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[PMID]:28456025
[Au] Autor:Quilty LC; Taylor GJ; McBride C; Bagby RM
[Ad] Endereço:Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, 250 College Street, Toronto, ON, Canada M5T 1R8; Department of Psychiatry, University of Toronto, 250 College Street Toronto, ON, Canada M5T 1R8. Electronic address: lena.quilty@camh.ca.
[Ti] Título:Relationships among alexithymia, therapeutic alliance, and psychotherapy outcome in major depressive disorder.
[So] Source:Psychiatry Res;254:75-79, 2017 Aug.
[Is] ISSN:1872-7123
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:Previous studies have found that alexithymia predicts process and outcome of psychodynamic psychotherapy across a range of psychiatric disorders. There is preliminary evidence that alexithymia may exert its effects on outcome through the therapist. Other studies have found that alexithymia does not influence outcome of cognitive-behavioral therapy (CBT). The aim of the current study was to investigate the capacity of alexithymia to predict therapist- and patient-rated therapeutic alliance and response to CBT and interpersonal psychotherapy (IPT) for major depressive disorder. A total of 75 adults with major depressive disorder were randomized to receive weekly sessions of manualized individual CBT or IPT for a period of 16 weeks. Pre-treatment alexithymia exhibited a positive direct effect on depression change, and a negative indirect effect on depression change via patient-rated alliance at week 13. There was no mediating role of therapist-rated alliance. Although these findings are preliminary, they suggest that pre-treatment alexithymia has meaningful links to psychotherapy process and outcome, and that nuanced analyses incorporating intervening variables are necessary to elucidate the nature of these links.
[Mh] Termos MeSH primário: Sintomas Afetivos/psicologia
Sintomas Afetivos/terapia
Transtorno Depressivo Maior/psicologia
Transtorno Depressivo Maior/terapia
Escalas de Graduação Psiquiátrica
Psicoterapia/métodos
[Mh] Termos MeSH secundário: Adulto
Sintomas Afetivos/diagnóstico
Terapia Cognitiva/métodos
Terapia Cognitiva/tendências
Transtorno Depressivo Maior/diagnóstico
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Prospectivos
Processos Psicoterapêuticos
Psicoterapia/tendências
Psicoterapia Psicodinâmica/métodos
Psicoterapia Psicodinâmica/tendências
Distribuição Aleatória
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180131
[Lr] Data última revisão:
180131
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE


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[PMID]:28987054
[Au] Autor:Sieradzki A; Szechinski M; Malyszczak K
[Ad] Endereço:Zaklad Psychoterapii i Chorób Psychosomatycznych Katedry Psychiatrii Uniwersytetu Medycznego we Wroclawiu.
[Ti] Título:The effects of short-term group psychodynamic psychotherapy on the personality traits of patients treated in a day ward.
[Ti] Título:Wplyw krótkoterminowej grupowej psychoterapii psychodynamicznej na cechy osobowosci pacjentów leczonych na oddziale dziennym..
[So] Source:Psychiatr Pol;51(4):633-646, 2017 Aug 29.
[Is] ISSN:2391-5854
[Cp] País de publicação:Poland
[La] Idioma:eng; pol
[Ab] Resumo:OBJECTIVES: In the literature, there is no research that would indicate how a change in specific personality elements may affect the therapeutic effect of short-term group psychodynamic psychotherapy (STGP). The aim of the study was to evaluate the effect of short-term group psychodynamic psychotherapy on personality traits in apopulation of patients with neurotic and personality disorders in a day ward of neurosis treatment. METHODS: The study involved 139 people with anxiety and personality disorders, including 110 who participated in the control measurements. The dimensions of personality (neuroticism, extraversion, psychoticism, lie) were assessed on the basis of the Eysenck Personality Questionnaire (EPQ) adapted to the Polish conditions. The measurements were made at two time points: (1) before treatment, (2) after 12 weeks of treatment. RESULTS: During therapy the level of neuroticism, extraversion, psychoticism and lie did not change significantly in the group of neurotic patients. In the group of people with personality disorders, the level of neuroticism significantly decreased (p = 0.0008), whereas the level of extraversion increased (p = 0.037). The values for psychoticism and lie did not change significantly in the course of psychotherapy in any group of patients. CONCLUSIONS: The dynamics of changes in neuroticism and extraversion under the influence of short-term group psychodynamic psychotherapy (STGP) in a day ward of neurosis treatment seems to be an important marker for assessing the effectiveness of the treatment in people suffering from personality disorders. There is a need to develop more precise parameters for the assessment of recovery in the group of people with anxiety disorders.
