Randomized trial on the effectiveness of long- and short-term psychotherapy on psychiatric symptoms and working ability during a 5-year follow-up

Knekt, Paul; Lindfors, Olavi; Sares-Jäske, Laura; Virtala, Esa; Härkänen, Tommi

doi:10.3109/08039488.2012.680910

Cited by 49 publications

(31 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Maintenance of gains is reported from a number of controlled studies [3], but systematic information about true delayed effects (after treatment termination) is sparse [1,2]. In this clinical trial, 167 outpatients with mixed diagnoses were randomized to 20 or 80 weekly 90-min sessions of short- (STG) or long-term (LTG) group analytic therapy.…”

Section: Figmentioning

confidence: 99%

See 1 more Smart Citation

Comparing Short- and Long-Term Group Therapy: Seven-Year Follow-Up of a Randomized Clinical Trial

Lorentzen

Fjeldstad

Ruud

et al. 2015

Psychother Psychosom

View full text Add to dashboard Cite

Section: Figmentioning

confidence: 99%

“…We have previously found that punitive and harsh self-introjects change more in LTG than STG [9]. Recent studies comparing psychodynamic therapies of different length and intensity indicated that long-term therapy was more favourable than short-term therapy with regard to depression and interpersonal functioning [2,3,8,10]. …”

Section: Figmentioning

confidence: 99%

Comparing Short- and Long-Term Group Therapy: Seven-Year Follow-Up of a Randomized Clinical Trial

Lorentzen

Fjeldstad

Ruud

et al. 2015

Psychother Psychosom

View full text Add to dashboard Cite

“…Die Nachhaltigkeit wurde von den Autoren auf die deutlich stär-kere Therapiedosis zurückgeführt [10]. In einer RCT [11] konnte im Langzeitverlauf nach drei Jahren eine signifikant stärkere Reduktion der depressiven Symptomatik in einer psychodynamischen Langzeittherapie im Vergleich zu einer systemisch-lösungsorientierten Kurzzeittherapie gezeigt werden, während im Selbstrating nach drei und sieben Monaten nach Therapiebeginn signifikant stärkere Reduktionen sowie höhere Remissionsraten nach sieben bis zwölf Monaten bei systemisch-lösungsorien-tierter Kurzzeittherapie auftraten. Die Nachhaltigkeitseffekte der Dosis und therapeutischen Technik analytischer Psychotherapie konnten über die Beendigung der Therapie hinaus aktuell belegt werden [11].…”

Section: Längerfristige Stabilisierende Psychotherapie (Rezidivprophyunclassified

“…Es weist aufgrund des hohen Rückfallrisikos und des häufig rezidivierenden Verlaufs auf die Notwendigkeit als Erhaltungsthe-rapie und Rezidivprophylaxe hin und die Notwendigkeit der Aufklärung des Patienten über die Überlegenheit der Kombinationstherapie. Nachhaltige Effekte durch Psychotherapie sind bekannt und in Prozess-Ergebnis-Untersuchungen beschrieben worden [11].…”

Section: » Psychotherapie Ist Bei Allen Schweregraden Der Depression unclassified

Psychotherapie bei Depression – 2. Teil

Stastka

2016

psychopraxis. neuropraxis

View full text Add to dashboard Cite

“…Theoretically, the underlying model of psychopathology includes a range of different psychoanalytical theories such as ego psychology, object relations psychology, attachment theory, and self psychology Summers & Barber, 2010). Different psychodynamic psychotherapies can be of almost any length, ranging from a single or a few sessions (Abbass, Joffres, & Ogrodniczuk, 2009;Barkham, Shapiro, Hardy, & Rees, 1999) to fixed lengths such as 12, 16 or 24 sessions (Barber, Barrett, Gallop, Rynn, & Rickels, 2012;Leichsenring et al, 2013;Mann, 1973), and up to 2-3 times a week for several years (Knekt, Lindfors, Sares-Jäske, Virtala, & Härkänen, 2013). The activity of the therapist varies from highly active (as for example in Intensive Short-term Dynamic Psychotherapy; Abbass, Town, & Driessen, 2012;Davanloo, 2000) to significantly less active in classical Freudian psychoanalysis.…”

Section: Psychodynamic Therapymentioning

confidence: 99%

Treating depression and its comorbidity : From individualized Internet-delivered cognitive behavior therapy to affect-focused psychodynamic psychotherapy

Johansson

2013

View full text Add to dashboard Cite

Robert JohanssonTreating depression and its comorbidity From individualized Internet-delivered cognitive behavior therapy to aect-focused psychodynamic psychotherapy AbstractDepression is a major health problem which lowers the quality of life for the individual and generates huge costs for society. Comorbidity between depression and anxiety disorders seems to be the rule rather than the exception. Evidence shows that comorbidity has consistently been associated with a poorer prognosis and greater demands for professional help. Prevalence studies show that many individuals with depression lack access to adequate treatment. Delivering psychological treatments through the Internet in the format of guided self-help is an innovative treatment strategy that has the potential to reach a large number of people. A majority of these treatments have been Internetdelivered cognitive behavior therapy (ICBT). The treatments contain structured material and interventions in the form of self-help text and are accompanied with online support from a therapist. The overarching goal of this thesis has been to enhance Internet-delivered psychological treatments for depression and its comorbidity. To this end, three randomized controlled trials (Study II, III and IV) with a total of 313 participants were conducted. A prevalence study (Study I) was also conducted to provide an up-to-date estimate of the prevalence of depression, anxiety disorders, and their comorbidity in the Swedish general population.In Study II, the efficacy of an individualized ICBT intervention that directly targeted depression and comorbid symptoms was tested. The treatment was compared to a standardized ICBT protocol and an active control group in the form of an online discussion group.Recent meta-analyses support the efficacy of psychodynamic psychotherapy in the treatment of depression. An Internet-based treatment protocol for depression, which was based on psychodynamic psychotherapy rather than CBT, was developed. In Study III, the efficacy of that protocol was evaluated in the treatment of depression.Preliminary evidence indicates that a focus on affect experience and expression may enhance psychodynamic therapies. In Study IV, a new Internet-based psychodynamic protocol was developed that had a strong focus on affect. It targeted both depression and anxiety disorders. The efficacy of that treatment was evaluated in a sample with mixed depression and anxiety.Study I showed that more than every sixth individual in Sweden suffers from symptoms of depression and/or anxiety. Comorbidity between depression and anxiety was substantial and associated with higher symptom burden and lower health-related quality of life. Study II showed that the tailored ICBT protocol was effective in reducing symptoms of depression when compared to the control group. Among individuals with more severe depression and comorbidities, the tailored ICBT treatment worked better than standardized ICBT. Study III showed that the psychodynamic Internet-based psychotherapy was highly effect...

show abstract

Randomized trial on the effectiveness of long- and short-term psychotherapy on psychiatric symptoms and working ability during a 5-year follow-up

Abstract: Long-term psychotherapy is more effective than short-term therapy during a long follow-up, suggesting the need for a careful evaluation of suitability to short-term therapy. More research on the long-term effects of psychotherapy in large-scale studies is still needed, however.

Cited by 49 publications

References 32 publications

Comparing Short- and Long-Term Group Therapy: Seven-Year Follow-Up of a Randomized Clinical Trial

Comparing Short- and Long-Term Group Therapy: Seven-Year Follow-Up of a Randomized Clinical Trial

Psychotherapie bei Depression – 2. Teil

Treating depression and its comorbidity : From individualized Internet-delivered cognitive behavior therapy to affect-focused psychodynamic psychotherapy

Contact Info

Product

Resources

About