Effectiveness of Psychoanalytic Psychotherapy for Adolescents with Serious Mental Illness: 12 Month Naturalistic Follow-Up Study

Tonge, Bruce John; Pullen, Jill Marie; Hughes, Georgina Catherine; Beaufoy, Jeanette Ann

doi:10.1080/00048670902817679

Cited by 17 publications

(16 citation statements)

References 36 publications

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“…Where age groups have been directly compared, younger children appear to benefit more than older ones, with the likelihood of improvement during treatment declining with age (Target and Fonagy 1994b;Deakin and Nunes, 2009;Odhammar et al, in press). However, there are also studies that suggest that older children and adolescents can also benefit from psychodynamic therapy (Baruch 1995, Baruch et al, 1998Sinha and Kapur 1999;Tishby et al, 2007;Chanen et al, 2008;Tonge et al, 2009;Lock et al, 2010). .…”

Section: Discussionmentioning

confidence: 99%

“…In another recent study, Tonge et al (2009) report on the effectiveness of psychoanalytic psychotherapy for adolescents with serious mental illness, based on a naturalistic longitudinal study. Forty adolescents aged 12 to 18 years, with a range of 'severe mental illnesses', were offered psychoanalytic psychotherapy once or twice weekly, whilst 40 were offered treatment as usual (TAU).…”

Section: Findings Of the Review: Outcomes For Children And Young Peopmentioning

confidence: 99%

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Psychodynamic psychotherapy for children and adolescents: a critical review of the evidence base

Midgley

Kennedy

2011

Journal of Child Psychotherapy

132

101

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For many years psychoanalytic and psychodynamic therapies have been considered to lack a credible evidence-base and have consistently failed to appear in lists of 'empirically supported treatments'. This study systematically reviews the research evaluating the efficacy and effectiveness of psychodynamic psychotherapy for children and young people. The researchers identified 34 separate studies that met criteria for inclusion, including nine randomised controlled trials. While many of the studies reported are limited by sample size and lack of control groups, the review indicates that there is increasing evidence to suggest the effectiveness of psychoanalytic psychotherapy for children and adolescents. The article aims to provide as complete a picture as possible of the existing evidence base, thereby enabling more refined questions to be asked regarding the nature of the current evidence and gaps requiring further exploration.

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Section: Discussionmentioning

confidence: 99%

Section: Findings Of the Review: Outcomes For Children And Young Peopmentioning

confidence: 99%

Psychodynamic psychotherapy for children and adolescents: a critical review of the evidence base

Midgley

Kennedy

2011

Journal of Child Psychotherapy

132

101

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“…A naturalistic longitudinal study 83 A series of reports of the Tavistock Study of children in the care system [84][85][86][87] provided a systematic investigation of PP for children in care. The study aimed to assess whether these severely deprived children could benefit from psychotherapy.…”

Section: Comparison With Taumentioning

confidence: 99%

The State of the Evidence Base for Psychodynamic Psychotherapy for Children and Adolescents

Palmer

Nascimento

Fonagy

2013

Child and Adolescent Psychiatric Clinics of North America

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This paper reviews the outcomes of psychodynamic psychotherapy (PP) for children and adolescents reported in papers identified by a comprehensive review of the literature on treatment evaluations of psychological and medical interventions for mental disorders in pediatric populations. The review identified 48 reports based on 33 studies. Reports were individually evaluated in terms of methodological rigor.Randomized trials, quasi-experimental and observational studies are considered separately. RCTs were independently rated on a 25-item scale of methodological strengths. Although a small number of studies with findings indicating beneficial effects of PP for pediatric mental disorder were identified, the review found no compelling evidence from RCT data supporting the use of PP as an individually delivered psychological therapy. In almost all the studies, when contrasted with family-based interventions, PP fares no better and appears to produce outcomes with some delay relative to family-based therapies. While the review shows PP to be an effective treatment, it is clearly understudied and its treatment principles may be most efficaciously delivered in non-traditional contexts such as parent-child or family therapy. Further rigorous evaluations are needed but evidence to date suggests that the context in which PP is delivered should be extended from the traditional context of individual therapy.2

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“…In a naturalistic study of Baruch and Fearon (2002), which involved 151 teenagers and young adults, the retention was much higher among those patients who had internalizing symptoms. Tonge, Pullen, Hughes, and Beaufoy (2009) also compared psychodynamic psychotherapy with treatment as usual (TAU) in a longitudinal study on 55 teenagers. The results showed that the largest effect was evident in those who suffered from the most severe symptoms when seeking therapy.…”

mentioning

confidence: 99%

Psychodynamic psychotherapy with adolescents and young adults: Outcome in routine practice

Edlund¹,

Carlberg

2014

Clin Child Psychol Psychiatry

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This naturalistic study examined the outcome of psychodynamic psychotherapy with 218 adolescents and young adults aged 14-24 years. Analysis of variance showed significant improvement of general functioning on Children's Global Assessment Scale (CGAS) and Global Assessment of Functioning (GAF) and decreased symptom severity on Symptoms Checklist-90 (SCL-90) upon completion of psychotherapy, as well as a clinically significant improvement in a large percentage of cases. Effect sizes were equivalent to those evident in a clinical comparison group and larger than in prior research. The main limitation of this study was the lack of a control group, partially compensated for through the use of comparison groups and high external validity. The study seeks to fill a gap in an important yet overlooked field of research.

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Effectiveness of Psychoanalytic Psychotherapy for Adolescents with Serious Mental Illness: 12 Month Naturalistic Follow-Up Study

Cited by 17 publications

References 36 publications

Psychodynamic psychotherapy for children and adolescents: a critical review of the evidence base

Psychodynamic psychotherapy for children and adolescents: a critical review of the evidence base

The State of the Evidence Base for Psychodynamic Psychotherapy for Children and Adolescents

Psychodynamic psychotherapy with adolescents and young adults: Outcome in routine practice

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