Intensive Short-Term Dynamic Psychotherapy for generalized anxiety disorder: A pilot effectiveness and process-outcome study

Lilliengren, Peter, Johansson, Robert, Town, Joel M., Kisely, Steve and Abbass, Allan (2017) Intensive Short-Term Dynamic Psychotherapy for generalized anxiety disorder: A pilot effectiveness and process-outcome study. Clinical Psychology and Psychotherapy, 24 6: 1313-1321. doi:10.1002/cpp.2101


Author Lilliengren, Peter
Johansson, Robert
Town, Joel M.
Kisely, Steve
Abbass, Allan
Title Intensive Short-Term Dynamic Psychotherapy for generalized anxiety disorder: A pilot effectiveness and process-outcome study
Journal name Clinical Psychology and Psychotherapy   Check publisher's open access policy
ISSN 1099-0879
1063-3995
Publication date 2017-07-04
Year available 2017
Sub-type Article (original research)
DOI 10.1002/cpp.2101
Open Access Status Not yet assessed
Volume 24
Issue 6
Start page 1313
End page 1321
Total pages 9
Place of publication Chichester, West Sussex United Kingdom
Publisher John Wiley and Sons
Language eng
Subject 3203 Clinical Psychology
Abstract The objective of this study was to evaluate the clinical- and cost-effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) for generalized anxiety disorder (GAD). We further aimed to examine if a key clinical process within the ISTDP framework, termed the level of mobilization of unprocessed complex emotions (MUCE), was related to outcome. The sample consisted of 215 adult patients (60.9% female) with GAD and comorbid conditions treated in a tertiary mental health outpatient setting. The patients were provided an average of 8.3 sessions of ISTDP delivered by 38 therapists. The level of MUCE in treatment was assessed from videotaped sessions by a rater blind to treatment outcome. Year-by-year healthcare costs were derived independently from government databases. Multilevel growth models indicated significant decreases in psychiatric symptoms and interpersonal problems during treatment. These gains were corroborated by reductions in healthcare costs that continued for 4 years post-treatment reaching normal population means. Further, we found that the in-treatment level of MUCE was associated with larger treatment effects, underlining the significance of emotional experiencing and processing in the treatment of GAD. We conclude that ISTDP appears to reduce symptoms and costs associated with GAD and that the ISTDP framework may be useful for understanding key therapeutic processes in this challenging clinical population. Controlled studies of ISTDP for GAD are warranted.
Keyword cost-effectiveness
emotion processing
generalized anxiety disorder
naturalistic
short-term dynamic therapy
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Medicine Publications
 
Versions
Version Filter Type
Citation counts: Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Sun, 24 Dec 2017, 02:27:28 EST