The Effectiveness of Brief Versus Intermediate Duration Psychodynamic Psychotherapy in the Treatment of Adjustment Disorder

Ben-Itzhak, Shulamit; Bluvstein, Irit; Schreiber, Shaul; Aharonov-Zaig, Inbar; Maor, Maya; Lipnik, Raul; Bloch, Miki

doi:10.1007/s10879-012-9208-6

Cited by 17 publications

(8 citation statements)

References 23 publications

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“…Both approaches produced significant improvement in depression and anxiety compared to a nontreated control group [ 27 ]. In a later study by Ben-Itzhak et al [ 28 ], short-term psychodynamic treatment (3 months) was found to be as effective as intermediate dynamic therapy (12 months). The authors concluded that brief interventions seem thereby well suited for the treatment of adjustment disorder.…”

Section: Introductionmentioning

confidence: 99%

Adjustment Disorders Are Uniquely Suited for eHealth Interventions: Concept and Case Study

Maercker¹,

Bachem²,

Lorenz³

et al. 2015

JMIR Mental Health

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BackgroundAdjustment disorders (also known as mental distress in response to a stressor) are among the most frequently diagnosed mental disorders in psychiatry and clinical psychology worldwide. They are also commonly diagnosed in clients engaging in deliberate self-harm and in those consulting general practitioners. However, their reputation in research-oriented mental health remains weak since they are largely underresearched. This may change when the International Statistical Classification of Diseases-11 (ICD-11) by the World Health Organization is introduced, including a new conceptualization of adjustment disorders as a stress-response disorder with positively defined core symptoms.ObjectiveThis paper provides an overview of evidence-based interventions for adjustment disorders.MethodsWe reviewed the new ICD-11 concept of adjustment disorder and discuss the the rationale and case study of an unguided self-help protocol for burglary victims with adjustment disorder, and its possible implementation as an eHealth intervention.ResultsOverall, the treatment with the self-help manual reduced symptoms of adjustment disorder, namely preoccupation and failure to adapt, as well as symptoms of depression, anxiety, and stress.ConclusionsE-mental health options are considered uniquely suited for offering early intervention after the experiences of stressful life events that potentially trigger adjustment disorders.

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Section: Introductionmentioning

confidence: 99%

Adjustment Disorders Are Uniquely Suited for eHealth Interventions: Concept and Case Study

Maercker¹,

Bachem²,

Lorenz³

et al. 2015

JMIR Mental Health

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“…Therefore, evidence-based psychological treatments for AD and CG are needed. The few studies conducted using between-group designs for AD have been carried out from different therapeutic approaches: mirror therapy (Gonzalez-Jaimes & Turnbull-Plaza, 2003), problem solving and temporal contingency approach (van der Klink et al, 2003), CBT (Steinhardt & Dolbier, 2008), brief group psychodynamic therapy (Ben-Itzhak et al, 2012), body-mind-spirit psychotherapy (Hsiao et al, 2014), and meditation training (Srivastava, Talukdar, & Lahan, 2011). Although overall they reported a decrease of symptoms, many of them have important methodological limitations.…”

mentioning

confidence: 99%

An adaptive virtual reality system for the treatment of adjustment disorder and complicated grief: 1‐year follow‐up efficacy data

Quero

Molés

Campos

et al. 2018

Clin Psychology and Psychoth

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Adjustment disorder (AD) and complicated grief (CG) are serious mental conditions that have a high prevalence and are associated with significant impairments in social and work functioning. Recently, these categories have been better specified in the new ICD‐11 proposal. Empirical research on the efficacy of treatments for these problems is scarce. This study aims to offer long‐term efficacy data from a between‐groups controlled study that compares two treatment conditions (AD‐protocol applied in a traditional way: N = 18 and the same protocol supported by virtual reality (VR); VR‐protocol applied in a traditional way: N = 18) and a waiting list (WL) control group (N = 18). Both treatment conditions resulted in statistically significant improvements on both primary and secondary outcome measures, with large effect sizes, and this improvement did not occur in the WL. These changes were maintained in both treatment conditions in the medium (6‐month) and long‐term (12‐month follow‐up). Larger effect sizes were achieved in the VR condition in the long term. Furthermore, clinically significant change estimations on the primary outcome measures showed an advantage for the VR condition This is the first controlled study to compare a traditional face‐to‐face protocol for the treatment of stress‐related disorders with the same protocol supported by VR and a WL control group.

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“…Several studies show successful treatment of AjD symptoms by cognitive behavioral interventions (e.g Van der Klink, Blonk, Schene, & Van Dijk, 2003),. brief dynamic psychotherapy(Ben-Itzhak et al, 2012;Maina, Forner, & Bogetto, 2005), or client centered psychotherapy(Altenhöfer, Schulz, Schwab, & Eckert, 2007). However, caution is required in the interpretation of these findings as the studies used ICD-10 and DSM-IV conceptualizations of AjD.There are some limitations to the current study that deserve emphasis.…”

mentioning

confidence: 99%

Measuring the ICD‐11 adjustment disorder concept: Validity and sensitivity to change of the Adjustment Disorder – New Module questionnaire in a clinical intervention study

Bachem

Perkonigg

Stein

et al. 2016

Int J Methods Psych Res

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Adjustment disorder (AjD) is a frequent but under-researched diagnosis due in part to a lack of specific symptom criteria and adequate tools of measurement. The ICD-11 for the first time proposes a positive symptom catalogue to define AjD. This study presents a validation of the Adjustment Disorder - New Module (ADNM), the first symptom severity measure for AjD according to the ICD-11 concept. Validity and sensitivity to change were investigated in a sample of 190 individuals with a DSM-IV diagnosis of AjD. The ADNM scales demonstrated convergent and discriminant validity for anxiety symptoms (Hamilton Anxiety Scale; psychic anxiety r = 0.18-0.31), functional impairment (Sheehan Disability Scale; r = 0.18-0.47), and depression (Montgomery-Asberg Depression Scale; r = 0.13-0.30). At baseline 78% of the individuals with a DSM-IV diagnosis of AjD were also classified so by the ADNM. Repeated-measures ANOVA indicated significant ADNM-symptom decrease during treatment, replicating the patterns of the Hamilton Anxiety Scale, Sheehan Disability Scale, and Clinical Global Impression Scale. This article presents the first use of the ADNM as a measure for ICD-11 AjD in a randomized-controlled intervention study of AjD. It provides support for the construct validity and sensitivity to symptom change of this scale during pharmacological treatment.

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The Effectiveness of Brief Versus Intermediate Duration Psychodynamic Psychotherapy in the Treatment of Adjustment Disorder

Cited by 17 publications

References 23 publications

Adjustment Disorders Are Uniquely Suited for eHealth Interventions: Concept and Case Study

Adjustment Disorders Are Uniquely Suited for eHealth Interventions: Concept and Case Study

An adaptive virtual reality system for the treatment of adjustment disorder and complicated grief: 1‐year follow‐up efficacy data

Measuring the ICD‐11 adjustment disorder concept: Validity and sensitivity to change of the Adjustment Disorder – New Module questionnaire in a clinical intervention study

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