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[The relationship between psychopathological symptoms and therapeutic change in relation to personality organization in a psychotherapeutic inpatient setting].

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Title: [The relationship between psychopathological symptoms and therapeutic change in relation to personality organization in a psychotherapeutic inpatient setting].
Transliterated Title: Pszichopatológiai tünetek és terápiás változás összefüggései a személyiségszerveződéssel pszichoterápiás osztályos környezetben.
Authors: Kiss TC; Pécsi Tudományegyetem, Pszichológia Doktori Iskola, Pécs.; Semmelweis Egyetem, Rehabilitációs Klinika, Tündérhegyi Pszichoterápiás Osztály., Lang A; Pécsi Tudományegyetem, Bölcsészet- és Társadalomtudományi Kar, Pszichológia Intézet.
Source: Neuropsychopharmacologia Hungarica : a Magyar Pszichofarmakologiai Egyesulet lapja = official journal of the Hungarian Association of Psychopharmacology [Neuropsychopharmacol Hung] 2026 Sep; Vol. 28 (3), pp. 176-186.
Publication Type: English Abstract; Journal Article
Language: Hungarian
Journal Info: Publisher: Neuroline Country of Publication: Hungary NLM ID: 100961631 Publication Model: Print Cited Medium: Print ISSN: 1419-8711 (Print) Linking ISSN: 14198711 NLM ISO Abbreviation: Neuropsychopharmacol Hung Subsets: MEDLINE
Imprint Name(s): Original Publication: Budapest : Neuroline
MeSH Terms: Personality Disorders*/therapy , Personality Disorders*/diagnosis , Personality Disorders*/psychology , Psychotherapy*/methods , Inpatients*/psychology , Personality*, Humans ; Adult ; Female ; Male ; Middle Aged ; Treatment Outcome ; MMPI ; Surveys and Questionnaires ; Severity of Illness Index
Abstract: Background: In the assessment of personality disorders, the growing popularity of the dimensional approach (DSM-5 AMPD, ICD-11) has led to an increased emphasis on the role of psychodynamically based structural diagnosis. The key question is how the level of deeper personality organization (STIPO-R) relates to surface complaints (MMPI-2) and whether it can predict therapeutic outcome independently of symptom severity.
Objective: The aim of our research is to explore the relationship between the level of personality organization and psychopathological symptoms, and to examine whether the level of personality organization predicts symptomatic change during psychotherapeutic treatment.
Method: We conducted STIPO-R interviews with adult patients (N=157) treated at the Tündérhegy Psychotherapy Department upon admission, as well as MMPI-2 questionnaires at the beginning and end of treatment. We analyzed the relationship between the variables using correlation tests and applied hierarchical linear regression analysis to control for the statistical effect of "regression to the mean."
Results: The STIPO-R dimensions showed moderate convergent validity with the MMPI-2 psychopathology scales. When analyzing therapeutic change, controlling for initial symptom severity, higher STIPO-R scores (lower organizational level) predicted significantly smaller improvements in Negative Emotionality (NEGE) and Psychoticism (PSYC).
Conclusion: The STIPO-R goes beyond symptom description: it can predict therapeutic resistance, which may be a consequence of structural deficits (e.g., difficulties with affect regulation and reality control). For patients with lower levels of personality organization, structural diagnosis can help set realistic therapeutic goals and emphasize personality disorder-specific interventions (e.g., transference focus). ( Neuropsychopharmacol Hung 2026; 28(3): 176-186)
Contributed Indexing: Keywords: personality organization; structural diagnosis; STIPO-R; MMPI-2; therapeutic outcome; regression to the mean
Entry Date(s): Date Created: 20260918 Date Completed: 20260918 Latest Revision: 20260919
Update Code: 20260920
PMID: 42757953
Database: MEDLINE
FullText Text:
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PubType: Academic Journal
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  Data: [The relationship between psychopathological symptoms and therapeutic change in relation to personality organization in a psychotherapeutic inpatient setting].
– Name: TitleTranslated
  Label: Transliterated Title
  Group: TiAlt
  Data: Pszichopatológiai tünetek és terápiás változás összefüggései a személyiségszerveződéssel pszichoterápiás osztályos környezetben.
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  Data: <searchLink fieldCode="AU" term="%22Kiss+TC%22">Kiss TC</searchLink>; Pécsi Tudományegyetem, Pszichológia Doktori Iskola, Pécs.; Semmelweis Egyetem, Rehabilitációs Klinika, Tündérhegyi Pszichoterápiás Osztály.<br /><searchLink fieldCode="AU" term="%22Lang+A%22">Lang A</searchLink>; Pécsi Tudományegyetem, Bölcsészet- és Társadalomtudományi Kar, Pszichológia Intézet.
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  Data: <searchLink fieldCode="JN" term="%22100961631%22">Neuropsychopharmacologia Hungarica : a Magyar Pszichofarmakologiai Egyesulet lapja = official journal of the Hungarian Association of Psychopharmacology</searchLink> [Neuropsychopharmacol Hung] 2026 Sep; Vol. 28 (3), pp. 176-186.
