Short-term psychodynamic psychotherapies for common mental disorders

Abbass, Allan; Hancock, Jeffrey T.; Henderson, Julie; Kisely, Steve

doi:10.1002/14651858.cd004687.pub4

Cited by 149 publications

(74 citation statements)

References 108 publications

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“…Furthermore, the present study indicates significant improvements from post-treatment to follow-up. This finding corroborates other meta-analyses reporting increased gains in follow-up after psychodynamic psychotherapy (Town et al, 2012;Abbass et al, 2014).…”

Section: Resultssupporting

confidence: 91%

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

Driessen

Hegelmaier²,

Abbass

et al. 2015

Clinical Psychology Review

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224

105

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Section: Resultssupporting

confidence: 91%

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

Driessen

Hegelmaier²,

Abbass

et al. 2015

Clinical Psychology Review

Self Cite

224

105

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“…Among their central characteristics, emphasis is placed on the work geared towards the expression of emotions, the exploration of the defenses to avoid thoughts and feelings, the identification of repetitive patterns of functioning and the relationship between the present and past (Abbass et al, 2014). The third interaction structure found, Facing depression, was positively present in a large majority of the sessions at a slight or moderate level and depicts the central theme related to the patient's issue (health problems) and the efforts made by the therapist in adjusting to her depressive functioning, pointing out aspects of the nonverbal behavior and promoting or reinforcing more adaptive defenses, instead of interpreting unconscious defenses and desires.…”

Section: Discussionmentioning

confidence: 99%

Uncovering Interaction Structures in a Brief Psychodynamic Psychotherapy

Serralta

2016

Paidéia (Ribeirão Preto)

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Abstract:Interaction structures refers to the repetitive ways of interaction between the patient-therapist dyad over the course of treatment. This construct is operationalized by the repeated application of the Psychotherapy Process Q-Set (PQS) to psychotherapy sessions. Studies in this line of research have so far focused only on long-term treatment. The present study examines whether interaction structures can be detected empirically in short-term psychotherapies. All sessions (N = 31) of a successful case of brief psychodynamic psychotherapy were coded with the Psychotherapy Process Q-Set (PQS). The application of Q type factor analysis procedures with varimax rotation revealed five interaction structures: resistance, alliance, facing depression, expectation of change, and introspection and hearing. The analysis of variation of these structures over the course of the treatment showed that these interactions are nonlinear, may be positively or negatively protruding in different sessions, or be predominant at some treatment phase.Keywords: brief psychotherapy, psychotherapeutic processes, psychoanalytic psychotherapy Desvelando Estruturas de Interação em uma Psicoterapia Psicodinâmica BreveResumo: Estruturas de interação designam os funcionamentos repetitivos da díade paciente-terapeuta ao longo do tratamento. O constructo é operacionalizado pela aplicação repetida do Psychotherapy Process Q-Set (PQS) às sessões de psicoterapia. Estudos nesta linha de investigação até agora focalizaram somente tratamentos de longa duração. Esta investigação examina se estruturas de interação podem ser detectadas empiricamente em psicoterapias breves. Todas as sessões (N = 31) de um caso bem-sucedido de psicoterapia psicodinâmica breve foram codificadas com o PQS. A aplicação de análise fatorial do tipo Q com rotação varimax revelou cinco estruturas de interação: resistência, aliança, enfrentado a depressão, expectativa de mudança, e introspecção e escuta. A análise da variação destas estruturas ao longo do tratamento mostrou que as mesmas não são lineares, podem estar positiva ou negativamente salientes em diferentes sessões, ou predominar em alguma etapa do tratamento. Palavras-chave: psicoterapia breve, processos terapêuticos, psicoterapia psicanalítica Descubriendo Estructuras de Interacción en una Psicoterapia Psicodinámica BreveResumen: Estructuras de interacción designan los patrones repetitivos de interacción de la díada cliente-terapeuta durante el tratamento. El constructo se operacionaliza mediante la aplicación repetida del Psychotherapy Process Q-Set (PQS) a las sesiones de psicoterapia. Los estudios esta línea de investigación hasta ahora se centraron sólo en tratamientos de largo plazo. Esta investigación examina si las estructuras de interacción se pueden detectar empíricamente en psicoterapias breves. Todas las sesiones (N = 31) de un caso exitoso de psicoterapia psicodinámica breve se codificaron con el Psychotherapy Process Q-Set (PQS). La aplicación del análisis factorial del tipo Q con rotación varimax revel...

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“…[30][31][32][33][34][35][36][37][38][39][40][41][42][43][44] Thirty-one additional systematic reviews formally met eligibility criteria, but their content was superseded by at least one of the 19 reviews mentioned above (online supplementary file 4). figure 1 presents the flow of the literature; table 2 presents characteristics of included reviews.…”

Section: Strength Of the Evidencementioning

confidence: 99%

Pharmacological and non-pharmacological treatments for major depressive disorder: review of systematic reviews

et al. 2017

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ObjectivesThis study aims to summarise the evidence on more than 140 pharmacological and non-pharmacological treatment options for major depressive disorder (MDD) and to evaluate the confidence that patients and clinicians can have in the underlying science about their effects.DesignThis is a review of systematic reviews.Data sourcesThis study used MEDLINE, Embase, Cochrane Library, PsycINFO and Epistemonikos from 2011 up to February 2017 for systematic reviews of randomised controlled trials in adult patients with acute-phase MDD.MethodsWe dually reviewed abstracts and full-text articles, rated the risk of bias of eligible systematic reviews and graded the strength of evidence.ResultsNineteen systematic reviews provided data on 28 comparisons of interest. For general efficacy, only second-generation antidepressants were supported with high strength evidence, presenting small beneficial treatment effects (standardised mean difference: −0.35; 95% CI −0.31 to −0.38), and a statistically significantly higher rate of discontinuation because of adverse events than patients on placebo (relative risk (RR) 1.88; 95% CI 1.0 to 3.28).Only cognitive behavioural therapy is supported by reliable evidence (moderate strength of evidence) to produce responses to treatment similar to those of second-generation antidepressants (45.5% vs 44.2%; RR 1.10; 95% CI 0.93 to 1.30). All remaining comparisons of non-pharmacological treatments with second-generation antidepressants either led to inconclusive results or had substantial methodological shortcomings (low or insufficient strength of evidence).ConclusionsIn contrast to pharmacological treatments, the majority of non-pharmacological interventions for treating patients with MDD are not evidence based. For patients with strong preferences against pharmacological treatments, clinicians should focus on therapies that have been compared directly with antidepressants.Trial registration numberInternational Prospective Register of Systematic Reviews (PROSPERO) registration number: 42016035580.

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Short-term psychodynamic psychotherapies for common mental disorders

Cited by 149 publications

References 108 publications

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

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

Uncovering Interaction Structures in a Brief Psychodynamic Psychotherapy

Pharmacological and non-pharmacological treatments for major depressive disorder: review of systematic reviews

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