REVIEW Effectiveness of Long-term Psychodynamic Psychotherapy A Meta-analysis Falk Leichsenring, DSc Context The place of long-term psychodynamic psychotherapy (LTPP) within psy- Sven Rabung, PhD chiatry is controversial. Convincing outcome research for LTPP has been lacking. Objective To examine the effects of LTPP, especially in complex mental disorders, HE PLACE OF PSYCHOANALYTIC ie, patients with personality disorders, chronic mental disorders, multiple mental dis- and psychodynamic treat- orders, and complex depressive and anxiety disorders (ie, associated with chronic course ments within psychiatry is and/or multiple mental disorders), by performing a meta-analysis. 1,2 Tcontroversial. Although Data Sources Studies of LTPP published between January 1, 1960, and May 31, some evidence supports the efficacy 2008, were identified by a computerized search using MEDLINE, PsycINFO, and Cur- of short-term psychodynamic psy- rent Contents, supplemented by contact with experts in the field. chotherapy (STPP) for specific dis- Study Selection Only studies that used individual psychodynamic psychotherapy 3-7 orders, convincing research on the lasting for at least a year, or 50 sessions; had a prospective design; and reported re- outcome of long-term psychody- liable outcome measures were included. Randomized controlled trials (RCTs) and ob- namic psychotherapy (LTPP) has servational studies were considered. Twenty-three studies involving a
JAMA – American Medical Association
Published: Oct 1, 2008
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