Empirically supported methods of short-term psychodynamic therapy in depression – Towards an evidence-based unified protocol

Leichsenring, Falk; Schauenburg, Henning

doi:10.1016/j.jad.2014.08.007

Cited by 75 publications

(71 citation statements)

References 126 publications

(221 reference statements)

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“…For CBT, several unified protocols are available [144]. For PDT, the first unified protocols for the treatment of anxiety disorders and depressive disorders have recently been published [145,146]. The unified protocol for anxiety disorders, for example, integrates those treatment elements that were used in RCTs in which PDT proved to be efficacious in the various categories of anxiety disorders [145].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Empirical Status of Psychodynamic Psychotherapy - An Update: Bambi's Alive and Kicking

Leichsenring

Leweke

Klein

et al. 2015

Psychother Psychosom

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Background: The Task Force on Promotion and Dissemination of Psychological Procedures proposed rigorous criteria to define empirically supported psychotherapies. According to these criteria, 2 randomized controlled trials (RCTs) showing efficacy are required for a treatment to be designated as ‘efficacious' and 1 RCT for a designation as ‘possibly efficacious'. Applying these criteria modified by Chambless and Hollon, this article presents an update on the evidence for psychodynamic therapy (PDT) in specific mental disorders. Methods: A systematic search was performed using the criteria by Chambless and Hollon for study selection, as follows: (1) RCT of PDT in adults, (2) use of reliable and valid measures for diagnosis and outcome, (3) use of treatment manuals or manual-like guidelines, (4) adult population treated for specific problems and (5) PDT superior to no treatment, placebo or alternative treatment or equivalent to an established treatment. Results: A total of 39 RCTs were included. Following Chambless and Hollon, PDT can presently be designated as efficacious in major depressive disorder (MDD), social anxiety disorder, borderline and heterogeneous personality disorders, somatoform pain disorder, and anorexia nervosa. For MDD, this also applies to the combination with pharmacotherapy. PDT can be considered as possibly efficacious in dysthymia, complicated grief, panic disorder, generalized anxiety disorder, and substance abuse/dependence. Evidence is lacking for obsessive-compulsive, posttraumatic stress, bipolar and schizophrenia spectrum disorder(s). Conclusions: Evidence has emerged that PDT is efficacious or possibly efficacious in a wide range of common mental disorders. Further research is required for those disorders for which sufficient evidence does not yet exist.

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Section: Discussionmentioning

confidence: 99%

“…It was for this very reason that PDT was judged as only possibly efficacious by Chambless and Hollon [8]. Unified protocols contribute to overcoming this problem [145,146]. If a unified protocol is used in several RCTs, the evidence is valid for the same treatment concept (the unified protocol).…”

Section: Discussionmentioning

confidence: 99%

The Empirical Status of Psychodynamic Psychotherapy - An Update: Bambi's Alive and Kicking

Leichsenring

Leweke

Klein

et al. 2015

Psychother Psychosom

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“…However, it still remains unclear whether substantial differences between these forms of STPP can be empirically found. The overlap may outweigh the differences: For the empirically supported psychodynamic treatments of both anxiety and depressive disorders, a high degree of overlap was found suggesting to develop unified protocols Leichsenring & Schauenburg, 2014). Furthermore, it is not yet clear whether it is possible to identify such potentially existing, but maybe small differences by the PQS.…”

Section: Discussionmentioning

confidence: 99%

Developing a prototype for short-term psychodynamic (supportive-expressive) therapy: An empirical study with the psychotherapy process Q-set

Leichsenring

Ablon

Barber

et al. 2015

Psychotherapy Research

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“…The study compares a predominantly explorative and a predominantly directive intervention, namely short-term psychodynamic psychotherapy for depression (STPP, [15, 18]) and cognitive behavioral therapy for depression (CBT-D, [19, 20]) respectively. The study design as described here adheres to the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) guidelines [21, 22], including a SPIRIT flow diagram (Fig.…”

Section: Methodsmentioning

confidence: 99%

The Ghent Psychotherapy Study (GPS) on the differential efficacy of supportive-expressive and cognitive behavioral interventions in dependent and self-critical depressive patients: study protocol for a randomized controlled trial

Meganck

Desmet

Bockting

et al. 2017

Trials

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BackgroundMajor depressive disorder is a leading cause of disease burden worldwide, indicating the importance of effective therapies. Outcome studies have shown overall efficacy of different types of psychotherapy across groups, yet large variability within groups. Although patient characteristics are considered crucial in understanding outcome, they have received limited research attention. This trial aims at investigating the interaction between therapeutic approach (pre-structured versus explorative) and the personality style of patients (dependent versus self-critical), which is considered a core underlying dimension of depressive pathology.Methods/designThis study is a pragmatic stratified (dependent and self-critical patients) parallel trial with equal randomization (allocation 1:1) conducted in Flanders, Belgium. One hundred and four patients will be recruited and randomized to either 16–20 sessions of cognitive behavioral therapy for depression (pre-structured approach) or 16–20 sessions of short-term psychodynamic psychotherapy for depression (explorative approach) conducted by trained psychotherapists in private practices. The primary outcome is the severity of depression as measured by the Hamilton Rating Scale for Depression at completion of therapy. Secondary outcome measures include self-reported depressive and other symptoms, interpersonal functioning, idiosyncratic complaints, and the presence of the diagnosis of depression. Additional measures include biological measures, narrative material (sessions, interviews), and health care costs.DiscussionThis trial presents the test of an often-described, yet hardly investigated interaction between important personality dimensions and therapeutic approach in the treatment of depression. Results could inform therapists on how to match psychotherapeutic treatments to specific personality characteristics of their patients.Trial registrationIsrctn.com, ISRCTN17130982. Registered on 2 February 2015.Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-017-1867-x) contains supplementary material, which is available to authorized users.

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Empirically supported methods of short-term psychodynamic therapy in depression – Towards an evidence-based unified protocol

Cited by 75 publications

References 126 publications

The Empirical Status of Psychodynamic Psychotherapy - An Update: Bambi's Alive and Kicking

The Empirical Status of Psychodynamic Psychotherapy - An Update: Bambi's Alive and Kicking

Developing a prototype for short-term psychodynamic (supportive-expressive) therapy: An empirical study with the psychotherapy process Q-set

The Ghent Psychotherapy Study (GPS) on the differential efficacy of supportive-expressive and cognitive behavioral interventions in dependent and self-critical depressive patients: study protocol for a randomized controlled trial

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