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<p>This study aims to predict positive outcomes in group psychotherapy, with a particular focus on the potential for guilt reparation. This process is relevant in the treatment of patients with personality and neurotic disorders with different histories of trauma and varying levels of envy. The study additionally investigated whether there were significant differences in results between the beginning and completion of treatment.&#xa0;A retrospective analysis was conducted between 2022 and 2024 on 164 patients who completed time-limited group psychotherapy during that period. The intensity of envy and the capacity for guilt reparation were assessed using the Neurotic Personality Questionnaire (NPQ), the Scale to Assess Therapeutic Relationship - patient version (STAR-P), and the Inventory of Personality Organisation - Polish version (IPO-PL).&#xa0;Based on the results of the Mann–Whitney analysis, no differences were found between patients treated with pharmacotherapy and those who were not. Regression analysis revealed that the level of envy is a strong predictor of guilt. Significant predictors were also found for the quality of the therapist-patients relationship, including indicators of personality. A one-way repeated-measures ANOVA demonstrated a significant decrease in patient–therapist relationship scores from pre- to post-treatment following three months of intensive psychodynamic group psychotherapy. These findings can be applied in clinical practice and could support the prediction of treatment outcomes.</p>

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Prognostic Factors for Guilt Reparation in Psychodynamic Group Psychotherapy

  • 期刊论文

  • 发表日期：

    2026年2月14日

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  • Aleksandra Ściegienny-Lemler,
  • Michał Mielimąka,
  • Patrycja Jęda,
  • Katarzyna Klasa,
  • Karolina Skrobol,
  • Dominika Dudek,
  • Jerzy A. Sobański

摘要

This study aims to predict positive outcomes in group psychotherapy, with a particular focus on the potential for guilt reparation. This process is relevant in the treatment of patients with personality and neurotic disorders with different histories of trauma and varying levels of envy. The study additionally investigated whether there were significant differences in results between the beginning and completion of treatment. A retrospective analysis was conducted between 2022 and 2024 on 164 patients who completed time-limited group psychotherapy during that period. The intensity of envy and the capacity for guilt reparation were assessed using the Neurotic Personality Questionnaire (NPQ), the Scale to Assess Therapeutic Relationship - patient version (STAR-P), and the Inventory of Personality Organisation - Polish version (IPO-PL). Based on the results of the Mann–Whitney analysis, no differences were found between patients treated with pharmacotherapy and those who were not. Regression analysis revealed that the level of envy is a strong predictor of guilt. Significant predictors were also found for the quality of the therapist-patients relationship, including indicators of personality. A one-way repeated-measures ANOVA demonstrated a significant decrease in patient–therapist relationship scores from pre- to post-treatment following three months of intensive psychodynamic group psychotherapy. These findings can be applied in clinical practice and could support the prediction of treatment outcomes.