[Mh] Termos MeSH primário: Transtornos de Ansiedade/terapia
Transtornos da Personalidade/terapia
Psicoterapia de Grupo/métodos
Psicoterapia Psicodinâmica/métodos
[Mh] Termos MeSH secundário: Adulto
Transtornos de Ansiedade/psicologia
Estudos de Casos e Controles
Terapia Cognitiva/métodos
Feminino
Seres Humanos
Masculino
Transtornos da Personalidade/psicologia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171008
[St] Status:MEDLINE


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[PMID]:28837582
[Au] Autor:Gumz A; Neubauer K; Horstkotte JK; Geyer M; Löwe B; Murray AM; Kästner D
[Ad] Endereço:Berlin University of Psychology (PHB), Berlin, Germany.
[Ti] Título:A bottom-up approach to assess verbal therapeutic techniques. Development of the Psychodynamic Interventions List (PIL).
[So] Source:PLoS One;12(8):e0182949, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Knowing which specific verbal techniques "good" therapists use in their daily work is important for training and evaluation purposes. In order to systematize what is being practiced in the field, our aim was to empirically identify verbal techniques applied in psychodynamic sessions and to differentiate them according to their basic semantic features using a bottom-up, qualitative approach. METHOD: Mixed-Method-Design: In a comprehensive qualitative study, types of techniques were identified at the level of utterances based on transcribed psychodynamic therapy sessions using Qualitative Content Analysis (4211 utterances). The definitions of the identified categories were successively refined and modified until saturation was achieved. In a subsequent quantitative study, inter-rater reliability was assessed both at the level of utterances (n = 8717) and at the session level (n = 38). The convergent validity of the categories was investigated by analyzing associations with the Interpretive and Supportive Technique Scale (ISTS). RESULTS: The inductive approach resulted in a classification system with 37 categories (Psychodynamic Interventions List, PIL). According to their semantic content, the categories can be allocated to three dimensions: form (24 categories), thematic content (9) and temporal focus (4). Most categories showed good or excellent inter-rater reliability and expected associations with the ISTS were predominantly confirmed. The rare use of the residual category "Other" suggests that the identified categories might comprehensively describe the breadth of applied techniques. CONCLUSIONS: The atheoretical orientation and the clear focus on overt linguistic features should enable the PIL to be used without intensive training or prior theoretical knowledge. The PIL can be used to investigate the links between verbal techniques derived from practice and micro-outcomes (at the session level) as well as the overall therapeutic outcomes. This approach might enable us to determine to what extent the outcome of therapy is due to unintended or non-theoretically relevant techniques.
[Mh] Termos MeSH primário: Pessoal de Saúde
Psicoterapia Psicodinâmica/métodos
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Psicoterapia Psicodinâmica/recursos humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170825
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0182949


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[PMID]:28701097
[Au] Autor:Cropp C
[Ad] Endereço:Asklepios Fachklinikum Tiefenbrunn 37124 Rosdorf Deutschland Asklepios Fachklinikum Tiefenbrunn.
[Ti] Título:[The Psychoanalytic-interactional Method (PIM): A Psychodynamic Treatment for Adolescents with Severe Disorders of Personality Functioning].
[Ti] Título:Die psychoanalytisch-interaktionelle Methode (PIM): Ein psychodynamischer Behandlungsansatz für Jugendliche mit schweren strukturellen Störungen..
[So] Source:Prax Kinderpsychol Kinderpsychiatr;66(6):435-444, 2017 Jul.
[Is] ISSN:0032-7034
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:The Psychoanalytic-interactional Method (PIM): A Psychodynamic Treatment for Adolescents with Severe Disorders of Personality Functioning The psychoanalytic-interactional method (PIM) was developed as a psychodynamic treatment for adult patients with severe disorders of personality functioning (Streeck u. Leichsenring, 2015). However, it is also well suited for the treatment of adolescent patients because its techniques fit with specific conditions of adolescence. A modified version of the PIM for adolescents (Streeck-Fischer, Cropp, Streeck, Salzer, 2016) has proven to be efficacious. The paper describes the basic principles of the PIM and names aspects that have to be taken into account in the treatment of adolescents with severe disorders of personality functioning. Finally, previous empirical results regarding the PIM treatment in adolescence are presented.
