The American Journal of Psychiatry
Journal Home Search Current Issue Past Issues Subscribe All APPI Journals Help Contact Us
 
Quicksearch
Advanced Search
Or Search All APPI Journals
This Article
* Full Text (PDF)
* Alert me when this article is cited
* Alert me if a correction is posted
* Citation Map
Services
* Email this article to a Colleague
* Similar articles in this journal
* Similar articles in PubMed
* Alert me to new issues of the journal
* Add to My Articles & Searches
* Download to citation manager
* reprints & permissions
Citing Articles
* Citing Articles via HighWire
* Citing Articles via Google Scholar
Google Scholar
* Articles by Crits-Christoph, P.
* Search for Related Content
PubMed
* PubMed Citation
* Articles by Crits-Christoph, P.

Am J Psychiatry 1992; 149:151-158
Copyright © 1992 by American Psychiatric Association


SPECIAL ARTICLES

The efficacy of brief dynamic psychotherapy: a meta-analysis

P Crits-Christoph
Department of Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia.

OBJECTIVE: Insurance companies, legislators, and funding agencies have become increasingly concerned with efficacy and accountability in regard to psychotherapy, and psychodynamic therapy is a primary target of concern because it is widely practiced in outpatient settings. This paper is a meta-analytic review of recent well-controlled studies of the efficacy of brief dynamic therapy. METHOD: The meta-analysis included both published studies, located through an extensive computerized search of psychiatry and psychology journals, and studies reported at conferences. Eleven studies met the inclusion criteria: use of a specific form of short-term dynamic psychotherapy as represented in a treatment manual or manual-like guide; comparison of brief dynamic therapy and a waiting list control condition, nonpsychiatric treatment, alternative psychotherapy, pharmacotherapy, or other form of dynamic therapy; provision of the information necessary for calculation of effect sizes; at least 12 therapy sessions; and therapists who were trained and experienced in brief dynamic therapy. The outcome measures compared were target symptoms, psychiatric symptoms generally, and social functioning. RESULTS: Brief dynamic therapy demonstrated large effects relative to waiting list conditions but only slight superiority to nonpsychiatric treatments. Its effects were about equal to those of other psychotherapies and medication. CONCLUSIONS: These data confirm previous indications that various psychotherapies do not differ in effectiveness, although this finding should not be generalized to all patient populations, outcome measures, and treatment types. Also, the highly controlled conditions of these studies limit conclusions about actual practice. Future studies should address various treatment lengths, follow-up assessments, and specific treatments, patient groups, and outcome measures.


This article has been cited by other articles:


Home page
Am. J. PsychiatryHome page
P. Hoglend, K.-P. Bogwald, S. Amlo, A. Marble, R. Ulberg, M. C. Sjaastad, O. Sorbye, O. Heyerdahl, and P. Johansson
Transference Interpretations in Dynamic Psychotherapy: Do They Really Yield Sustained Effects?
Am J Psychiatry, June 1, 2008; 165(6): 763 - 771.
[Abstract] [Full Text] [PDF]


Home page
PediatricsHome page
A. Sadeh, S. Hen-Gal, and L. Tikotzky
Young Children's Reactions to War-Related Stress: A Survey and Assessment of an Innovative Intervention
Pediatrics, January 1, 2008; 121(1): 46 - 53.
[Abstract] [Full Text] [PDF]


Home page
J Am Psychoanal AssocHome page
A. J. Gerber, J. H. Kocsis, B. Milrod, and S. P. Roose
Assessing the Quality of Randomized Controlled Trials of Psychodynamic Psychotherapy
J Am Psychoanal Assoc, December 1, 2006; 54(4): 1307 - 1312.
[PDF]


Home page
Clinical Case StudiesHome page
C. Shields, S. A. Murrell, and N. Salsman
Changes in the Interpersonal Characteristics of a Client Who "Recovered" From Anxiety and Depression Following Interactionist Interpersonal Therapy
Clinical Case Studies, April 1, 2006; 5(2): 142 - 160.
[Abstract] [PDF]


Home page
BRIEF TREAT CRISIS INTERVENHome page
J.-N. Despland, M. Drapeau, and Y. de Roten
A Naturalistic Study of the Effectiveness of a Four-Session Format: The Brief Psychodynamic Intervention
Brief. Treat. Crisis Interven., November 1, 2005; 5(4): 368 - 378.
[Abstract] [Full Text] [PDF]


Home page
Group AnalysisHome page
G. Lo Coco, C. Prestano, and G. Lo Verso
A Therapist's Different Style of Intervention in Two Group Treatments
Group Analysis, December 1, 2004; 37(4): 536 - 555.
[Abstract] [PDF]


Home page
Arch Gen PsychiatryHome page
F. Leichsenring, S. Rabung, and E. Leibing
The Efficacy of Short-term Psychodynamic Psychotherapy in Specific Psychiatric Disorders: A Meta-analysis
Arch Gen Psychiatry, December 1, 2004; 61(12): 1208 - 1216.
[Abstract] [Full Text] [PDF]


Home page
Clinical Case StudiesHome page
M. A. Anderson
A Case Study of Occupationally Focused Brief Dynamic Therapy Using Mann's Model of Central Conflict
Clinical Case Studies, January 1, 2003; 2(1): 91 - 103.
[Abstract] [PDF]


Home page
Psychiatr. Serv.Home page
Y. Burnand, A. Andreoli, E. Kolatte, A. Venturini, and N. Rosset
Psychodynamic Psychotherapy and Clomipramine in the Treatment of Major Depression
Psychiatr Serv, May 1, 2002; 53(5): 585 - 590.
[Abstract] [Full Text] [PDF]


Home page
Am. J. PsychiatryHome page
M. A. REINCEKE, C. J. EWELL FOSTER, G. M. ROGERS, and R. WEILL
Medication or Psychotherapy for Severe Depression
Am J Psychiatry, September 1, 2000; 157(9): 1528- - 1529.
[Full Text]


Home page
Br. J. PsychiatryHome page
F. R. MARGISON, G. McGRATH, M. BARKHAM, J. M. CLARK, K. AUDIN, J. CONNELL, and C. EVANS
Measurement and psychotherapy: Evidence-based practice and practice-based evidence
The British Journal of Psychiatry, August 1, 2000; 177(2): 123 - 130.
[Abstract] [Full Text] [PDF]


Home page
Am. J. PsychiatryHome page
J. C. Perry, E. Banon, and F. Ianni
Effectiveness of Psychotherapy for Personality Disorders
Am J Psychiatry, September 1, 1999; 156(9): 1312 - 1321.
[Abstract] [Full Text]


Home page
J. Psychother. Pract. Res.Home page
J. C. Markowitz, M. Svartberg, and H. A. Swartz
Is IPT Time-Limited Psychodynamic Psychotherapy?
J Psychother Pract Res., July 1, 1998; 7(3): 185 - 195.
[Abstract] [Full Text]


Home page
Eval RevHome page
Y.-I. Hser
Drug Treatment Counselor Practices and Effectiveness: An Examination of Literature and Relevant Issues in a Multilevel Framework
Eval Rev, August 1, 1995; 19(4): 389 - 408.
[Abstract] [PDF]




Get information about faster international access.

Privacy Policy

Copyright © 1992 American Psychiatric Association. All rights reserved.

Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us

American Psychiatric Publishing, Inc. American Psychiatric Association
1000 Wilson Boulevard, Suite 1825, Arlington, VA 22209-3901 * 800-368-5777 * appi at psych.org