Long-term psychodynamic psychotherapy in complex mental disorders: update of a meta-analysis

2012 ◽  
Vol 2012 ◽  
pp. 81-82
Author(s):  
J.L. Krupnick
Keyword(s):  
Mental Disorders ◽  
Psychodynamic Psychotherapy ◽  
Meta Analysis

scholarly journals Long-term psychodynamic psychotherapy in complex mental disorders: update of a meta-analysis

2011 ◽  
Vol 199 (1) ◽  
pp. 15-22 ◽  
Author(s):  
Falk Leichsenring ◽  
Sven Rabung
Keyword(s):  
Mental Disorders ◽  
Psychodynamic Psychotherapy ◽  
Meta Analysis ◽  
Dose Effect ◽  
Effect Sizes ◽  
Inclusion Criteria ◽  
Comparative Efficacy ◽  
Short Term ◽  
Prospective Design

BackgroundDose–effect relationship data suggest that short-term psychotherapy is insufficient for many patients with chronic distress or personality disorders (complex mental disorders).AimsTo examine the comparative efficacy of long-term psychodynamic psychotherapy (LTPP) in complex mental disorders.MethodWe conducted a meta-analysis of controlled trials of LTPP fulfilling the following inclusion criteria: therapy lasting for at least a year or 50 sessions; active comparison conditions; prospective design; reliable and valid outcome measures; treatments terminated. Ten studies with 971 patients were included.ResultsBetween-group effect sizes in favour of LTPP compared with less intensive (lower dose) forms of psychotherapy ranged between 0.44 and 0.68.ConclusionsResults suggest that LTPP is superior to less intensive forms of psychotherapy in complex mental disorders. Further research on long-term psychotherapy is needed, not only for psychodynamic psychotherapy, but also for other therapies.

scholarly journals A Series of Meta-Analytic Tests of the Efficacy of Long-Term Psychoanalytic Psychotherapy

2020 ◽  
Vol 25 (1) ◽  
pp. 51-72 ◽  
Author(s):  
Christian Franz Josef Woll ◽  
Felix D. Schönbrodt
Keyword(s):  
Mental Disorders ◽  
Publication Bias ◽  
Psychiatric Symptoms ◽  
Meta Analysis ◽  
Research Process ◽  
Open Science ◽  
Effect Sizes ◽  
Psychoanalytic Psychotherapy ◽  
Meta Analyses

Abstract. Recent meta-analyses come to conflicting conclusions about the efficacy of long-term psychoanalytic psychotherapy (LTPP). Our first goal was to reproduce the most recent meta-analysis by Leichsenring, Abbass, Luyten, Hilsenroth, and Rabung (2013) who found evidence for the efficacy of LTPP in the treatment of complex mental disorders. Our replicated effect sizes were in general slightly smaller. Second, we conducted an updated meta-analysis of randomized controlled trials comparing LTPP (lasting for at least 1 year and 40 sessions) to other forms of psychotherapy in the treatment of complex mental disorders. We focused on a transparent research process according to open science standards and applied a series of elaborated meta-analytic procedures to test and control for publication bias. Our updated meta-analysis comprising 191 effect sizes from 14 eligible studies revealed small, statistically significant effect sizes at post-treatment for the outcome domains psychiatric symptoms, target problems, social functioning, and overall effectiveness (Hedges’ g ranging between 0.24 and 0.35). The effect size for the domain personality functioning (0.24) was not significant ( p = .08). No signs for publication bias could be detected. In light of a heterogeneous study set and some methodological shortcomings in the primary studies, these results should be interpreted cautiously. In conclusion, LTPP might be superior to other forms of psychotherapy in the treatment of complex mental disorders. Notably, our effect sizes represent the additional gain of LTPP versus other forms of primarily long-term psychotherapy. In this case, large differences in effect sizes are not to be expected.

scholarly journals A Series of Meta-Analytic Tests of the Efficacy of Long-Term Psychoanalytic Psychotherapy

2018 ◽  
Author(s):  
Christian Franz Josef Woll ◽  
Felix D. Schönbrodt
Keyword(s):  
Mental Disorders ◽  
Publication Bias ◽  
Psychiatric Symptoms ◽  
Meta Analysis ◽  
Research Process ◽  
Open Science ◽  
Effect Sizes ◽  
Psychoanalytic Psychotherapy ◽  
Meta Analyses

Recent meta-analyses come to conflicting conclusions about the efficacy of long-term psychoanalytic psychotherapy (LTPP). Our first goal was to reproduce the most recent meta-analysis by Leichsenring, Abbass, Luyten, Hilsenroth, and Rabung (2013) who found evidence for the efficacy of LTPP in the treatment of complex mental disorders. Our replicated effect sizes were in general slightly smaller. Second, we conducted an updated meta-analysis of randomized controlled trials comparing LTPP (lasting for at least one year and 40 sessions) to other forms of psychotherapy in the treatment of complex mental disorders. We focused on a transparent research process according to open science standards and applied a series of elaborated meta-analytic procedures to test and control for publication bias. Our updated meta-analysis comprising 191 effect sizes from 14 eligible studies revealed small, statistically significant effect sizes at post-treatment for the outcome domains psychiatric symptoms, target problems, social functioning, and overall effectiveness (Hedges’ g ranging between 0.24 and 0.35). The effect size for the domain personality functioning (0.24) was not significant (p = .08). No signs for publication bias could be detected. In light of a heterogeneous study set and some methodological shortcomings in the primary studies, these results should be interpreted cautiously. In conclusion, LTPP might be superior to other forms of psychotherapy in the treatment of complex mental disorders. Notably, our effect sizes represent the additional gain of LTPP vs. other forms of primarily long-term psychotherapy. In this case, large differences in effect sizes are not to be expected.