[Mh] Termos MeSH primário: Transtornos da Personalidade/psicologia
Transtornos da Personalidade/terapia
Terapia Psicanalítica/métodos
Psicoterapia Psicodinâmica/métodos
[Mh] Termos MeSH secundário: Adolescente
Seres Humanos
Apego ao Objeto
Transtornos da Personalidade/diagnóstico
Relações Profissional-Paciente
Ensaios Clínicos Controlados Aleatórios como Assunto
Comportamento Autodestrutivo/diagnóstico
Comportamento Autodestrutivo/psicologia
Comportamento Autodestrutivo/terapia
Teoria da Mente
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170714
[St] Status:MEDLINE
[do] DOI:10.13109/prkk.2017.66.6.435


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[PMID]:28701091
[Au] Autor:Taubner S; Volkert J; Gablonski TC; Rossouw T
[Ad] Endereço:Institut für Psychosoziale Prävention Zentrum für Psychosoziale Medizin Universitätsklinikum Heidelberg Thibautstraße 2 69115 Heidelberg Deutschland Zentrum für Psychosoziale Medizin Heidelberg.
[Ti] Título:[Mentalization-Based Treatment for Adolescents with Borderline Personality Disorder - Concept and Efficacy].
[Ti] Título:Mentalisierungsbasierte Therapie bei Adoleszenten mit Borderline-Persönlichkeitsstörung ­ Konzept und Wirksamkeit..
[So] Source:Prax Kinderpsychol Kinderpsychiatr;66(6):423-434, 2017 Jul.
[Is] ISSN:0032-7034
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:Mentalization-Based Treatment for Adolescents with Borderline Personality Disorder - Concept and Efficacy In recent years, the concept of mentalization has become increasingly important in practice and research. It describes the imaginative ability to understand human behavior in terms of mental states. Mentalization is a central component to understand the etiology and to treat patients with borderline personality disorder (BPD). Both adult and adolescent patients with BPD have limited mentalization abilities, which can be reliably assessed using the Reflective Functioning Scale. Mentalization-Based Treatment (MBT) was originally developed as an integrative approach for the treatment of adult patients with BPD. It is a manualized psychotherapy with psychodynamic roots with the aim to increase mentalizing abilities of patients. Since then, MBT has been further developed for other mental disorders as well as for the treatment of different age groups. One of these developments is MBT for Adolescents (MBT-A). MBT-A includes both individual as well as family sessions and the average duration of therapy is about twelve months. MBT-A can be applied in inpatient and outpatient settings and aims to improve mentalizing abilities in emotionally important relationships and the whole family system. First studies have found evidence for the efficacy of MBT-A. A randomized controlled trial (RCT) is currently being carried out to evaluate the efficacy of MBT-A for adolescents with conduct disorder. However, further evidence for efficacy and further conceptual development is needed.
[Mh] Termos MeSH primário: Transtorno da Personalidade Borderline/terapia
Psicoterapia Psicodinâmica/métodos
Teoria da Mente
Resultado do Tratamento
[Mh] Termos MeSH secundário: Adolescente
Transtorno da Personalidade Borderline/diagnóstico
Transtorno da Personalidade Borderline/psicologia
Terapia Combinada
Seres Humanos
Terapia Psicanalítica/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170714
[St] Status:MEDLINE
[do] DOI:10.13109/prkk.2017.66.6.423


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[PMID]:28636574
[Au] Autor:Restek-Petrovic B; Majdancic A; Molnar S; Grah M; Ivezic E; Filipcic I; Bogovic A; Grosic V; Mayer N; Kezic S; Pavlovic I
[Ad] Endereço:Psychiatric Hospital "Sveti Ivan", Jankomir 11, 10000 Zagreb, Croatia, branka.restek-petrovic@pbsvi.hr.
[Ti] Título:Early intervention programme for patients with psychotic disorders in "Sveti Ivan" Psychiatric hospital (RIPEPP) - sociodemographic and baseline characteristics of the participants.
