Operationalized Psychodynamic Diagnosis System and Outcome of Psychodynamic Inpatient Psychotherapy in Male and Female Patients

Abstract

Objective: To compare male and female patients with regard to the Operationalized Psychodynamic Diagnosis (OPD-2) system, treatment variables, and outcome after multimodal psychodynamic inpatient psychotherapy. Methods: At the beginning and at the end of inpatient treatment in a multimodal psychodynamic setting, patients were examined with the OPD-2 system as well as with three self-assessment questionnaires addressing interpersonal problems (Inventory of Interpersonal Problems, IIP), and psychopathology: Brief Symptom Inventory (BSI) and the Hospital Anxiety and Depression Scale (HADS). Results: Data of 850 patients (238 males, 28%), 612 females, 72%) were available for analysis. There were differences between men and women in the main diagnoses, with a higher proportion of eating disorders and a longer treatment duration among the women. Therapy discontinuation rates were low and did not differ between the sexes. Women scored higher on psychopathology at admission on the BSI Global Score, IIP and anxiety; the pattern of reported interpersonal problems was consistent with sex roles. While the level of structural integration was similar in both sexes, the distribution of the two main conflicts and the level of improvement of awareness and dealing with the psychodynamic foci showed significant differences. Overall, at the end of inpatient psychotherapy, there was a mean improvement in both men and women, with no significant differences between them. Because of higher scores at the start of psychotherapy, the effect sizes for improvement were higher for women. Conclusions: On the whole, both sexes seem to benefit equally from psychodynamic inpatient psychotherapy in terms of symptom improvement.

Prediction of Chinese clients’ satisfaction with psychotherapy by machine learning

“…In terms of the association of therapy satisfaction with participants’ gender, the results of previous studies have varied, and no consistent conclusions have been reached ( 59 ). For example, both Vitinius et al ( 59 ) and Schneider and Heuft’s ( 70 ) studies found that client gender did not have a significant impact on psychotherapy success. Although our analysis implied that male participants were more satisfied with psychotherapy than female participants, more research is strongly suggested to clarify the potential factors and mechanisms contributing to this gender difference.…”

Assessment of personality functioning in psychosomatic medicine

“…Therapy discontinuation rates were low and did not differ between the sexes. Overall, both sexes seem to benefit equally from psychodynamic inpatient psychotherapy in terms of symptom improvement [ 22 ].…”

Propriedades psicométricas do protocolo de sistema diagnóstico Operationalization of Psychodynamic Diagnosis 2 (OPD-2) em pacientes com transtorno mental grave em psicoterapia

“…Nesses estudos, em sua maioria, o OPD foi aplicado por avaliadores que receberam treinamento específico para o manejo do instrumento e as investigações foram conduzidas de forma a avaliar a confiabilidade e validade do uso do instrumento na avaliação de pacientes submetidos a tratamento psicoterápico (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17) .…”

“…Os resultados obtidos por esses estudos consideraram o OPD como um instrumento adequado quando utilizado para avaliar os processos de tratamento recebido, tendo amplo uso dentro da saúde mental. Para esses estudos o mesmo atenderia as demandas de proposta de pesquisa e seria um instrumento confiável para uso em contextos de avaliação clínica (13)(14)(15)(16)(17) . Observou-se que dentre esses estudos publicados, parte deles utilizaram entrevistas gravadas como método de coleta dos dados para preenchimento do OPD, sendo que em alguns deles, essas entrevistas não foram conduzidas levando em consideração pontos específicos avaliados pelo protocolo.…”