Pretreatment clinical and psychosocial predictors of remission from depression after short-term psychodynamic psychotherapy and solution-focused therapy: a 1-year follow-up study

AbstractObjectivePatient's pre-treatment suitability for short-term psychodynamic psychotherapy (STPP) and solution-focused therapy (SFT) has not been compared. The aim of this study was to compare the prediction of psychological suitability measures on outcome of STPP vs. SFT.MethodAltogether 198 patients with mood or anxiety disorder were randomized to STPP or SFT. A 7-item Suitability for Psychotherapy Scale (SPS) was assessed at baseline and a cumulative SPS score was formed. Psychiatric symptoms were measured using SCL-90-GSI at baseline and seven times during a 3-year follow-up.ResultsThe SPS score predicted the outcome of both short-term psychotherapies; for patients with a good score short-term therapies seemed beneficial, whereas for patients with a poor score they did not seem sufficient. There was no difference between STPP and SFT in the prediction of the SPS score.ConclusionsPsychological suitability measures may apparently be useful in the prediction of overall short-term psychotherapy outcomes.

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The Cost-Effectiveness of Short-Term Psychodynamic Psychotherapy and Solution-Focused Therapy in the Treatment of Depressive and Anxiety Disorders during a Three-Year Follow-Up

Open Journal of Psychiatry ◽

10.4236/ojpsych.2014.43030 ◽

2014 ◽

Vol 04 (03) ◽

pp. 238-250 ◽

Cited By ~ 1

Author(s):

Timo Maljanen ◽

Tommi Härkänen ◽

Esa Virtala ◽

Olavi Lindfors ◽

Päivi Tillman ◽

...

Keyword(s):

Cost Effectiveness ◽

Anxiety Disorders ◽

Psychodynamic Psychotherapy ◽

Short Term ◽

The Cost ◽

Solution Focused ◽

Solution Focused Therapy

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Randomized trial on the effectiveness of long-and short-term psychodynamic psychotherapy and solution-focused therapy on psychiatric symptoms during a 3-year follow-up

Psychological Medicine ◽

10.1017/s003329170700164x ◽

2007 ◽

Vol 38 (5) ◽

pp. 689-703 ◽

Cited By ~ 160

Author(s):

P. Knekt ◽

O. Lindfors ◽

T. Härkänen ◽

M. Välikoski ◽

E. Virtala ◽

...

Keyword(s):

Anxiety Disorders ◽

Outcome Measures ◽

Psychodynamic Psychotherapy ◽

Rating Scale ◽

Self Report ◽

Short Term ◽

Solution Focused ◽

Solution Focused Therapy

BackgroundInsufficient evidence exists for a viable choice between long- and short-term psychotherapies in the treatment of psychiatric disorders. The present trial compares the effectiveness of one long-term therapy and two short-term therapies in the treatment of mood and anxiety disorders.MethodIn the Helsinki Psychotherapy Study, 326 out-patients with mood (84.7%) or anxiety disorder (43.6%) were randomly assigned to three treatment groups (long-term psychodynamic psychotherapy, short-term psychodynamic psychotherapy, and solution-focused therapy) and were followed up for 3 years from start of treatment. Primary outcome measures were depressive symptoms measured by self-report Beck Depression Inventory (BDI) and observer-rated Hamilton Depression Rating Scale (HAMD), and anxiety symptoms measured by self-report Symptom Check List Anxiety Scale (SCL-90-Anx) and observer-rated Hamilton Anxiety Rating Scale (HAMA).ResultsA statistically significant reduction of symptoms was noted for BDI (51%), HAMD (36%), SCL-90-Anx (41%) and HAMA (38%) during the 3-year follow-up. Short-term psychodynamic psychotherapy was more effective than long-term psychodynamic psychotherapy during the first year, showing 15–27% lower scores for the four outcome measures. During the second year of follow-up no significant differences were found between the short-term and long-term therapies, and after 3 years of follow-up long-term psychodynamic psychotherapy was more effective with 14–37% lower scores for the outcome variables. No statistically significant differences were found in the effectiveness of the short-term therapies.ConclusionsShort-term therapies produce benefits more quickly than long-term psychodynamic psychotherapy but in the long run long-term psychodynamic psychotherapy is superior to short-term therapies. However, more research is needed to determine which patients should be given long-term psychotherapy for the treatment of mood or anxiety disorders.

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The Effectiveness of Solution-Focused Therapy and Short- and Long-Term Psychodynamic Psychotherapy on Self-Concept During a 3-Year Follow-Up

The Journal of Nervous and Mental Disease ◽

10.1097/nmd.0b013e3182718c6b ◽

2012 ◽

Vol 200 (11) ◽

pp. 946-953 ◽

Cited By ~ 12

Author(s):

Olavi Lindfors ◽

Paul Knekt ◽

Esa Virtala ◽

Maarit A. Laaksonen

Keyword(s):

Psychodynamic Psychotherapy ◽

Self Concept ◽

Short And Long Term ◽

Solution Focused ◽

Solution Focused Therapy

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Changes in lifestyle for psychiatric patients three years after the start of short- and long-term psychodynamic psychotherapy and solution-focused therapy

European Psychiatry ◽

10.1016/j.eurpsy.2009.03.006 ◽

2010 ◽

Vol 25 (1) ◽

pp. 1-7 ◽

Cited By ~ 8

Author(s):

P. Knekt ◽

M.A. Laaksonen ◽

R. Raitasalo ◽

P. Haaramo ◽

O. Lindfors

Keyword(s):

Alcohol Consumption ◽

Serum Cholesterol ◽

Psychodynamic Psychotherapy ◽

Psychiatric Patients ◽

Lifestyle Changes ◽

Term Therapy ◽

Short Term ◽

Solution Focused ◽

Solution Focused Therapy

AbstractObjectivesLifestyle is less favourable among individuals suffering from psychiatric disorders. We studied whether psychotherapy brings along changes in lifestyle and whether these changes differ between short-term and long-term psychodynamic psychotherapy (SPP and LPP) and solution-focused therapy (SFT).MethodsA total of 326 outpatients, 20–46 years of age, with mood or anxiety disorder were randomly assigned to LPP, SPP and SFT. The lifestyle variables considered were alcohol consumption, smoking, body mass index (BMI), leisure time exercise and serum cholesterol. The patients were monitored for three years from the start of treatment.ResultsDuring the three-year follow-up, BMI and serum cholesterol rose statistically significantly although no statistically significant trends were shown for alcohol consumption, smoking or exercise. SPP showed a disadvantage of increased alcohol consumption and serum cholesterol level when compared with LPP. SFT showed an advantage of reduced smoking in comparison with SPP.DiscussionSmall therapy-specific changes in lifestyle may be a result from psychotherapy treatment. These lifestyle changes are apparently more common in short-term therapy. More studies are needed to verify these findings.

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