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

被引:68
作者
Huber, Dorothea [1 ,2 ,3 ]
Zimmermann, Johannes [4 ]
Henrich, Gerhard [2 ]
Klug, Guenther [2 ]
机构
[1] Klinikum Harlaching, Klin Psychosomat Med & Psychotherapie, D-81545 Munich, Germany
[2] Tech Univ Munich, Klin & Poliklin Psychosomat Med & Psychotherapie, D-8000 Munich, Germany
[3] Int Psychoanalyt Univ, Berlin, Germany
[4] Univ Kassel, Inst Psychol, Kassel, Germany
来源
ZEITSCHRIFT FUR PSYCHOSOMATISCHE MEDIZIN UND PSYCHOTHERAPIE | 2012年 / 58卷 / 03期
关键词
Psychoanalytic Therapy; Psychodynamic Therapy; Cognitive Behaviour Therapy; Depression; Outcome Research; Long-term Follow-up; LONG-TERM; SOCIAL SUPPORT; INTERPERSONAL PROBLEMS; RECURRENT DEPRESSION; PSYCHOTHERAPY; IMPROVEMENT; SYMPTOMS; RECOVERY; PREVENTION; DISORDER;
D O I
10.13109/zptm.2012.58.3.299
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
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.
引用
收藏
页码:299 / 316
页数:18
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