Short-Term Psychodynamic Psychotherapy in Patients with “Male Depression” Syndrome, Hopelessness, and Suicide Risk: A Pilot Study

Objectives and Methods. This was an observational study of the efficacy of short-term psychodynamic psychotherapy (STPP) in a sample of 35 (30 women and 5 men) patients with moderate-to-severe “male depression” (Gotland Scale for Male Depression (GSMD) ≥ 13) comorbid with unipolar mood disorder (dysthymia and major depression) or anxiety disorder. Outcome measures were GSMD and BHS (Beck Hopelessness Scale) score changes from baseline.Results. Patients had a strong response to STPP on the GSMD (estimated mean score change(±SE)=−9.08±2.74;P<0.01; partial eta squared =0.50), but not on the BHS (estimated mean score change(±SE)=−0.92±1.55;P=0.57; partial eta squared =0.03). BHS score changes were significantly associated with GSMD score changes (Pearson'sr=0.56;P<0.001), even when controlling for the severity of hopelessness at the baseline (partialr=0.62;P<0.001).Conclusions. STPP proved to be effective in patients suffering from “male depression” although hopelessness was only marginally reduced by this treatment which points to the need to better understand how STPP can be involved in the reduction of suicide risk.

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Psychological Predictors on the Outcome of Short-Term Psychodynamic Psychotherapy and Solution-Focused Therapy in the Treatment of Mood and Anxiety Disorder

European Psychiatry ◽

10.1016/j.eurpsy.2011.12.002 ◽

2012 ◽

Vol 28 (2) ◽

pp. 117-124 ◽

Cited By ~ 9

Author(s):

M.A. Laaksonen ◽

P. Knekt ◽

L. Sares-Jäske ◽

O. Lindfors

Keyword(s):

Anxiety Disorder ◽

Psychodynamic Psychotherapy ◽

Psychiatric Symptoms ◽

Psychotherapy Outcomes ◽

Short Term ◽

Good Score ◽

Pre Treatment ◽

Solution Focused ◽

Solution Focused Therapy

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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Clinicians' conflicting emotional responses to high suicide-risk patients—Association with short-term suicide behaviors: A prospective pilot study

Comprehensive Psychiatry ◽

10.1016/j.comppsych.2017.03.013 ◽

2017 ◽

Vol 76 ◽

pp. 69-78 ◽

Cited By ~ 13

Author(s):

Zimri S. Yaseen ◽

Igor I. Galynker ◽

Lisa J. Cohen ◽

Jessica Briggs

Keyword(s):

Pilot Study ◽

Suicide Risk ◽

Emotional Responses ◽

Short Term ◽

Prospective Pilot Study ◽

Risk Patients ◽

Suicide Behaviors

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The Effectiveness of Three Psychotherapies of Different type and Length in the Treatment of Patients Suffering from Anxiety Disorder

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.1472 ◽

2017 ◽

Vol 41 (S1) ◽

pp. s777-s777

Author(s):

P. Knekt ◽

O. Lindfors ◽

T. Maljanen

Keyword(s):

Anxiety Disorder ◽

Work Ability ◽

Psychodynamic Psychotherapy ◽

Cost Effective ◽

Term Therapy ◽

Short Term ◽

Number Of Patients ◽

Axis I

IntroductionData on the comparative effect of short and long-term psychotherapy in anxiety disorder is scarce.AimTo compare the effectiveness of two short-term therapies and one long-term psychotherapy in the treatment of patients with anxiety disorder.MethodsAltogether 50 outpatients with anxiety disorder as the only axis I diagnosis, were randomly assigned to long-term psychodynamic psychotherapy (LPP), short-term psychodynamic psychotherapy (SPP), and solution-focused therapy (SFT) and were followed for 5 years. The outcome measures were psychiatric symptoms, working ability, need for psychiatric treatment, remission, and cost-effectiveness.ResultsDuring the first year of follow-up, no significant differences in the effectiveness between the therapies were noted. During the following 3 years, LPP and SFT more effectively reduced symptoms, improved work ability, and elevated the remission rate than SPP. No significant differences between LPP and SFT were seen. At the end of the follow-up, the use of auxiliary treatment was lowest in the SFT group whereas remission rates or changes in psychiatric symptom or work ability did not differ between the groups. The average total direct costs were about three times higher in the LPP group than in the short-term therapy groups.ConclusionsThe difference in effectiveness of LPP and SFT was negligible, whereas SPP appeared less effective. Thus, the resource-oriented SFT may be a cost-effective option in this selected patient group, while unconsidered allocation of patients to LPP does not appear to be cost-effective. Given the small number of patients, no firm conclusions should, however be drawn based on this study.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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