Course of self-reported symptoms of 342 outpatients receiving medium- versus long-term psychodynamic psychotherapy

Nolte, S., Erdur, L., Fischer, H. F., Rose, M. and Palmowski, B. 2016, Course of self-reported symptoms of 342 outpatients receiving medium- versus long-term psychodynamic psychotherapy, BioPsychoSocial medicine, vol. 10, no. 23, doi: 10.1186/s13030-016-0074-4.

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Title Course of self-reported symptoms of 342 outpatients receiving medium- versus long-term psychodynamic psychotherapy
Author(s) Nolte, S.ORCID iD for Nolte, S. orcid.org/0000-0001-6185-9423
Erdur, L.
Fischer, H. F.
Rose, M.
Palmowski, B.
Journal name BioPsychoSocial medicine
Volume number 10
Issue number 23
Total pages 10
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2016-07-29
ISSN 1751-0759
Keyword(s) Longitudinal data
Observational study
Outcomes assessment
Psychodynamic psychotherapy
Psychosomatic medicine
Self-report data
Symptom rating
Science & Technology
Social Sciences
Life Sciences & Biomedicine
Psychiatry
Psychology, Multidisciplinary
Psychology
TRUE GLOBAL BURDEN
MENTAL-DISORDERS
PERSONALITY-DISORDERS
METAANALYSIS
CHALLENGES
HEALTH
Summary BACKGROUND: The course of self-reported symptoms during medium- versus long-term psychodynamic psychotherapy has rarely been documented for outpatient settings. This observational study describes routine practice of ambulatory treatment in Germany and explores self-reported symptoms of a broad patient sample undergoing one (medium-term) versus two years (long-term) of psychodynamic psychotherapy. METHODS: Over four and a half years, longitudinal self-report symptom data were collected from 342 outpatients as part of a standardized documentation system. Self-report data were compared between patients receiving either medium-term or long-term psychodynamic psychotherapy. RESULTS: Routine care significantly decreased disease burden as reported by patients by small to medium effect sizes (ES) for depression (ES = 0.58), anxiety (ES = 0.49), obsessive-compulsive disorder (ES = 0.54), somatoform disorder (ES = 0.32), eating disorder (ES = 0.38). The majority of patients completed treatment after one year and showed medium-size changes. For a subgroup of patients with depressive and/or obsessive-compulsive disorder symptoms for whom two years of therapy were deemed necessary, additional benefits were reported during the second year of treatment (ES = 0.61 and ES  0.47, respectively). CONCLUSIONS: Our findings suggest that both medium- and long-term psychodynamic psychotherapy decrease self-reported disease burden of patients with depression, anxiety, obsessive-compulsive, somatoform and/or eating disorders. For a subgroup of patients, additional benefits were gained in the second year of treatment.
Language eng
DOI 10.1186/s13030-016-0074-4
Indigenous content off
Field of Research 1701 Psychology
1702 Cognitive Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2016, The Authors
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30117627

Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
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