Journal Mobile Options
Table of Contents
Vol. 74, No. 1, 2005
Issue release date: December 2004
Psychother Psychosom 2005;74:43–50
(DOI:10.1159/000082026)

Randomized Controlled Trial Comparing Brief Dynamic and Supportive Therapy with Waiting List Condition in Minor Depressive Disorders

Maina G. · Forner F. · Bogetto F.
Mood and Anxiety Disorders Unit, Department of Neuroscience, University of Turin, Turin, Italy

Individual Users: Register with Karger Login Information

Please create your User ID & Password





Contact Information











I have read the Karger Terms and Conditions and agree.

To view the fulltext, please log in

To view the pdf, please log in

Abstract

Background: Although many evidences suggest the presence of specific therapeutic factors in brief dynamic therapy (BDT), few studies have investigated its efficacy in the treatment of depressive disorders in comparison to other psychotherapies. The aim of this study was to determine whether BDT is more effective than brief supportive psychotherapy (BSP) and waiting list condition in the treatment of minor depressive disorders. Method: Thirty patients with primary DSM-IV dysthymic disorder, depressive disorder not otherwise specified or adjustment disorder with depressed mood completed a randomized controlled trial with three treatment groups (BDT, BSP, waiting list condition). A 6-month follow-up was performed for patients treated with both psychotherapeutic approaches. Other psychiatric treatments were not permitted throughout the treatment period and the 6-month follow-up. Symptoms were assessed at baseline, at the end of treatment, and after 6 months of follow-up. Results: Patients treated with both psychotherapeutic approaches showed a significant improvement after treatment in comparison to non-treated controls, but BDT was more effective at follow-up evaluation. Conclusions: BDT is a promising treatment for minor depressive disorders. This study also suggests that BDT is more effective than supportive psychotherapy in improving the long-term outcome of depressive disorders.



Copyright / Drug Dosage

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

References

  1. Crits-Christoph P, Barber JP: Handbook of Short-Term Dynamic Psychotherapy. New York, Basic Books, 1991.
  2. Crits-Cristoph P: The efficacy of brief dynamic psychotherapy: A meta-analysis. Am J Psychiatry 1992;149:151–158.
  3. Winston A, Laikin M, PoI!ack, Samstag LW, McCullough L, Muran JC: Short-term psychotherapy of personality disorders. Am J Psychiatry 1994;151:190–194.
  4. Milrod B, Busch F, Leon AC, Shapiro T, Aronson A, Roiphe J, Rudden M, Singer M, Goldman H, Richter D, Shear MIK: Open trial of psychodynamic psychotherapy for panic disorder. Am J Psychiatry 2000;157:1878–1880.
  5. Dare C, Eisler I, Russell G, Treasure J, Dodge L: Psychological therapies for adults with anorexia nervosa. Br J Psychiatry 2001;178:216–221.
  6. Crits-Christoph P, Connolly MB, Gallop R, Barber JP, Tu X, Gladis M, Siqueland L: Early improvement during manual-guided cognitive and dynamic psychotherapies predicts 16-week remission status. J Psychother Pract Res 2001;10:145–154.
  7. Leichsenring F: Comparative effects of short-term psychodynamic psychotherapy and cognitive-behavioral therapy in depression: A meta-analytic approach. Clin Psychol Rev 2001;21:401–419.
  8. De Jonghe F, Kool S, van Aalst G, Dekker J, Peen J: Combining psychotherapy and antidepressants in the treatment of depression. J Affect Disord 2001;64:217–229.
  9. Burnand Y, Andreoli A, Kolatte E, Venturini A, Rosset N: Psychodynamic psychotherapy and clomipramine in the treatment of major depression. Psychiatr Serv 2002;53:585–590.
  10. Mynors-Wallis LM, Gath DH, Lloyd-Thomas A, Tompson D: Randomized controlled trial comparing problem solving treatment with amitriptyline and placebo for major depression in primary care. BMJ 1995;310:441–445.
  11. Mynors-Wallis LM, Gath DH, Day A, Baker F: Randomized controlled trial of problem solving treatment, antidepressant medication, and combined treatment for major depression in primary care. BMJ 2000;320:26–30.
  12. Ogrodniczuk JS, William E, Piper AS, McCallum M: Effect of patient gender on outcome in two forms of short-term individual psychotherapy. J Psychother Pract Res 2001;10:69–78.
  13. Hellerstein DJ, Rosenthal RN, Pinsker H, Wallner Samstag L, Muran JC, Winston A: A randomized prospective study comparing supportive and dynamic therapies. J Psychother Pract Res 1998;7:261–271.
  14. Piper WE, Joyce AS, McCallum M, Azim HF: Interpretative and supportive forms of psychotherapy and patient personality variables. J Consult Clin Psychol 1998;66:558–567.
  15. Bower P, Byford S, Sibbald B, Ward E, King M, Lloyd M, Gabbay M: Randomized controlled trial of non-directive counselling, cognitive-behavior therapy, and usual general practitioner care for patients with depression. 2. Cost effectiveness. BMJ 2000;321:1389–1392.
  16. Zlotnick C, Shea MT, Pilkonis PA: Gender, type of treatment, dysfunctional attitudes, social support, life events, and depressive symptoms over naturalistic follow-up. Am J Psychiatry 1996:153:1021–1027.
  17. Horowitz M, Marmar C, Krupnick J, Wilner N, Kaltreider N, Wallerstein R: Personality Styles and Brief Psychotherapy. Northvale, Jason Aronson Inc, 1997.
  18. Malan DH: A study of Brief Psychotherapy. New York, Plenum, 1963.
  19. Malan DH: Toward the Validation of Dynamic Psychotherapy: A replication. New York, Plenum, 1976.
  20. Novalis PN, Rojcewicz SJ, Peele R: Clinical Manual of Supportive Psychotherapy. Washington, American Psychiatric Press, 1993.
  21. Hamilton M: A rating scale for depression. J Neurol Neurosurg Psychiatry 1960;23:56.
  22. Guy W: ECDEU Assessment Manual for Psychopharmacology. Revised 1976. DHEW Publication No (ADM) 76-338, 1976.
  23. Hamilton M: The assessment of anxiety states by rating. Brit J Med Psychol 1959;32:50.
  24. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, ed 4. Washington, American Psychiatric Association, 1994.
  25. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, ed 4, Text Revision. Washington, American Psychiatric Association, 2000.


Pay-per-View Options
Direct payment This item at the regular price: USD 38.00
Payment from account With a Karger Pay-per-View account (down payment USD 150) you profit from a special rate for this and other single items.
This item at the discounted price: USD 26.50