[So] Source:Psychiatr Danub;29(2):162-170, 2017 Jun.
[Is] ISSN:0353-5053
[Cp] País de publicação:Croatia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Psychiatric hospital "Sveti Ivan" in Zagreb, Croatia, offers an outpatient Early intervention programme for patients with psychotic disorders (RIPEPP), consisting of psychoeducational workshops and group psychodynamic psychotherapy. The aim of this study was to describe sociodemographic and baseline characteristics of the participants, in order to provide better understanding of this population, and to assist with the development of more effective therapeutic approaches. SUBJECTS AND METHODS: Since 2008, a total of 245 patients with first episodes of psychosis and their family members participated in the programme. They filled out several questionnaires within the framework of the programme evaluation, but for the purposes of this study, only data collected on sociodemographic questionnaire and the Health of the Nation Outcome Scales (HoNOS) are presented. RESULTS: Majority of the participants were male (66%), at the average age of 28 (SD=6.6), living with their parents (73.5%). Most of them finished secondary school (45.7%) but almost a quarter of the sample (23.7%) is currently studying at university. The average duration of untreated period was 101.60 days, with a median of 30 days. According to results of HONOS questionnaire, upon entry into the programme, the patients most often listed cognitive functioning (attention, concentration, memory) and professional issues (performance of work tasks and activities tied to work) as the most problematic areas. CONCLUSION: The findings of this study provide more detailed description of the beneficiaries of the RIPEPP programme, which can contribute to forming future programmes for the prevention of psychotic disorders.
[Mh] Termos MeSH primário: Intervenção Médica Precoce
Hospitais Psiquiátricos
Psicoterapia Psicodinâmica
Transtornos Psicóticos/terapia
[Mh] Termos MeSH secundário: Adulto
Terapia Comportamental/métodos
Terapia Combinada
Croácia
Educação
Terapia Familiar/métodos
Feminino
Seres Humanos
Masculino
Admissão do Paciente
Psicoterapia de Grupo/métodos
Transtornos Psicóticos/diagnóstico
Transtornos Psicóticos/psicologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170622
[St] Status:MEDLINE


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[PMID]:28598956
[Au] Autor:Perry JC; Bond M; Békés V
[Ad] Endereço:McGill University at the Institute of Community and Family Psychiatry, Jewish General Hospital, Montréal, Québec, Canada.
[Ti] Título:The Rate of Improvement in Long-Term Dynamic Psychotherapy For Borderline Personality Disorder.
[So] Source:J Nerv Ment Dis;205(7):517-524, 2017 Jul.
[Is] ISSN:1539-736X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Controlled trials of psychotherapy and follow-up studies of borderline personality disorder (BPD) have shown significant, but usually limited, improvement. We examined the hypothesis that BPD changes more slowly than nonborderline disorders. In a study of long-term dynamic psychotherapy, 16 subjects with BPD and 35 with non-BPD disorders were treated for a median of 3 years with a follow-up of 5 years. From periodic assessments, we calculated the rate of change for each subject over the course of the study on each measure of symptoms and functioning. At intake, borderline psychopathology was associated with higher levels on 76% of 17 measures of comorbid axis I disorders, symptoms, and functioning. BPD psychopathology was associated with faster (not slower) rates of improvement on three measures, but after controlling for the initial level of each measure, there were no significant associations. These findings counsel both optimism and patience in the long-term treatment of patients with BPD.
[Mh] Termos MeSH primário: Transtorno da Personalidade Borderline/terapia
Transtornos Mentais/terapia
Avaliação de Resultados (Cuidados de Saúde)/métodos
Processos Psicoterapêuticos
Psicoterapia Psicodinâmica/métodos
[Mh] Termos MeSH secundário: Adulto
Transtorno da Personalidade Borderline/epidemiologia
Comorbidade
Feminino
Seguimentos
Seres Humanos
Masculino
Transtornos Mentais/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170719
[Lr] Data última revisão:
170719
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170610
[St] Status:MEDLINE
[do] DOI:10.1097/NMD.0000000000000697


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[PMID]:28541091
[Au] Autor:Steinert C; Munder T; Rabung S; Hoyer J; Leichsenring F
[Ad] Endereço:From the Department of Psychosomatics and Psychotherapy, University of Giessen, Giessen, Germany; Psychologische Hochschule Berlin, Berlin; the Department of Psychology, Alps-Adriatic University of Klagenfurt, Klagenfurt, Austria; and the Institute of Clinical Psychology and Psychotherapy, Technical
[Ti] Título:Psychodynamic Therapy: As Efficacious as Other Empirically Supported Treatments? A Meta-Analysis Testing Equivalence of Outcomes.
