Efficacy and moderators of short-term psychodynamic psychotherapy for depression: A systematic review and meta-analysis of individual participant data

Wienicke, Frederik J.; Beutel, Manfred E.; Zwerenz, Rüdiger; Brähler, Elmar; Fonagy, Peter; Luyten, Patrick; Constantinou, Matthew P.; Barber, Jacques P.; McCarthy, Kevin S.; Solomonov, Nili; Cooper, Peter; Pascalis, Leonardo De; Andersson, Gerhard; Lemma, Alessandra; Town, Joel M.; Abbass, Allan; Ajilchi, Bita; Gibbons, Mary Beth Connolly; López-Rodríguez, Jaime; Salcedo, Valerio Villamil; Maina, Giuseppe; Rosso, Gianluca; Twisk, Jos W. R.; Burk, William J.; Spijker, Jan; Cuijpers, Pim; Driessen, Ellen

doi:10.1016/j.cpr.2023.102269

Cited by 4 publications

(2 citation statements)

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“…However, most adolescents responded to STPP well in this trial, but subgroups of depressed adolescents with higher depression severity and comorbidity at baseline did not respond well to STPP[ 22 ]. If we can identify adolescents who are likely to respond poorly before treatment and design personalized intervention methods for them, we might be more effective in improving the cost-effectiveness of psychological interventions[ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Psychological interventions for depression in children and adolescents: A bibliometric analysis

Wang,

Kong,

Bai

et al. 2024

World J Psychiatry

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BACKGROUND Depression has gradually become a common psychological disorder among children and adolescents. Depression in children and adolescents affects their physical and mental development. Psychotherapy is considered to be one of the main treatment options for depressed children and adolescents. However, our understanding of the global performance and progress of psychological interventions for depression in children and adolescents (PIDCA) research is limited. AIM To identify collaborative research networks in this field and explore the current research status and hotspots through bibliometrics. METHODS Articles and reviews related to PIDCA from January 2010 to April 2023 were identified from the Web of Science Core Collection database. The Charticulator website, CiteSpace and VOSviewer software were used to visualize the trends in publications and citations, the collaborative research networks (countries, institutions, and authors), and the current research status and hotspots. RESULTS Until April 16, 2023, 1482 publications were identified. The number of documents published each year and citations had increased rapidly in this field. The United States had the highest productivity in this field. The most prolific institution was the University of London. Pim Cuijpers was the most prolific author. In the context of research related to PIDCA, both reference co-citation analysis and keywords co-occurrence analysis identified 10 research hotspots, including third-wave cognitive behavior therapy, short-term psychoanalytic psychotherapy, cognitive behavioral analysis system of psychotherapy, family element in psychotherapy, modular treatment, mobile-health, emotion-regulation-based transdiagnostic intervention program, dementia risk in later life, predictors of the efficacy of psychological intervention, and risks of psychological intervention. CONCLUSION This bibliometric study provides a comprehensive overview of PIDCA from 2010 to present. Psychological intervention characterized as psychological-process-focused, short, family-involved, modular, internet-based, emotion-regulation-based, and personalized may benefit more young people.

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Section: Discussionmentioning

confidence: 99%

Psychological interventions for depression in children and adolescents: A bibliometric analysis

Wang,

Kong,

Bai

et al. 2024

World J Psychiatry

View full text Add to dashboard Cite

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“…Lastly, there is RCT evidence that PDT holds a small advantage over CBT for patients experiencing severe and persistent depressive symptoms (Driessen et al, 2016). Moreover, meta-analytic evidence from individual participant data suggests that relative to minimal-to-no-treatment controls, PDT is particularly efficacious for patients experiencing longer depressive episodes (Wienicke et al, 2023). To this end, a meta-analysis of individual participant data from RCTs directly comparing PDT to CBT for depression could advance the field considerably by testing the potential moderating effect of the chronicity of depressive symptoms.…”

Section: Clinical and Research Implicationsmentioning

confidence: 99%

The equivalence of psychodynamic therapy and cognitive behavioral therapy for depressive disorders in adults: A meta‐analytic review

Smith,

Hewitt

2024

J Clin Psychol

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BackgroundMeta‐analyses on the relative efficacy of psychodynamic psychotherapy (PDT) and cognitive behavioral therapy (CBT) for depressive disorders are limited by heterogeneity in diagnostic samples and comparators and a lack of equivalence testing.ObjectiveWe addressed this through a meta‐analytic test of the equivalence of manualized PDT and CBT in treating adults with depressive disorders as determined by diagnostic interviews. Sensitivity analyses evaluated the impact of pretreatment differences, mixed diagnostic samples, author allegiance, study quality, year of publication and outliers on findings.MethodA comprehensive literature search across multiple databases using reliable screening methods identified nine randomized controlled trials directly comparing manualized PDT and CBT for diagnosed depressive disorders in adults. Following pre‐registration, we employed random effect models for our meta‐analyses and two one‐sided test procedures for equivalence testing.ResultsIndependent raters determined that all studies were of adequate quality. Immediately posttreatment, depressive symptoms were statistically equivalent across PDT and CBT (k = 9; g = −0.11, 90% confidence interval [90% CI]: −0.24 to 0.02, pequivalence = .048, pNHST = .212, I2 = 32.7). At follow‐up, the longest time point within a year, depressive symptoms were neither statistically equivalent nor statistically different (k = 6; g = −0.16, 90% CI: −0.31 to −0.02, pequivalence = .184, pNHST = .126, I2 = 0.00).ConclusionThe efficacy of manualized PDT is equal to manualized CBT immediately at posttreatment for depressive disorders in the adult general population. Nevertheless, insufficient data exists to reach a conclusion regarding equivalence at follow‐up.

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Effizienz und Moderatoreneffekte der Psychodynamischen Kurzzeittherapie bei Depressionen

2023

Psychother Psychosom Med Psychol

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Depressionen sind die am häufigsten auftretenden psychischen Erkrankungen. Die Psychodynamische Kurzzeittherapie (short-term psychodynamic psychotherapy STPP]) ist eine Behandlungsform, deren Wirksamkeit bei der Depressionsbehandlung durch zahlreiche Meta-Analysen bewiesen werden konnte. Mit Hilfe einer Individual Participant Data (IPD) Meta-Analyse untersuchte eine internationale Forschergruppe nun die Wirksamkeit und mögliche Moderatorvariablen von STPP im Vergleich zu Kontrollbedingungen bei Erwachsenen mit Depressionen.

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Efficacy and moderators of short-term psychodynamic psychotherapy for depression: A systematic review and meta-analysis of individual participant data

Cited by 4 publications

References 30 publications

Psychological interventions for depression in children and adolescents: A bibliometric analysis

Psychological interventions for depression in children and adolescents: A bibliometric analysis

The equivalence of psychodynamic therapy and cognitive behavioral therapy for depressive disorders in adults: A meta‐analytic review

Effizienz und Moderatoreneffekte der Psychodynamischen Kurzzeittherapie bei Depressionen

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