scholarly journals Effectiveness of Internet-Based Interventions for the Prevention of Mental Disorders: A Systematic Review and Meta-Analysis

2016 ◽  
Vol 3 (3) ◽  
pp. e38 ◽  
Author(s):  
Lasse Sander ◽  
Leonie Rausch ◽  
Harald Baumeister
Keyword(s):  
Health Care ◽  
Mental Disorders ◽  
Symptom Severity ◽  
Meta Analysis ◽  
Medium Effect ◽  
The Internet ◽  
Study Quality ◽  
Incidence Data

Background Mental disorders are highly prevalent and associated with considerable disease burden and personal and societal costs. However, they can be effectively reduced through prevention measures. The Internet as a medium appears to be an opportunity for scaling up preventive interventions to a population level. Objective The aim of this study was to systematically summarize the current state of research on Internet-based interventions for the prevention of mental disorders to give a comprehensive overview of this fast-growing field. Methods A systematic database search was conducted (CENTRAL, Medline, PsycINFO). Studies were selected according to defined eligibility criteria (adult population, Internet-based mental health intervention, including a control group, reporting onset or severity data, randomized controlled trial). Primary outcome was onset of mental disorder. Secondary outcome was symptom severity. Study quality was assessed using the Cochrane Risk of Bias Tool. Meta-analytical pooling of results took place if feasible. Results After removing duplicates, 1169 studies were screened of which 17 were eligible for inclusion. Most studies examined prevention of eating disorders or depression or anxiety. Two studies on posttraumatic stress disorder and 1 on panic disorder were also included. Overall study quality was moderate. Only 5 studies reported incidence data assessed by means of standardized clinical interviews (eg, SCID). Three of them found significant differences in onset with a number needed to treat of 9.3-41.3. Eleven studies found significant improvements in symptom severity with small-to-medium effect sizes (d=0.11- d=0.76) in favor of the intervention groups. The meta-analysis conducted for depression severity revealed a posttreatment pooled effect size of standardized mean difference (SMD) =−0.35 (95% CI, −0.57 to −0.12) for short-term follow-up, SMD = −0.22 (95% CI, −0.37 to −0.07) for medium-term follow-up, and SMD = −0.14 (95% CI, -0.36 to 0.07) for long-term follow-up in favor of the Internet-based psychological interventions when compared with waitlist or care as usual. Conclusions Internet-based interventions are a promising approach to prevention of mental disorders, enhancing existing methods. Study results are still limited due to inadequate diagnostic procedures. To be able to appropriately comment on effectiveness, future studies need to report incidence data assessed by means of standardized interviews. Public health policy should promote research to reduce health care costs over the long term, and health care providers should implement existing, demonstrably effective interventions into routine care.

scholarly journals Mental Disorders Following Covid-19 Infection: A Systematic Review of Acute and Long-Term Psychiatric Manifestations and Associated Brain Changes

2020 ◽  
Vol 74 (6) ◽  
pp. 347-357
Author(s):  
Paale Ruben Fischer ◽  
Lubova Renemane
Keyword(s):  
Mental Disorders ◽  
Virus Disease ◽  
Meta Analysis ◽  
Systemic Review ◽  
Post Traumatic Stress ◽  
Stress Symptoms ◽  
The Central Nervous System ◽  
Randomised Controlled ◽  
Psychiatric Manifestations

AbstractThe severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) primarily affects the respiratory tract, but sometimes also other organs, including the central nervous system (CNS). It is not well understood how the virus affects the CNS and how frequently it happens. Our review provides insight into the occurrence of mental disorders in Corona Virus Disease 2019 (COVID-19) patients. We also collected information about the biological basis of the susceptibility of brain cells to SARS-CoV-2 and its implication to psychiatric manifestations. We included 24 publications in our review, reporting psychiatric manifestations published between 31 December 2019 and 30 July 2020, using the Preferred Reporting Items for Systemic Review and Meta-Analysis statement. Mental disorders occurred in up to one-fifth of patients during the acute phase of the infection. The most common disorders included anxiety-related disorders, mood-spectrum disorders, impaired consciousness, confusion, delirium and psychosis. The onset of psychiatric manifestations is not always preceded by respiratory symptoms, but occurs initially in COVID-19 patients. Long-term manifestations are mainly depression and post-traumatic stress symptoms. The obtained data allow the statement that direct infection of the CNS by SARS-CoV-2 could be responsible for the observed findings. To further investigate long-term psychiatric manifestations, randomised controlled studies must be initiated.

Symptomatology of Public Hospital Patients Entering Long-Term Psychodynamic Psychotherapy

2008 ◽  
Author(s):  
Jared A. DeFife ◽  
Rebecca L. Drill ◽  
Jack Beinashowitz ◽  
Ash Turnbull ◽  
Elizabeth B. Naughter
Keyword(s):  
Psychodynamic Psychotherapy ◽  
Public Hospital ◽  
Hospital Patients
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