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Comparison of cognitive-behaviour therapy with psychoanalytic and psychodynamic therapy for depressed patients – a three-year follow-up study.

Dropped on:December 11, 2012
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Original source: http://www.ncbi.nlm.nih.gov/PubMed/22987495?dopt=Abstract

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Comparison of cognitive-behaviour therapy with psychoanalytic and psychodynamic therapy for depressed patients – a three-year follow-up study.

Z Psychosom Med Psychother. 2012;58(3):299-316

Authors: Huber D, Zimmermann J, Henrich G, Klug G

Abstract
OBJECTIVE: The study investigates the effectiveness of long-term psychotherapies. Cognitive-behaviour therapy was compared with psychoanalytic and psychodynamic therapy in the treatment of patients with a primary diagnosis of unipolar depression.
METHOD: In a prospective, quasi-experimental design 100 patients were compared at pre- and post-treatment and three-year follow-up. Outcome measures were the Beck Depression Inventory and Global Severity Index for measuring symptoms, the Inventory of Interpersonal Problems and the Social Support Questionnaire for measurement of social-interpersonal functioning, and the INTREX Introject Questionnaire for measuring personality structure. Comparative effectiveness of the experimental groups was analyzed using mixed models.
RESULTS: We found significant outcome differences between psychoanalytic therapy and cognitive-behaviour therapy in depressive and global psychiatric symptoms, partly social-interpersonal and personality structure at three-year follow-up. Psychodynamic therapy was superior to cognitive-behaviour therapy in the reduction of interpersonal problems.
CONCLUSION: Psychoanalytic therapy shows significantly longer-lasting effects compared to cognitive-behaviour therapy three years after termination of treatment, which is discussed as a dose-effect.

PMID: 22987495 [PubMed – indexed for MEDLINE]

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