Intensive Short-Term Dynamic Psychotherapy: A Systematic Review and Meta-analysis of Outcome Research (original) (raw)
2012, Harvard Review of Psychiatry
Habib Davanloo has spent his career developing and teaching methods to accelerate dynamic psychotherapy, including his technique of intensive short-term dynamic psychotherapy (ISTDP). Over the past 20 years, outcome studies using this treatment have been conducted and published. We performed a systematic review of the literature to obtain studies presenting ISTDP outcome data. We found 21 studies (10 controlled, and 11 uncontrolled) reporting the effects of ISTDP in patients with mood, anxiety, personality, and somatic disorders. Using the random-effects model, we performed meta-analyses including 13 of these studies and found pre-to post-treatment effect sizes (Cohen's d) ranging from 0.84 (interpersonal problems) to 1.51 (depression). Post-treatment to follow-up effect sizes suggested that these gains were maintained at follow-up. Based on post-treatment effect sizes, ISTDP was significantly more efficacious than control conditions (d = 1.18; general psychopathology measures). Study quality was highly variable, and there was significant heterogeneity in some analyses. Eight studies using various measures suggested ISTDP was cost-effective. Within limitations of study methodologies, this evidence supports the application of ISTDP across a broad range of populations. Further rigorous and targeted research into this method is warranted. (HARV REV PSYCHIATRY 2012;20:97-108.) The term significant and its variations are used throughout to refer to statistical significance. Harv Rev Psychiatry Downloaded from informahealthcare.com by 148.122.12.94 on 04/18/12
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Psychotherapy, 2016
Experiential dynamic therapy (EDT) is a subgroup of short-term psychodynamic psychotherapy (STPP) that emphasizes patients' in-session affective processing. To evaluate the efficacy of EDT for psychiatric conditions, we conducted a meta-analysis of randomized controlled trials. Twenty-eight studies published between 1978 and 2014 were included, encompassing 1,782 adult patients with mood, anxiety, personality, or mixed disorders. Across targeted outcome domains, medium-size between-groups effects (Cohen's ds ranging from 0.39 to 0.65) favored EDT over inactive controls at posttreatment and in symptom measures at follow-up. We found no differences between EDT and active treatments (e.g., medication, cognitive-behavioral therapy, manualized supportive therapy) at posttreatment, but EDT outperformed supportive therapy at follow-up (d ϭ 0.75). In terms of within-group effect sizes, EDT was associated with large improvements in general psychiatric symptoms (d ϭ 1.11), depression (d ϭ 1.33), and anxiety (d ϭ 1.09) and with small to moderate gains in the areas of interpersonal problems (d ϭ 0.55) and global functioning (d ϭ 0.86). Small but significant effects suggested continued improvement between posttreatment and follow-up. Heterogeneity in pre-post effects was explored in subgroup analyses, which indicated that EDT might be most effective in depressive disorders and that individual EDT had larger effects compared with group treatment. In addition, EDT performed better in higher quality studies. We conclude that EDT is a promising treatment for psychiatric conditions in adults. Further high-quality studies evaluating contemporary versions of EDT in specific psychiatric conditions are warranted.
The Empirical Status of Psychodynamic Therapies
Annual Review of Clinical Psychology, 2008
The goal of the current review is to examine the evidence for the efficacy of dynamic psychotherapy, primarily focusing on studies that meet the rigorous criteria proposed by . We examine whether any progress has been made over the past decade in evaluating the efficacy of dynamic psychotherapy using well-controlled randomized designs. Over the past decade, multiple studies have been published supporting the efficacy of dynamic psychotherapy for the treatment of specific mental disorders. Dynamic psychotherapy should now be included as a possibly efficacious treatment for panic disorder and borderline personality disorder, as well as the original designation of possibly efficacious in the treatment of opiate dependence. In the context of medication usage, dynamic psychotherapy should be considered efficacious in the treatment of major depressive disorder (MDD). Studies suggest that dynamic psychotherapy has great promise as a monotherapy for MDD and alcohol dependence and thus should be evaluated further.
Theory-and-Practice-of-Psychotherapy-with-Specific-Disorders.pdf
This book is designed as a reference source for professional psychotherapists, and as a text for a course in psychotherapy. Its purpose is to reach students of psychology, psychiatry, and social work. It claims to "provide the reader with the newest, most creative and most effective" guidance in psychotherapeutic method. The approach is psychodynamic with due recognition of the person and emphasis on interpersonal relationship as a major healing vehicle. The writers are outstanding members in the fields of psychology and psychiatry. Included are Drs. Salzman, Chrzanowski, Schiffer, Rose Spiegel, and Wolman.
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