficacy, higher optimism and higher self-satisfaction as well. The group of patients without improvement in measured functions presented the low level of motivation to therapy and low social status.
Zychlińska
Małgorzata
M
Pododdział Psychosomatyczny 7 Szpitala MW SP ZOZ z Przychodnia w Gdańsku. psychosomatyka@7szmw.pl
Florkowski
Antoni
A
Furmańska
Alicja
A
Dudak
Małgorzata
M
Gajda
Agnieszka
A
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009497:Neurotic Disorders / Q000523:psychology / Q000628:therapy*; D011615:Psychotherapy, Group; D012649:Self Concept; D040921:Stress Disorders, Traumatic / Q000523:psychology / Q000628:therapy*