Psychodynamic Psychotherapy: Large Effectiveness

Large effectiveness: 1.22

What is Psychodynamic Psychotherapy?

1. Primary focus of which is to reveal the unconscious content of a client’s psyche in anstephen-di-donato-119064-unsplash effort to alleviate psychic tension.

2. Maladaption is, at least in part, unconscious.

3. The presumed maladaption develops early in life and eventually causes difficulties in day-to-day life.

4. Psychodynamic therapies focus on revealing and resolving these unconscious conflicts that are driving their symptoms.

5. Major techniques used by psychodynamic therapists include free association, dream interpretation, recognizing resistance and transference, working through painful memories and difficult issues, and building a strong therapeutic alliance.

 

Evidence:

0.35 small effect: reduced anxiety (Driessen, Hegelmaier, Abbass, Barber, Dekker, Van, & … Cuijpers, 2015)

0.76 moderate to large effect: reduced anxiety at follow-up (Driessen, Hegelmaier, Abbass, Barber, Dekker, Van, & … Cuijpers, 2015)

1.07 large effect: reduced symptoms of depression, anxiety, anorexia nervosa, and borderline personality disorder (Abbass, Rabung, Leichsenring, Refseth, & Midgley, 2013)

1.01 large effect: overall effectiveness (Town, Diener, Abbass, Leichsenring, Driessen, & Rabung, 2012)

0.69 moderate effect: more effective than no treatment control group (Driessen, Cuijpers, de Maat, Abbass, de Jonghe, & Dekker, 2010)

1.34 large effect: reduced depression at 1 year follow-up (Driessen, Cuijpers, de Maat, Abbass, de Jonghe, & Dekker, 2010)

0.30 small effect: superiority to other psychotherapies (Driessen, Cuijpers, de Maat, Abbass, de Jonghe, & Dekker, 2010)

0.83 large effect: psychodynamic psychotherapy in a group (Driessen, Cuijpers, de Maat, Abbass, de Jonghe, & Dekker, 2010)

1.48 large effect: psychodynamic psychotherapy in individual therapy (Driessen, Cuijpers, de Maat, Abbass, de Jonghe, & Dekker, 2010)

1.39 large effect: reduced target problems (Leichsenring, Rabung, & Leibing, 2004)

0.90 large effect: reduced general psychiatric symptoms (Leichsenring, Rabung, & Leibing, 2004)

0.80 large effect: improved social functioning (Leichsenring, Rabung, & Leibing, 2004)

1.57 large effect: reduced target problems at follow-up (Leichsenring, Rabung, & Leibing, 2004)

0.95 large effect: reduced general psychiatric symptoms at follow-up (Leichsenring, Rabung, & Leibing, 2004)

1.19 large effect: improved social functioning at follow-up (Leichsenring, Rabung, & Leibing, 2004)

 


 

Abbass, A. A., Rabung, S., Leichsenring, F., Refseth, J. S., & Midgley, N. (2013). Psychodynamic psychotherapy for children and adolescents: A meta-analysis of short-term psychodynamic models. Journal Of The American Academy Of Child & Adolescent Psychiatry, 52(8), 863-875. doi:10.1016/j.jaac.2013.05.014

Driessen, E., Cuijpers, P., de Maat, S. M., Abbass, A. A., de Jonghe, F., & Dekker, J. M. (2010). The efficacy of short-term psychodynamic psychotherapy for depression: A meta-analysis. Clinical Psychology Review, 30(1), 25-36. doi:10.1016/j.cpr.2009.08.010

Driessen, E., Hegelmaier, L. M., Abbass, A. A., Barber, J. P., Dekker, J. M., Van, H. L., & … Cuijpers, P. (2015). The efficacy of short-term psychodynamic psychotherapy for depression: A meta-analysis update. Clinical Psychology Review, 421-15. doi:10.1016/j.cpr.2015.07.004

Leichsenring, F., Rabung, S., & Leibing, E. (2004). The Efficacy of Short-term Psychodynamic Psychotherapy in Specific Psychiatric Disorders: A Meta-analysis. Archives Of General Psychiatry, 61(12), 1208-1216. doi:10.1001/archpsyc.61.12.1208

Town, J. M., Diener, M. J., Abbass, A., Leichsenring, F., Driessen, E., & Rabung, S. (2012). A meta-analysis of psychodynamic psychotherapy outcomes: Evaluating the effects of research-specific procedures. Psychotherapy, 49(3), 276-290. doi:10.1037/a0029564

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