A Quality-Based Review of Randomized Controlled Trials of Psychodynamic Psychotherapy

Gerber, Andrew J.; Kocsis, James H.; Milrod, Barbara; Roose, Steven P.; Barber, Jacques P.; Thase, Michael E.; Perkins, Patrick; Leon, Andrew C.

doi:10.1176/appi.ajp.2010.08060843

Cited by 128 publications

(79 citation statements)

References 44 publications

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“…First, the efficacy of psychodynamic therapy remains controversial because of a lack of adequately conducted trials (7)(8)(9)(10). Second, while different psychotherapeutic approaches for depression are considered equally efficacious by many (11), high-quality studies directly comparing psychotherapies for depression are rare (12), and the literature is dominated by superiority trials designed to show significant differences between conditions, which cannot demonstrate equal efficacy (13).…”

Section: Discussionmentioning

confidence: 99%

The Efficacy of Cognitive-Behavioral Therapy and Psychodynamic Therapy in the Outpatient Treatment of Major Depression: A Randomized Clinical Trial

Driessen

Van²,

Don³

et al. 2014

FOC

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Section: Discussionmentioning

confidence: 99%

The Efficacy of Cognitive-Behavioral Therapy and Psychodynamic Therapy in the Outpatient Treatment of Major Depression: A Randomized Clinical Trial

Driessen

Van²,

Don³

et al. 2014

FOC

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“…First, the psychoanalytic community as a whole has been historically disinterested or resistant to the value of research, which has resulted in the critical scientific evaluation of psychodynamic treatments lagging behind the evaluation of other forms of psychiatric and psychological interven tions (Gerber 2010 Third, many of these studies have focused on brief psychodynamic treatments, whereas many psychodynamic clinicians are interested in elucidating the mechanisms of change of longer term treatments which aim at deeper structural changes in the patient's personality organisation rather than solely symptom improvement.…”

Section: The Research Challenges For Psychodynamic Psychotherapymentioning

confidence: 99%

Psychodynamic psychotherapy: developing the evidence base

Yakeley¹

2014

Adv. psychiatr. treat

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SummaryPsychodynamic psychotherapy has been criticised as being based on outdated principles of psychoanalysis and lacking an adequate evidence base to convincingly demonstrate its efficacy. This article summarises the recent evidence from high-quality outcome studies to show that psychodynamic psychotherapy is as effective in the treatment of a range of mental disorders as other psychological treatment modalities such as cognitive-behavioural therapy, as well as reviewing process-outcome research aiming to elucidate mechanisms of therapeutic change. A paradigm for psychodynamic psychotherapy research based on attachment theory is introduced, which may inform the development of psychodynamic therapeutic modalities tailored for specific conditions.LEARNING OBJECTIVESUnderstand the basic principles and techniques of psychodynamic psychotherapy.Be able to summarise the recent evidence base for the efficacy of psychodynamic psychotherapy.Appreciate process-outcome research that elucidates therapeutic mechanisms underpinning psychodynamic psychotherapy.

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“…We also aimed to evaluate the quality of the studies identified by carrying out a qualitative review, and using the Randomized Controlled Trial Psychodynamic Quality Rating Scale (RCT-PQRS) 28 for RCTs and quasirandomized studies.…”

Section: Aims Of This Reviewmentioning

confidence: 99%

“…Similarly, standards for reviewing these studies are often not as transparent as they could be, giving rise to further heterogeneity. To meet this challenge, in this review the quality of the studies was judged using the Randomized Controlled Trial Psychotherapy Quality Rating Scale (RCT-PQRS) 28 . overall quality of the study.…”

Section: Quality Ratingmentioning

confidence: 99%

The State of the Evidence Base for Psychodynamic Psychotherapy for Children and Adolescents

Palmer

Nascimento

Fonagy

2013

Child and Adolescent Psychiatric Clinics of North America

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This paper reviews the outcomes of psychodynamic psychotherapy (PP) for children and adolescents reported in papers identified by a comprehensive review of the literature on treatment evaluations of psychological and medical interventions for mental disorders in pediatric populations. The review identified 48 reports based on 33 studies. Reports were individually evaluated in terms of methodological rigor.Randomized trials, quasi-experimental and observational studies are considered separately. RCTs were independently rated on a 25-item scale of methodological strengths. Although a small number of studies with findings indicating beneficial effects of PP for pediatric mental disorder were identified, the review found no compelling evidence from RCT data supporting the use of PP as an individually delivered psychological therapy. In almost all the studies, when contrasted with family-based interventions, PP fares no better and appears to produce outcomes with some delay relative to family-based therapies. While the review shows PP to be an effective treatment, it is clearly understudied and its treatment principles may be most efficaciously delivered in non-traditional contexts such as parent-child or family therapy. Further rigorous evaluations are needed but evidence to date suggests that the context in which PP is delivered should be extended from the traditional context of individual therapy.2

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A Quality-Based Review of Randomized Controlled Trials of Psychodynamic Psychotherapy

Cited by 128 publications

References 44 publications

The Efficacy of Cognitive-Behavioral Therapy and Psychodynamic Therapy in the Outpatient Treatment of Major Depression: A Randomized Clinical Trial

The Efficacy of Cognitive-Behavioral Therapy and Psychodynamic Therapy in the Outpatient Treatment of Major Depression: A Randomized Clinical Trial

Psychodynamic psychotherapy: developing the evidence base

The State of the Evidence Base for Psychodynamic Psychotherapy for Children and Adolescents

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