Effectiveness of psychoanalysis and long-term psychodynamic psychotherapy on personality and social functioning 10 years after start of treatment

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Lindfors , O , Knekt , P , Lehtonen , J , Virtala , E , Maljanen , T & Härkänen , T 2019 , ' Effectiveness of psychoanalysis and long-term psychodynamic psychotherapy on personality and social functioning 10 years after start of treatment ' , Psychiatry Research , vol. 272 , pp. 774-783 . https://doi.org/10.1016/j.psychres.2018.12.082

Title: Effectiveness of psychoanalysis and long-term psychodynamic psychotherapy on personality and social functioning 10 years after start of treatment
Author: Lindfors, Olavi; Knekt, Paul; Lehtonen, Johannes; Virtala, Esa; Maljanen, Timo; Härkänen, Tommi
Other contributor: University of Helsinki, Department of Psychology and Logopedics
University of Helsinki, National Institute for Health and Welfare (THL)

Date: 2019-02
Language: eng
Number of pages: 10
Belongs to series: Psychiatry Research
ISSN: 0165-1781
DOI: https://doi.org/10.1016/j.psychres.2018.12.082
URI: http://hdl.handle.net/10138/308496
Abstract: The evidence on potentially greater benefits of psychoanalysis (PA) vs. long-term psychodynamic psychotherapy (LPP) is scarce. This study compared the effectiveness of PA and LPP on personality and social functioning during a 10-year follow-up from the beginning of the treatments. The eligible patients, 41 self-selected for PA and 128 assigned to LPP, were 20–45 years of age and had anxiety or mood disorder. Outcomes were analyzed using ten standard measures of personality and social functioning, carried out 5-9 times during the follow-up. Different change patterns by time in PA and LPP emerged, suggesting less benefit of PA during the first years of follow-up and more benefit in most outcomes thereafter. Greater post-treatment improvement in PA than in LPP was seen up to 1-2 years after PA had ended in more mature defense style (DSQ), level of personality organization (LPO), more positive self-concept (SASB), more improved social adjustment (SAS-SR) and sense of coherence (SOC). However, at the 10-year follow-up the differences were non-significant. In conclusion, PA may give some additional benefits when long-term aims are linked to personality and social functioning. The relatively small differences and higher costs in comparison to LPP may restrict the feasibility of PA.
Subject: 3124 Neurology and psychiatry
Effectiveness
Follow-up
Psychoanalysis
Psychodynamic psychotherapy
PSYCHIATRIC-SYMPTOMS
RANDOMIZED-TRIAL
DEFENSE STYLE
FOLLOW-UP
ADJUSTMENT
THERAPIES
QUALITY
SCALE
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