Short-term psychodynamic psychotherapy for somatic disorders systematic review and meta-analysis of clinical trials

Abbass, Allan, Kisely, Stephen and Kroenke, Kurt (2009) Short-term psychodynamic psychotherapy for somatic disorders systematic review and meta-analysis of clinical trials. Psychotherapy and Psychosomatics, 78 5: 265-274. doi:10.1159/000228247


Author Abbass, Allan
Kisely, Stephen
Kroenke, Kurt
Title Short-term psychodynamic psychotherapy for somatic disorders systematic review and meta-analysis of clinical trials
Journal name Psychotherapy and Psychosomatics   Check publisher's open access policy
ISSN 0033-3190
1423-0348
Publication date 2009-01-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1159/000228247
Volume 78
Issue 5
Start page 265
End page 274
Total pages 10
Place of publication Basel, Switzerland
Publisher Karger AG
Language eng
Formatted abstract
Background: Somatic symptom disorders are common, disabling and costly. Individually provided short-term psychodynamic psychotherapies (STPP) have shown promising results. However, the effectiveness of STPP for somatic symptom disorders has not been reviewed.

Methods: We undertook a systematic review of randomized controlled trials and controlled before and after studies. The outcomes included psychological symptoms, physical symptoms, social-occupational function, healthcare utilization and treatment continuation. 

Results: A total of 23 studies met the inclusion criteria and covered a broad range of somatic disorders. Thirteen were RCTs and 10 were case series with pre-post outcome assessment. Of the included studies, 21/23 (91.3%), 11/12 (91.6%), 16/19 (76.2%) and 7/9 (77.8%) reported significant or possible effects on physical symptoms, psychological symptoms, social-occupational function and healthcare utilization respectively. Meta-analysis was possible for 14 studies and revealed significant effects on physical symptoms, psychiatric symptoms and social adjustment which were maintained in long-term follow-up. Random-effect modeling attenuated some of these relationships. There was a 54% greater treatment retention in the STPP group versus controls.

Conclusion: STPP may be effective for a range of medical and physical conditions underscoring the role of patients’ emotional adjustment in overall health. Future research should include high-quality randomized and clinical effectiveness studies with attention to healthcare use and costs. 
Keyword Psychotherapy, short-term
Somatoform
Psychotherapy, psychodynamic
Psychotherapy, psychosomatic
Psychophysiologic disorders
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Queensland Centre for Health Data Services
ERA 2012 Admin Only
 
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