Effects of Short-Term Dynamic Psychotherapy for Neurotic, Somatoform, and Personality Disorders: a Prospective 1-Year Follow-Up Study

Junkert-Tress, Brigitte; Schnierda, U.; Hartkamp, Norbert; Schmitz, N.; Tress, Wolfgang

doi:10.1080/713663890

Cited by 34 publications

(22 citation statements)

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“…A negative self-image seems to be fairly stable for the BPO patients, which accords with the common view that self-attack is the key symptom of BPO patients, for whom the attacking component seems to be more resistant to change. These results are also in agreement with those obtained in the study by Junkert-Tress et al (2001) who found an improvement only on the affiliative scores for the personality disordered patients.…”

Section: Discussionsupporting

confidence: 93%

Change of self‐image in patients with neurotic, borderline and psychotic disturbances

Granberg¹,

Armelius²

2003

Clin Psychology and Psychoth

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Changes in the self-image of severely disturbed psychiatric patients diagnosed with Kernberg's (1981) structural interview as having neurotic, borderline and psychotic personality organization (NPO, BPO and PPO) were studied in a naturalistic 5-year follow-up programme of milieu treatment. Self-image was measured with Structural Analysis of Social Behavior (Benjamin, 1974) introject ratings. After treatment all patients had changed in the affiliation dimension of the self-image, while there was almost no change in the interdependence dimension. A more detailed analysis showed that for the NPO and PPO patients the higher overall affiliation was due to a less attacking self-image, while for the BPO patients it was due to more self-love. Both at intake and follow-up the PPO patients' ratings showed a positive self-image and those of the BPO patients showed high self-control. These ratings contrast with the diagnostic descriptions of such patients. It is suggested that these differences in perspective might lead to interpersonal problems.

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Section: Discussionsupporting

confidence: 93%

Change of self‐image in patients with neurotic, borderline and psychotic disturbances

Granberg¹,

Armelius²

2003

Clin Psychology and Psychoth

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“…Several studies, mostly of short-term individual therapy, have demonstrated improvements in self-concept during and after psychotherapy (Junkert-Tress et al, 2001;Klein et al, 1984;Paivio & Greenberg, 1995;Svartberg et al, 1996). Although some results converge, the findings in the present study cannot be directly compared to results from the above studies.…”

Section: Discussioncontrasting

confidence: 47%

The Effectiveness of Short- and Long-Term Psychodynamic Group Psychotherapy on Self-Concept: Three Years Follow-Up of a Randomized Clinical Trial

Lorentzen

Fjeldstad

Ruud

et al. 2015

International Journal of Group Psychotherapy

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We compared differences in self-concept change across three years after short-(STG) and long-term (LTG) psychodynamic group psychotherapy, in a mixed sample of outpatients. Self-concept was assessed at baseline and three years later, using the Structural Analysis of Social Behavior Questionnaire. Vector scores Affiliation and Autonomy were primary, and the eight cluster scores-self-free, self-affirm, self-love, self-protect, self-control, self-blame, self-attack, and self-neglect-were secondary outcome measures. Within group univariate analyses showed change in LTG across three years on the vector scores Affiliation and Autonomy, while STG only changed on Autonomy. Comparisons between STG and LTG demonstrated a significantly larger improvement in Affiliation in LTG than in STG. This difference was explained by a higher improvement in the cluster scores of self-blame, self-attack, and self-neglect in LTG, dimensions that weight negatively on the Affiliation score. Patients with more serious self-neglect and harsh, punitive self-attack/self-blame may profit more in long-term than in short-term groups.

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“…Finally, we conducted sensitivity analyses of the effect of only including studies with evaluation of therapy adherence [25,26,27,28,29, 33]. The fixed-effect model results remained significant for all outcomes.…”

Section: Resultsmentioning

confidence: 99%

Short-Term Psychodynamic Psychotherapy for Somatic Disorders

Abbass¹,

Kisely

Kroenke

2009

Psychother Psychosom

243

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Background: Somatic symptom disorders are common, disabling and costly. Individually provided short-term psychodynamic psychotherapies (STPP) have shown promising results. However, the effectiveness of STPP for somatic symptom disorders has not been reviewed. Methods: We undertook a systematic review of randomized controlled trials and controlled before and after studies. The outcomes included psychological symptoms, physical symptoms, social-occupational function, healthcare utilization and treatment continuation. Results: A total of 23 studies met the inclusion criteria and covered a broad range of somatic disorders. Thirteen were RCTs and 10 were case series with pre-post outcome assessment. Of the included studies, 21/23 (91.3%), 11/12 (91.6%), 16/19 (76.2%) and 7/9 (77.8%) reported significant or possible effects on physical symptoms, psychological symptoms, social-occupational function and healthcare utilization respectively. Meta-analysis was possible for 14 studies and revealed significant effects on physical symptoms, psychiatric symptoms and social adjustment which were maintained in long-term follow-up. Random-effect modeling attenuated some of these relationships. There was a 54% greater treatment retention in the STPP group versus controls. Conclusion: STPP may be effective for a range of medical and physical conditions underscoring the role of patients’ emotional adjustment in overall health. Future research should include high-quality randomized and clinical effectiveness studies with attention to healthcare use and costs.

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Effects of Short-Term Dynamic Psychotherapy for Neurotic, Somatoform, and Personality Disorders: a Prospective 1-Year Follow-Up Study

Cited by 34 publications

References 0 publications

Change of self‐image in patients with neurotic, borderline and psychotic disturbances

Change of self‐image in patients with neurotic, borderline and psychotic disturbances

The Effectiveness of Short- and Long-Term Psychodynamic Group Psychotherapy on Self-Concept: Three Years Follow-Up of a Randomized Clinical Trial

Short-Term Psychodynamic Psychotherapy for Somatic Disorders

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