Psychoanalytic inpatient psychotherapy of depression – Two naturalistic samples throughout the course of a decade. Issue 4 (2nd October 2017)

• Record Type: Journal Article
• Authors: Fizke, Ella; Mueller, Axel; Huber, Dorothea
• Is Part Of: European journal of psychotherapy, counselling, and health. Volume 19:Issue 4(2017)
• Page Start: 396
• Page End: 414
• Publication Date: 2017-10-02
• Subjects: Depression -- psychoanalytic psychotherapy -- inpatient psychotherapy -- naturalistic intervention study -- level of structural integration of self -- personality disorder; Depression -- Psychoanalytische psychotherapie -- interne Patientpsychotherapie -- Natur Niveu von struktureller Integration des Selbst -- Persönlichkeitsstörung; depresión -- psicoterapia psicoanalítica -- psicoterapia con pacientes hospitalizados -- estudio de intervención naturalística -- nivel de integración estructural del self -- trastornos de personalidad; Depressione -- psicoterapia psicoanalitica -- psicoterapia ospedaliera -- studio di intervento naturalistico -- livello di integrazione strutturale del sé -- disturbo della personalità; Psychothérapie psychanalytique -- Psychothérapie en hospitalisation -- Etude d'une intervention Naturaliste -- Niveau d'Intégration Structurale du Self -- trouble de la Personnalité; Κατάθλιψη -- Ψυχαναλυτική Ψυχοθεραπεία -- Ενδονοσοκομειακή Ψυχοθεραπεία -- Επίπεδο της Δομικής Ενσωμάτωσης του Εαυτού -- Διαταραχή Προσωπικότητας; PIP: Psychodynamically oriented inpatient psychotherapy -- PD: personality disorder -- SCL: German version of the Symptom Checklist-90-Revised -- SCL-D: SCL Depression Scale -- IIP: Inventory of Interpersonal Problems -- GAF: Global assessment of functioning -- OPD: Operationalized psychodynamic diagnostics -- OPD-LSIA: OPD-level of structural integration axis; Counseling -- Periodicals; Counseling -- Europe -- Periodicals; Psychotherapy -- Periodicals; Psychotherapy -- Europe -- Periodicals; 616.891405
• DOI: 10.1080/13642537.2017.1386224
• Languages: English
• ISSNs: 1364-2537

Abstract

Abstract: Background: While the general effectiveness of psychodynamic inpatient psychotherapy has been established, very few studies have specifically investigated the effectiveness of psychodynamic inpatient treatment of depression, though depressed patients represent the largest group of inpatients. Method : This study investigated two naturalistic samples of depressed patients regarding treatment outcome as well as clinical and treatment characteristics. Patients were treated in a psychoanalytical psychosomatic hospital unit. Data was collected from 2000 to 2002 (N=234) and from 2008 to 2010 (N=514). Data was acquired at admission and discharge. Results: The findings reveal high pre-post effect sizes for symptom reduction (SCL-90-R), general functioning (GAF) and medium changes of interpersonal problems (IIP). The improvement on the IIP was significantly higher for patients with comorbid personality disorder. Based on therapist ratings, the sample treated from 2008-2010 showed higher levels of impairment on several levels: chronic, complex, functional (GAF) and structural (OPD). Conclusion: Findings indicate that patients show substantial short-term benefit following psychoanalytic inpatient psychotherapy, as practiced under naturalistic conditions. Open questions remain regarding the long-term nature of these benefits and the possible influence of placebo-effects.