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European Psychiatry
Sous presse. Epreuves corrigées par l'auteur. Disponible en ligne depuis le samedi 16 juin 2012
Doi : 10.1016/j.eurpsy.2011.12.002
Received : 11 August 2011 ;  accepted : 17 December 2011
Psychological predictors on the outcome of short-term psychodynamic psychotherapy and solution-focused therapy in the treatment of mood and anxiety disorder
 

M.A. Laaksonen a, P. Knekt a, , b, c , L. Sares-Jäske a, O. Lindfors a
a National Institute for Health and Welfare (THL), Box 30, 00271 Helsinki, Finland 
b Biomedicum Helsinki, Helsinki, Finland 
c Social Insurance Institution, Helsinki, Finland 

Corresponding author. Tel.: +358 20 610 8774; fax: +358 20 610 8760.
Abstract
Objective

Patient’s pre-treatment suitability for short-term psychodynamic psychotherapy (STPP) and solution-focused therapy (SFT) has not been compared. The aim of this study was to compare the prediction of psychological suitability measures on outcome of STPP vs. SFT.

Method

Altogether 198 patients with mood or anxiety disorder were randomized to STPP or SFT. A 7-item Suitability for Psychotherapy Scale (SPS) was assessed at baseline and a cumulative SPS score was formed. Psychiatric symptoms were measured using SCL-90-GSI at baseline and seven times during a 3-year follow-up.

Results

The SPS score predicted the outcome of both short-term psychotherapies; for patients with a good score short-term therapies seemed beneficial, whereas for patients with a poor score they did not seem sufficient. There was no difference between STPP and SFT in the prediction of the SPS score.

Conclusions

Psychological suitability measures may apparently be useful in the prediction of overall short-term psychotherapy outcomes.


Keywords : Unipolar depression, Anxiety disorders, Psychometry and assessments in psychiatry, Psychodynamic Psychotherapy, Other Psychotherapy




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