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Supportive-expressive dynamic psychotherapy in the community mental health system: a pilot effectiveness trial for the treatment of depression.

Authors
  • Gibbons, Mary Beth Connolly
  • Thompson, Sarah M
  • Scott, Kelli
  • Schauble, Lindsay A
  • Mooney, Tessa
  • Thompson, Donald
  • Green, Patricia
  • MacArthur, Mary Jo
  • Crits-Christoph, Paul
Type
Published Article
Journal
Psychotherapy (Chicago, Ill.)
Publication Date
Sep 01, 2012
Volume
49
Issue
3
Pages
303–316
Identifiers
DOI: 10.1037/a0027694
PMID: 22962971
Source
Medline
License
Unknown

Abstract

The goal of the current article is to present the results of a randomized pilot investigation of a brief dynamic psychotherapy compared with treatment-as-usual (TAU) in the treatment of moderate-to-severe depression in the community mental health system. Forty patients seeking services for moderate-to-severe depression in the community mental health system were randomized to 12 weeks of psychotherapy, with either a community therapist trained in brief dynamic psychotherapy or a TAU therapist. Results indicated that blind judges could discriminate the dynamic sessions from the TAU sessions on adherence to dynamic interventions. The results indicate moderate-to-large effect sizes in favor of the dynamic psychotherapy over the TAU therapy in the treatment of depression. The Behavior and Symptom Identification Scale-24 showed that 50% of patients treated with dynamic therapy moved into a normative range compared with only 29% of patients treated with TAU.

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