Article type
Year
Abstract
Objectives: 1. To systematically review all controlled trials of Short-term Psychodynamic Psychotherapies (STPP). 2. To identify the scope of conditions treated with these modalities. 3. To assess for publication bias regarding STPP. 4. To test the hypotheses that a) STPP has become more efficacious over the past 4 decades, b) STPP is equally efficacious to other therapies and superior to wait-list or minimal treatment controls.
Methods: Search Strategy: 1. Electronic searching using bibliographic databases using multiple and broad terms. 2. Using reference sections of reviews and study reports. 3. Reviewing recent abstract listings of annual general meetings. 4. Electronic Searching of the Trials Register of the Depression, Anxiety and Neurosis group. Selection criteria: All controlled trials with short-term (< 40 sessions) psychodynamic-based therapies, of adults, with adequate data to calculate effect sizes were included. The conditions treated had to have a well documented link to psychodynamic-based mechanisms. Data Collection and Analysis: This reviewer and research assistant independently reviewed papers for selection criteria. Data were categorized in terms of patient's type, control type, therapist experience, whether or not there was a treatment manual, whether there were external adherence ratings, outcome content, outcome source, and presence and nature of follow-up. A Funnel Plot will be performed as a measure of publication bias in STPP. Numbers needed to treat by condition will be calculated. Effect sizes across the domains and diagnoses noted will be performed. Follow-up data will be compared to therapy end results to assess the long-term effects of STPP.
Results: A total of 49 controlled trials comprising over 3000 cases have been found to date. These therapies cover depression, anxiety, personality disorders, somatoform disorders, substance use disorders and eating disorders. The majority of these studies have follow-up data of greater than one year. At this time we are beginning data analysis including assessment for publication bias.
Conclusions: STPP has been studied in a broad range of conditions. Long-term follow-up is common in the study of STPP.
Methods: Search Strategy: 1. Electronic searching using bibliographic databases using multiple and broad terms. 2. Using reference sections of reviews and study reports. 3. Reviewing recent abstract listings of annual general meetings. 4. Electronic Searching of the Trials Register of the Depression, Anxiety and Neurosis group. Selection criteria: All controlled trials with short-term (< 40 sessions) psychodynamic-based therapies, of adults, with adequate data to calculate effect sizes were included. The conditions treated had to have a well documented link to psychodynamic-based mechanisms. Data Collection and Analysis: This reviewer and research assistant independently reviewed papers for selection criteria. Data were categorized in terms of patient's type, control type, therapist experience, whether or not there was a treatment manual, whether there were external adherence ratings, outcome content, outcome source, and presence and nature of follow-up. A Funnel Plot will be performed as a measure of publication bias in STPP. Numbers needed to treat by condition will be calculated. Effect sizes across the domains and diagnoses noted will be performed. Follow-up data will be compared to therapy end results to assess the long-term effects of STPP.
Results: A total of 49 controlled trials comprising over 3000 cases have been found to date. These therapies cover depression, anxiety, personality disorders, somatoform disorders, substance use disorders and eating disorders. The majority of these studies have follow-up data of greater than one year. At this time we are beginning data analysis including assessment for publication bias.
Conclusions: STPP has been studied in a broad range of conditions. Long-term follow-up is common in the study of STPP.