Effectiveness of inpatient psychodynamic psychotherapy of depression Alterations to typical symptom load of depression and psychodynamic outcome measures

Franz, Matthias and Jenett, Doerte and Seidler, Daniel and Schaefer, Ralf and Wutzler, Uwe and Kaemmerer, Wolfgang and Deters, Maria Anna and Schauenburg, Henning and Becher-Dortschy, Nina and Frommhold, Kerstin and Keller, Wolfram and Gosda, Juergen and Zeller, Adolf and Beutel, Manfred and Langenbach, Michael and Hoffmann, Thilo and Haberger, Rita and Hartkamp, Norbert (2020) Effectiveness of inpatient psychodynamic psychotherapy of depression Alterations to typical symptom load of depression and psychodynamic outcome measures. PSYCHOTHERAPEUT, 65 (5). pp. 390-397. ISSN 0935-6185, 1432-2080

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Abstract

Background The effectiveness of psychodynamic psychotherapy on clinical outcome variables, such as depressive symptom load is proven; however, there is still a lack of studies documenting the effectiveness of psychodynamic clinical inpatient treatment on psychodynamically relevant outcome measures. Method Within a naturalistic multicenter study "Inpatient psychodynamic oriented psychotherapy of depressive disorders (STOP-D)" the effectiveness of psychodynamic inpatient psychotherapy on the adaptivity of defence organization (inventory of personality organization, IPO) and the personality structural resources to handle conflicts (Heidelberg restructuring scale, HUS) was analyzed. Female inpatients with depressive symptoms from 15 psychosomatic hospital units were included in the study. The mean treatment duration was 61.8 days. Data acquisition was implemented at admission (T1;n & x202f;= 474), discharge (T2;n & x202f;= 432) and a 6-month follow-up after discharge (T3;n & x202f;= 286). Results There are indications of the effectiveness on the psychodynamically relevant outcome variables investigated. In addition to the known clear improvement of clinical symptom load, low-grade to high-grade effect sizes on psychodynamic core variables also became apparent. The alterations remained stable at the catamnesis. Conclusion The effectiveness of psychodynamic inpatient psychotherapy on the typical depressive symptom load seems to be associated with a long-lasting increase of structural resources of personality and might facilitate a more adaptive coping of imminent conflicts and stresses even after discharge.

Item Type: Article
Uncontrolled Keywords: DAY CLINIC TREATMENT; STRUCTURAL-CHANGE; DISORDERS; INVENTORY; SUCCESS; SCALE; Psychodynamic psychotherapy; Conflict processing; Defense mechanisms
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Abteilung für Psychosomatische Medizin
Depositing User: Dr. Gernot Deinzer
Date Deposited: 16 Mar 2021 08:50
Last Modified: 16 Mar 2021 08:50
URI: https://pred.uni-regensburg.de/id/eprint/44035

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