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  Label: Publication Type
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  Data: English Abstract; Journal Article
– Name: Language
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  Data: Hungarian
– Name: TitleSource
  Label: Journal Info
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Neuroline%22">Neuroline </searchLink><i>Country of Publication: </i>Hungary <i>NLM ID: </i>100961631 <i>Publication Model: </i>Print <i>Cited Medium: </i>Print <i>ISSN: </i>1419-8711 (Print) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2214198711%22">14198711 </searchLink><i>NLM ISO Abbreviation: </i>Neuropsychopharmacol Hung <i>Subsets: </i>MEDLINE
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  Data: <i>Original Publication</i>: Budapest : Neuroline
– Name: SubjectMESH
  Label: MeSH Terms
  Group: Su
  Data: <searchLink fieldCode="MM" term="%22Personality+Disorders%22">Personality Disorders*</searchLink>/<searchLink fieldCode="MM" term="%22Personality+Disorders+therapy%22">therapy</searchLink> <br /><searchLink fieldCode="MM" term="%22Personality+Disorders%22">Personality Disorders*</searchLink>/<searchLink fieldCode="MM" term="%22Personality+Disorders+diagnosis%22">diagnosis</searchLink> <br /><searchLink fieldCode="MM" term="%22Personality+Disorders%22">Personality Disorders*</searchLink>/<searchLink fieldCode="MM" term="%22Personality+Disorders+psychology%22">psychology</searchLink> <br /><searchLink fieldCode="MM" term="%22Psychotherapy%22">Psychotherapy*</searchLink>/<searchLink fieldCode="MM" term="%22Psychotherapy+methods%22">methods</searchLink> <br /><searchLink fieldCode="MM" term="%22Inpatients%22">Inpatients*</searchLink>/<searchLink fieldCode="MM" term="%22Inpatients+psychology%22">psychology</searchLink> <br /><searchLink fieldCode="MM" term="%22Personality%22">Personality*</searchLink><br /><searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Adult%22">Adult</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink> ; <searchLink fieldCode="MH" term="%22Middle+Aged%22">Middle Aged</searchLink> ; <searchLink fieldCode="MH" term="%22Treatment+Outcome%22">Treatment Outcome</searchLink> ; <searchLink fieldCode="MH" term="%22MMPI%22">MMPI</searchLink> ; <searchLink fieldCode="MH" term="%22Surveys+and+Questionnaires%22">Surveys and Questionnaires</searchLink> ; <searchLink fieldCode="MH" term="%22Severity+of+Illness+Index%22">Severity of Illness Index</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: In the assessment of personality disorders, the growing popularity of the dimensional approach (DSM-5 AMPD, ICD-11) has led to an increased emphasis on the role of psychodynamically based structural diagnosis. The key question is how the level of deeper personality organization (STIPO-R) relates to surface complaints (MMPI-2) and whether it can predict therapeutic outcome independently of symptom severity.<br />Objective: The aim of our research is to explore the relationship between the level of personality organization and psychopathological symptoms, and to examine whether the level of personality organization predicts symptomatic change during psychotherapeutic treatment.<br />Method: We conducted STIPO-R interviews with adult patients (N=157) treated at the Tündérhegy Psychotherapy Department upon admission, as well as MMPI-2 questionnaires at the beginning and end of treatment. We analyzed the relationship between the variables using correlation tests and applied hierarchical linear regression analysis to control for the statistical effect of "regression to the mean."<br />Results: The STIPO-R dimensions showed moderate convergent validity with the MMPI-2 psychopathology scales. When analyzing therapeutic change, controlling for initial symptom severity, higher STIPO-R scores (lower organizational level) predicted significantly smaller improvements in Negative Emotionality (NEGE) and Psychoticism (PSYC).<br />Conclusion: The STIPO-R goes beyond symptom description: it can predict therapeutic resistance, which may be a consequence of structural deficits (e.g., difficulties with affect regulation and reality control). For patients with lower levels of personality organization, structural diagnosis can help set realistic therapeutic goals and emphasize personality disorder-specific interventions (e.g., transference focus). ( Neuropsychopharmacol Hung 2026; 28(3): 176-186)
– Name: SubjectMinor
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  Group:
  Data: <i>Keywords: </i>personality organization; structural diagnosis; STIPO-R; MMPI-2; therapeutic outcome; regression to the mean
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  Data: <i>Date Created: </i>20260918 <i>Date Completed: </i>20260918 <i>Latest Revision: </i>20260919
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  Data: 20260920
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  Data: 42757953
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=42757953
RecordInfo BibRecord:
  BibEntity:
    Languages:
      – Code: hun
        Text: Hungarian
    PhysicalDescription:
      Pagination:
        StartPage: 176
    Subjects:
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Adult
        Type: general
      – SubjectFull: Female
        Type: general
      – SubjectFull: Male
        Type: general
      – SubjectFull: Middle Aged
        Type: general
      – SubjectFull: Treatment Outcome
        Type: general
      – SubjectFull: MMPI
        Type: general
      – SubjectFull: Surveys and Questionnaires
        Type: general
      – SubjectFull: Severity of Illness Index
        Type: general
      – SubjectFull: Personality Disorders therapy
        Type: general
      – SubjectFull: Personality Disorders diagnosis
        Type: general
      – SubjectFull: Personality Disorders psychology
        Type: general
      – SubjectFull: Psychotherapy methods
        Type: general
      – SubjectFull: Inpatients psychology
        Type: general
      – SubjectFull: Personality
        Type: general
    Titles:
      – TitleFull: [The relationship between psychopathological symptoms and therapeutic change in relation to personality organization in a psychotherapeutic inpatient setting].
        Type: main
  BibRelationships:
    HasContributorRelationships:
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          Name:
            NameFull: Kiss TC
      – PersonEntity:
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            NameFull: Lang A
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          Dates:
            – D: 01
              M: 09
              Text: 2026 Sep
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-print
              Value: 1419-8711
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              Value: 28
            – Type: issue
              Value: 3
          Titles:
            – TitleFull: Neuropsychopharmacologia Hungarica : a Magyar Pszichofarmakologiai Egyesulet lapja = official journal of the Hungarian Association of Psychopharmacology
              Type: main
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