Feasibility study of a psychodynamic online group intervention for depression.

Abstract

Lemma, A; Fonagy, P; (2013) Feasibility study of a psychodynamic online group intervention for depression, Psychoanalytic Psychology, 30 (3) 367 -380. 10.1037/a0033239 2 Abstract Dynamic Interpersonal Therapy (DIT) was originally developed as a brief psychodynamic intervention for the treatment of depression and anxiety. More recently it has become the psychodynamic protocol for depression within Improving Access to Psychological Therapies services across the UK. The aim of the present study was to pilot and evaluate the feasibility of a group online version of DIT -Online Group Dynamic Interpersonal Therapy -and the perceived helpfulness of psychodynamically informed self-help materials. Twenty-four participants were randomly assigned to three groups. Participants in Condition A (N = 8) took part in an online DIT group, with self-help materials, facilitated by a therapist. Participants in Condition B (N = 8) were given access to a closed virtual group space where they could interact with each other and were supplied with the same self-help materials used by participants in Condition A, but without online therapist facilitation. Participants in Condition C (N = 8) received no instructions or facilitation, but had access to an online mental well-being site where they could meet virtually in a large, open, moderated virtual group space to discuss their psychological difficulties. This feasibility study was underpowered to detect significant differences in rates of change between facilitated and unfacilitated provision of material, but decline in symptoms was significantly superior to control only for the facilitated group when the groups were considered separately. The encouraging superiority of the combined treated groups against control also suggests that the DIT self-help materials are helpful and appear to support the process of change.

The efficacy of short-term psychodynamic psychotherapy for depression: A meta-analysis update

“…In the same way as cognitive behavioral therapy, cognitive therapy, behavioral therapy, and their many variants are considered as a collective, STPP and its variants share common core features that distinguish it from other treatments such as CBT and its variants (Blagys & Hilsenroth, 2000). For instance, Leichsenring and Schauenburg (2014) were seen to show promise in this review (Lemma & Fonagy, 2013;Johansson et al, 2012), should be further examined with their potential benefits of reaching patients who are less inclined to seek help in general mental health care and of reducing costs by requiring less therapist time.…”

The effects of psychotherapy for depression on anxiety symptoms: a meta-analysis

“…Individual randomized controlled trials (RCTs) have shown mixed results with equal numbers of studies indicating a significant reduction in anxiety symptoms between depression psychotherapy and control conditions (e.g., Serfaty et al 2009; Bohlmeijer et al 2011; Buntrock et al 2015; Milgrom et al 2015) as demonstrating no significant difference between depression psychotherapies and control conditions (e.g. Chesney et al 2003; Lynch et al 2004; Chiesa et al 2012; Lemma & Fonagy, 2013; Buhrman, et al 2015), and a few studies even finding negative effects (see Fig. 2).…”

Onlinepsychotherapie in Zeiten der Coronapandemie

“…„KEN-Online“; Zwerenz et al. 2017 ) oder im Gruppensetting durchgeführt werden (Lemma und Fonagy 2013 ).…”