Do psychoanalytic treatments have positive effects on health and health care utilization? Further findings of the Stockholm Uutcome of Psychotherapy and Psychoanalysis Project (STOPPP)

Lazar, Anna; Sandell, Rolf; Grant, Johan

doi:10.1080/10503300500268094

Cited by 23 publications

(26 citation statements)

References 21 publications

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“…Various studies demonstrate that the SOC improves through psycho-therapeutic interventions (Lazar et al, 2006;Sack et al, 1997;Wiesmann et al, 2006). Sack et al (1997) use psychodynamic therapies, whilst Wiesmann et al (2006) use behavioural therapies and psycho-educational programmes.…”

Section: Promoting and Maintaining Soc Through Interventionsmentioning

confidence: 99%

Interventions to promoting sense of coherence and transcultural competences in educational contexts

Mayer

Boness

2011

International Review of Psychiatry

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During the past 30 years, salutogenesis and sense of coherence have been well researched in various disciplines, such as psychology, sociology and medical sciences. However, only a few studies have focused on transcultural and educational work contexts. A strong sense of coherence (SOC) is associated with a positive school performance, achievement, success, the ability to manage confl icts and transcultural competences and well-being. However, interventions on how to increase SOC and transcultural competences within the educational fi eld have rarely been addressed. This article aims at contributing theoretically to the void in literature on didactic and educational interventions in educational and particularly school systems to promote SOC and transcultural competence. The team ombuds model, a didactic model, will be presented to promote mental health with special regard to SOC and transcultural competences within the formal educational system.

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Section: Promoting and Maintaining Soc Through Interventionsmentioning

confidence: 99%

Interventions to promoting sense of coherence and transcultural competences in educational contexts

Mayer

Boness

2011

International Review of Psychiatry

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“…Questions could be raised concerning the reliability of the documented diagnoses, for instance that few Axis II diagnoses were documented. However, the diagnostic distribution corresponds to findings in another Swedish study, carried out in a sample of psychotherapy patients, the project STOPP (Lazar, Sandell, & Grant, 2006). Even though only broad diagnostic categories were used in our analyses, real differences between diagnostic groups may have been undetected due to the limited sample size.…”

Section: Methodological Considerations and Limitationsmentioning

confidence: 98%

Self-reported anxious- and avoidant-related attachment correlated to interpersonal problems by patients starting psychotherapy

Göstas¹,

Wiberg²,

Engström³

et al. 2012

EJAP

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Attachment theory is an encompassing theory for understanding human reactions to life stressors, such as loss and separation, and interpersonal problems are common reasons for seeking psychotherapy. Psychotherapy may be an opportunity to revise insecure attachment and handle interpersonal problems. This study examined attachment styles and interpersonal problems in a clinical sample of psychotherapy patients (n = 168) at the start of psychotherapy. The main aim was to study how self-reported attachment styles, measured by the Attachment Style Questionnaire (ASQ), correlated with interpersonal problems measured using the Inventory of Interpersonal Problems (IIP). Avoidant-related and anxious-related attachment scales correlated positively to the total IIP scores. Inconsistent with findings in nonclinical samples, specific interpersonal problems in the dominant and affiliative parts of the IIP correlated positively to both the anxious-related and the avoidantrelated attachment scales. The findings imply that a challenge for the therapist at the start of psychotherapy is to balance providing security with encouraging exploration of feelings, thoughts, and behaviour in the patient's interpersonal problems in current relationships. Exploring individual profiles of attachment styles helps to clarify motives in expressed interpersonal problems.

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“…Nonetheless, we are aware that we are still dealing with imperfect estimates of true overall costs for society. As Lazar et al (14) pointed out, remote savings such as reduced healthcare consumption and increased productivity of the patient's family members, should ideally be included, but are obviously difficult to measure.…”

Section: Discussionmentioning

confidence: 99%

A cost-utility analysis of psychoanalysis versus psychoanalytic psychotherapy

Berghout¹,

Zevalkink²,

Roijen

2010

Int J Technol Assess Health Care

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Objectives: Despite the considerable and growing body of research about the clinical effectiveness of long-term psychoanalytic treatment, relatively little attention has been paid to economic evaluations, particularly with reference to the broader range of societal effects. In this cost-utility study, we examined the incremental cost-effectiveness ratio (ICER) of psychoanalysis versus psychoanalytic psychotherapy. Methods: Incremental costs and effects were estimated by means of cross-sectional measurements in a cohort design (psychoanalysis, n = 78; psychoanalytic psychotherapy, n = 104). Quality-adjusted life-years (QALYs) were estimated for each treatment strategy using the SF-6D. Total costs were calculated from a societal perspective (treatment costs plus other societal costs) and discounted at 4 percent. Results: Psychoanalysis was more costly than psychoanalytic psychotherapy, but also more effective from a health-related quality of life perspective. The ICER-that is, the extra costs to gain one additional QALY by delivering psychoanalysis instead of psychoanalytic psychotherapy-was estimated at €52,384 per QALY gained. Conclusions: Our findings show that the cost-utility ratio of psychoanalysis relative to psychoanalytic psychotherapy is within an acceptable range. More research is needed to find out whether cost-utility ratios vary with different types of patients. We also encourage cost-utility analyses comparing psychoanalytic treatment to other forms of (long-term) treatment.

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Do psychoanalytic treatments have positive effects on health and health care utilization? Further findings of the Stockholm Uutcome of Psychotherapy and Psychoanalysis Project (STOPPP)

Cited by 23 publications

References 21 publications

Interventions to promoting sense of coherence and transcultural competences in educational contexts

Interventions to promoting sense of coherence and transcultural competences in educational contexts

Self-reported anxious- and avoidant-related attachment correlated to interpersonal problems by patients starting psychotherapy

A cost-utility analysis of psychoanalysis versus psychoanalytic psychotherapy

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