[So] Source:Am J Psychiatry;174(10):943-953, 2017 Oct 01.
[Is] ISSN:1535-7228
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Pharmacotherapy, cognitive-behavioral therapy (CBT), and psychodynamic therapy are most frequently applied to treat mental disorders. However, whether psychodynamic therapy is as efficacious as other empirically supported treatments is not yet clear. Thus, for the first time the equivalence of psychodynamic therapy to treatments established in efficacy was formally tested. The authors controlled for researcher allegiance effects by including representatives of psychodynamic therapy and CBT, the main rival psychotherapeutic treatments (adversarial collaboration). METHOD: The authors applied the formal criteria for testing equivalence, implying a particularly strict test: a priori defining a margin compatible with equivalence (g=0.25), using the two one-sided test procedure, and ensuring the efficacy of the comparator. Independent raters assessed effect sizes, study quality, and allegiance. A systematic literature search used the following criteria: randomized controlled trial of manual-guided psychodynamic therapy in adults, testing psychodynamic therapy against a treatment with efficacy established for the disorder under study, and applying reliable and valid outcome measures. The primary outcome was "target symptoms" (e.g., depressive symptoms in depressive disorders). RESULTS: Twenty-three randomized controlled trials with 2,751 patients were included. The mean study quality was good as demonstrated by reliable rating methods. Statistical analyses showed equivalence of psychodynamic therapy to comparison conditions for target symptoms at posttreatment (g=-0.153, 90% equivalence CI=-0.227 to -0.079) and at follow-up (g=-0.049, 90% equivalence CI=-0.137 to -0.038) because both CIs were included in the equivalence interval (-0.25 to 0.25). CONCLUSIONS: Results suggest equivalence of psychodynamic therapy to treatments established in efficacy. Further research should examine who benefits most from which treatment.
[Mh] Termos MeSH primário: Terapia Cognitiva
Transtornos Mentais/terapia
Psicoterapia Psicodinâmica
[Mh] Termos MeSH secundário: Transtornos de Ansiedade/terapia
Transtorno Depressivo/terapia
Transtornos da Alimentação e da Ingestão de Alimentos/terapia
Seres Humanos
Transtornos da Personalidade/terapia
Ensaios Clínicos Controlados Aleatórios como Assunto
Transtornos de Estresse Pós-Traumáticos/terapia
Transtornos Relacionados ao Uso de Substâncias/terapia
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.1176/appi.ajp.2017.17010057


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[PMID]:28511190
[Au] Autor:Pitman SR; Hilsenroth MJ; Weinberger J; Conway F; Owen J
[Ad] Endereço:*Derner Institute of Advanced Psychological Studies, Adelphi University, Garden City, New York; †Graduate School of Applied and Professional Psychology, Rutgers University, Piscataway, New Jersey; and ‡University of Denver, Denver, Colorado.
[Ti] Título:Psychotherapy Technique Related to Changes in Anxiety Symptoms With a Transdiagnostic Sample.
[So] Source:J Nerv Ment Dis;205(6):427-435, 2017 Jun.
[Is] ISSN:1539-736X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The current study examined how techniques in a psychodynamic model of therapy (Blagys and Hilsenroth, Clin Psychol Sci Pract. 7, 167-188, 2000) were related to changes in anxiety symptoms across early treatment process among a transdiagnostic sample of patients with primary anxiety disorder, subclinical anxiety disorder, and no anxiety disorder. Secondary analyses examined the use of specific psychodynamic techniques in relation to symptom change. Results revealed that therapists' use of psychodynamic-interpersonal (PI) techniques were significantly and directly related to changes in anxiety symptoms, in line with previous findings (Pitman, Slavin-Mulford, and Hilsenroth, J Nerv Ment Dis. 202, 391-396, 2014). In addition, patients with co-occurring axis I and II disorders demonstrated positive changes in anxiety symptoms regardless of level of PI technique used, whereas patients without co-occurring disorders experienced greater improvement with more PI. Implications for transdiagnostic treatment protocols for anxiety, notably Leichsenring and Salzer's (Psychotherapy 51, 224, 2104) Unified Psychodynamic Protocol for Anxiety Disorders, are discussed in relation to the current findings.
