BACKGROUND: There is a gap in the research literature on the effectiveness of long-term psychoanalytic therapies (LPT). AIM: To present a systematic review of studies dealing with LPT effectiveness and published from 1970 onward. METHODS: A systematic literature search for studies dealing with the effectiveness of individual LPT in ambulatory, adult patients. Data about the overall effectiveness of LPT, its impact on symptom reduction, and its effect on personality changes were pooled both at treatment termination and at follow-up, using effect sizes (ESs) and success rates. RESULTS: We found 27 studies (n = 5063). Psychotherapy yielded large mean ESs (0.78 at termination; 0.94 at follow-up) and high mean overall success rates (64% at termination; 55% at follow-up) in moderate/mixed pathology. The mean ES was larger for symptom reduction (1.03) than for personality change (0.54). In severe pathology, the results were similar. Psychoanalysis achieved large mean ESs (0.87 at termination; 1.18 at follow-up) and high mean overall success rates (71% at termination; 54% at follow-up) in moderate pathology. The mean ES for symptom reduction was larger (1.38) than for personality change (0.76). CONCLUSION: Our data suggest that LPT is effective treatment for a large range of pathologies, with moderate to large effects.
BACKGROUND: There is a gap in the research literature on the effectiveness of long-term psychoanalytic therapies (LPT). AIM: To present a systematic review of studies dealing with LPT effectiveness and published from 1970 onward. METHODS: A systematic literature search for studies dealing with the effectiveness of individual LPT in ambulatory, adult patients. Data about the overall effectiveness of LPT, its impact on symptom reduction, and its effect on personality changes were pooled both at treatment termination and at follow-up, using effect sizes (ESs) and success rates. RESULTS: We found 27 studies (n = 5063). Psychotherapy yielded large mean ESs (0.78 at termination; 0.94 at follow-up) and high mean overall success rates (64% at termination; 55% at follow-up) in moderate/mixed pathology. The mean ES was larger for symptom reduction (1.03) than for personality change (0.54). In severe pathology, the results were similar. Psychoanalysis achieved large mean ESs (0.87 at termination; 1.18 at follow-up) and high mean overall success rates (71% at termination; 54% at follow-up) in moderate pathology. The mean ES for symptom reduction was larger (1.38) than for personality change (0.76). CONCLUSION: Our data suggest that LPT is effective treatment for a large range of pathologies, with moderate to large effects.
Authors: Sunil S Bhar; Brett D Thombs; Monica Pignotti; Marielle Bassel; Lisa Jewett; James C Coyne; Aaron T Beck Journal: Psychother Psychosom Date: 2010-04-29 Impact factor: 17.659
Authors: Josep Maria Haro; José Luis Ayuso-Mateos; Istvan Bitter; Jacques Demotes-Mainard; Marion Leboyer; Shôn W Lewis; Donald Linszen; Mario Maj; David McDaid; Andreas Meyer-Lindenberg; Trevor W Robbins; Gunter Schumann; Graham Thornicroft; Christina Van Der Feltz-Cornelis; Jim Van Os; Kristian Wahlbeck; Hans-Ulrich Wittchen; Til Wykes; Celso Arango; Jerome Bickenbach; Matthias Brunn; Pamela Cammarata; Karine Chevreul; Sara Evans-Lacko; Carla Finocchiaro; Andrea Fiorillo; Anna K Forsman; Jean-Baptiste Hazo; Susanne Knappe; Rebecca Kuepper; Mario Luciano; Marta Miret; Carla Obradors-Tarragó; Grazia Pagano; Szilvia Papp; Tom Walker-Tilley Journal: Int J Methods Psychiatr Res Date: 2014-01 Impact factor: 4.035