Intensive short-term dynamic residential treatment program for patients with treatment-resistant disorders

Solbakken, Ole André; Abbass, Allan

doi:10.1016/j.jad.2015.04.003

Cited by 16 publications

(21 citation statements)

References 26 publications

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“…There were not considered suitable for a metaanalysis due to the large variations in treatment length (3-60 months) and follow-up period (1-5 years). However, four of these studies demonstrated a small continued improvement in IIP total score between end of treatment and the follow-up assessment: 1 year post end of a brief Intensive Short-Term Dynamic Program (ISTDP), d=0.22 (Solbakken and Abbass 2015); 1 year post long-term Psychoanalytic Psychotherapy (PP), d=0.17 (Salzer et al 2010); 3 years post long-term PP, Psychodynamic Psychotherapy (PD) or CBT, d=0.22 (Zimmermann et al 2015; 5 years post start of treatment with Solution-Focused Therapy (SFT), STPP or Long-Term Psychodynamic Psychotherapy (LTPP), d=0.16, 0.51 and 0.14, respectively (Lindfors et al 2015).…”

Section: Total Mean Score (Distress)mentioning

confidence: 99%

Changes in interpersonal problems in the psychotherapeutic treatment of depression as measured by the Inventory of Interpersonal Problems: A systematic review and meta-analysis

McFarquhar

Luyten

Fonagy

2018

Journal of Affective Disorders

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Despite being central to theories of depression, interpersonal problems are infrequently included in outcome studies. Brief psychotherapy was associated with moderate to large effect sizes in reduction in interpersonal problems. Of the dimensions underlying interpersonal behaviour, the dominance dimension may be more amenable to change than the affiliation dimension. Yet, high pre-treatment affiliation appeared to be associated with better outcomes than low affiliation, supporting the theory that more affiliative patients may develop a better therapeutic relationship with the therapist and consequently respond more positively than more hostile patients.

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Section: Total Mean Score (Distress)mentioning

confidence: 99%

Changes in interpersonal problems in the psychotherapeutic treatment of depression as measured by the Inventory of Interpersonal Problems: A systematic review and meta-analysis

McFarquhar

Luyten

Fonagy

2018

Journal of Affective Disorders

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“…ISTDP is an emotion-focused, experiential psychodynamic treatment model with a growing evidence base (Abbass, Town, & Driessen, 2012;Lilliengren, Johansson, Lindqvist, Mechler, & Andersson, 2016;Town & Driessen, 2013). Previous studies have indicated that ISTDP may be effective in complex psychiatric conditions, such as personality disorders (e.g., Abbass, Sheldon, Gyra, & Kalpin, 2008;Solbakken & Abbass, 2015), treatment resistant depression (Town, Abbass, Stride, & Bernier, 2017) and medically unexplained symptoms (Abbass et al, 2010;Chavooshi, Mohammadkhani, & Dolatshahee, 2016), all of which overlap considerably with GAD. Although ISTDP has not previously been evaluated specifically for GAD, we hypothesize that ISTDP will be associated with significant reductions in symptoms and health care utilization in this population.…”

mentioning

confidence: 99%

Intensive Short‐Term Dynamic Psychotherapy for generalized anxiety disorder: A pilot effectiveness and process‐outcome study

Lilliengren

Town

Kisely

et al. 2017

Clin Psychology and Psychoth

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The objective of this study was to evaluate the clinical- and cost-effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) for generalized anxiety disorder (GAD). We further aimed to examine if a key clinical process within the ISTDP framework, termed the level of mobilization of unprocessed complex emotions (MUCE), was related to outcome. The sample consisted of 215 adult patients (60.9% female) with GAD and comorbid conditions treated in a tertiary mental health outpatient setting. The patients were provided an average of 8.3 sessions of ISTDP delivered by 38 therapists. The level of MUCE in treatment was assessed from videotaped sessions by a rater blind to treatment outcome. Year-by-year healthcare costs were derived independently from government databases. Multilevel growth models indicated significant decreases in psychiatric symptoms and interpersonal problems during treatment. These gains were corroborated by reductions in healthcare costs that continued for 4 years post-treatment reaching normal population means. Further, we found that the in-treatment level of MUCE was associated with larger treatment effects, underlining the significance of emotional experiencing and processing in the treatment of GAD. We conclude that ISTDP appears to reduce symptoms and costs associated with GAD and that the ISTDP framework may be useful for understanding key therapeutic processes in this challenging clinical population. Controlled studies of ISTDP for GAD are warranted.

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“…At pre-therapy, compared to the means in the total sample, Cora presented with high scores on both the OQ-45 (99.2, d = 1.07, cut-off between clinical and nonclinical domain = 63/64 [Lambert et al, 1996]) and the IIP-C (1.75, d = 0.89, cut-off between clinical and non-clinical domain = 1.37 [Solbakken & Abbass, 2015]). These high scores indicate high levels of distress and poor interpersonal functioning.…”

Section: The Quantitative Resultsmentioning

confidence: 87%

“…Note that this value is calculated in a sample of patients who had repeated prior treatment failure for current mental disorder and sufficient dysfunction to warrant hospitalization (Solbakken & Abbass, 2015), and is probably higher than in general outpatient samples. …”

Section: Therapist Expertisementioning

confidence: 99%

A Life-Saving Therapy: The Theory-Building Case of "Cora"

Halvorsen

Benum²,

Haavind³

et al. 2016

PCSP

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The present paper presents a case study of long-term (121 sessions over three years), integrative therapy with "Cora," a client with a history of severe relational trauma that had led to difficulty in forming close relationships, and a history of hospitalization resulting from a series of suicide attempts. Despite these challenges, Cora reported a highly satisfactory outcome at the end of therapy. Using the format of a theory-building case study (McLeod, 2010;Stiles, 2007), qualitative analysis of session evaluations, session transcripts, and post therapy interviews were used to investigate how both the client and therapist understood the process of therapy and why it had been successful. Data from quantitative process and outcome measures were analyzed to provide contextual information. In spite of repeated challenges and difficult therapeutic situations, Cora and the therapist were able to establish a recurring pattern of interaction that they found relevant and productive and that was characterized by persistence. Other helpful aspects of the therapy process included acting with courage, and the use of symbolic representations of their accomplishments. The results contribute to our understanding of the process of therapy with clients who have been exposed to severe relational trauma. The discussion includes reflection on methodological issues associated with mixed-methods case study research in psychotherapy.

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Intensive short-term dynamic residential treatment program for patients with treatment-resistant disorders

Cited by 16 publications

References 26 publications

Changes in interpersonal problems in the psychotherapeutic treatment of depression as measured by the Inventory of Interpersonal Problems: A systematic review and meta-analysis

Changes in interpersonal problems in the psychotherapeutic treatment of depression as measured by the Inventory of Interpersonal Problems: A systematic review and meta-analysis

Intensive Short‐Term Dynamic Psychotherapy for generalized anxiety disorder: A pilot effectiveness and process‐outcome study

A Life-Saving Therapy: The Theory-Building Case of "Cora"

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