[Mh] Termos MeSH primário: Transtornos de Ansiedade/terapia
Ansiedade/terapia
Relações Interpessoais
Avaliação de Processos e Resultados (Cuidados de Saúde)
Transtornos da Personalidade/terapia
Psicoterapia Psicodinâmica/métodos
[Mh] Termos MeSH secundário: Adulto
Ansiedade/epidemiologia
Transtornos de Ansiedade/epidemiologia
Comorbidade
Feminino
Seres Humanos
Masculino
Transtornos da Personalidade/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170630
[Lr] Data última revisão:
170630
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170517
[St] Status:MEDLINE
[do] DOI:10.1097/NMD.0000000000000689


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[PMID]:28288592
[Au] Autor:Wiltink J; Ruckes C; Hoyer J; Leichsenring F; Joraschky P; Leweke F; Pöhlmann K; Beutel ME
[Ad] Endereço:Clinic of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany. joerg.wiltink@unimedizin-mainz.de.
[Ti] Título:Transfer of manualized Short Term Psychodynamic Psychotherapy (STPP) for social anxiety disorder into clinical practice: results from a cluster-randomised controlled trial.
[So] Source:BMC Psychiatry;17(1):92, 2017 Mar 14.
[Is] ISSN:1471-244X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Despite growing evidence for manualized psychodynamic treatments, there is a lack of studies on their transfer to routine practice. This is the first study to examine the effects of an additional training in manualized Short Term Psychodynamic Psychotherapy (STPP) on the outcome in routine psychotherapy for social anxiety disorder (SAD). The study is an extension to a large RCT comparing STPP to Cognitive-Behavioral Therapy of SAD. METHODS: The manualized treatment was designed for a time limited approach with 25 individual sessions of STPP over 6 months. Private practitioners were randomized to training in manualized STPP (mSTPP) vs. treatment as usual without a specific training (tauSTPP). A total of 109 patients were enrolled (105 started treatment; 75 completed at least 20 treatment sessions). Assessments were conducted pre-treatment, after 8 and 15 weeks, after 25 treatment sessions, at the end of treatment, 6 and 12 months after termination of treatment. Remission as primary outcome was defined by the Liebowitz-Social-Anxiety-Scale (LSAS) score ≤30. Secondary outcomes were response (at least 31% reduction in LSAS), treatment duration and number of sessions, changes in social anxiety (LSAS, SPAI), depression (BDI), clinical global impression (CGI), and quality of life (EQ-5D). RESULTS: Remission rates of mSTPP (9%) resp. tauSTPP (16%) and also response rates of 33% resp. 28% were comparable between the two treatment approaches as well as treatment duration and number of sessions. Most of the within-group differences (baseline to 25 sessions) indicated moderate to large improvements in both treatments; within-group differences from baseline to 12 months follow-up (LSAS, SPAI, BDI, CGI) were large ranging from d = -0.605 to d = -2.937. Benefits of mSTPP were limited to single outcomes. CONCLUSIONS: Findings are discussed with regard to implementation and dissemination of empirically validated treatments in psychodynamic training and practice. SAD patients with a high comorbidity of personality disorders and a long treatment history may need longer treatments. TRIAL REGISTRATION: German Clinical Trials Register (DRKS) DRKS00000570 , registered 03. March 2011.
[Mh] Termos MeSH primário: Depressão/terapia
Fobia Social/terapia
Psicoterapia Breve/métodos
Psicoterapia Psicodinâmica/métodos
[Mh] Termos MeSH secundário: Adulto
Terapia Cognitiva/métodos
Medo
Feminino
Seres Humanos
Masculino
Meia-Idade
Escalas de Graduação Psiquiátrica
Qualidade de Vida
Projetos de Pesquisa
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170717
[Lr] Data última revisão:
170717
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170315
[St] Status:MEDLINE
[do] DOI:10.1186/s12888-017-1257-7



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