Prognostic Factors for Guilt Reparation in Psychodynamic Group Psychotherapy

Abstract Objective: This study aims to predict positive outcomes in group psychotherapy, with a particular focus on the potential for guilt reparation. This process is relevantin the treatment of patients with personality and neurotic disorders with a different history 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. Method:. A retrospective analysis was conducted between 2022 and 2024 on 164 patients who completed time-limited group psychotherapy in that period. The intensity of envy and the capacity for guilt reparation were assessed using Neurotic Personality Questionnaire (NPQ), The Scale to Assess Therapeutic Relationship - patient version (STAR-P), and The Inventory of Personality Organisation - Polish version (IPO-PL). Results and conclusion: Regression analysis revealed that the level of envy is a strong predictorof guilt. Significant predictors were also found for the quality of the therapist-patient relationship, including indicators of personality. A one-way repeated measures ANOVA demonstrateda significant improvement in the patient-therapist relationship, comparing pre- and post-treatment outcomes following a three-month psychodynamic intensive group psychotherapy. These findings can be applied in clinical practice and could support the prediction of treatment outcomes.