Empirical examination of long-term and intensive psychodynamic psychotherapy for severely disturbed patients.

IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL
Psychotherapy Research Pub Date : 2024-09-01 Epub Date: 2023-09-29 DOI:10.1080/10503307.2023.2263810
Gaby Shefler, Maayan Abargil, Refael Yonatan-Leus, Ron Finkenberg, Ilan Amir
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Abstract

Objectives This study examines the effectiveness and efficiency of intensive psychodynamic psychotherapy for severely impaired patients. Method: 104 patients in four public mental health centers underwent intensive psychodynamic psychotherapy. The number and duration of psychiatric hospitalizations were monitored for these patients from one year before therapy to eight years after. Several outcome variables were measured every six months, six times in total over two and a half years, using a longitudinal design. A multi-level analytic approach was applied to account for repeated measurements and missing data. Results: Significant improvement was found in all three symptomatic outcome measures (SCL-90, OQ-45, BDI) throughout treatment. The numbers of psychiatric hospitalizations and psychiatric hospitalization days decreased significantly from the level they were in the year before the start of psychodynamic treatment to three years after the start of treatment. These results were maintained for at least up to eight years. After capitalization, the overall cumulative 127.47-day decrease in hospitalization days equals savings of 115,850 NIS. The average cost of treatment after capitalization was 26,770 NIS. The insurer's estimated direct savings is 89,080 NIS (24,054 $). Conclusion: These findings support the hypothesis that psychodynamic psychotherapy is clinically effective and economically efficient for severely impaired patients.

对严重精神障碍患者进行长期强化心理动力学心理治疗的实证研究。
目的:本研究探讨强化心理动力治疗对严重受损患者的有效性和效率。方法:对4个公共心理健康中心的104例患者进行强化心理动力治疗。从治疗前一年到治疗后八年,对这些患者的精神病住院人数和持续时间进行了监测。采用纵向设计,每六个月测量一次几个结果变量,在两年半的时间里总共测量六次。采用多层次分析方法来解释重复测量和缺失数据。结果:在整个治疗过程中,所有三种症状结果指标(SCL-90、OQ-45、BDI)都有显著改善。精神病住院人数和精神病住院天数从精神动力学治疗开始前一年的水平显著下降到治疗开始后三年的水平。这些结果至少维持了八年。资本化后,住院天数累计减少127.47天,相当于节省115850新谢克尔。资本化后的平均治疗费用为26770新谢克尔。保险公司估计直接节省89080新谢克尔(24054美元)。结论:这些发现支持了心理动力学心理治疗对严重受损患者临床有效且经济有效的假设。
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来源期刊
Psychotherapy Research
Psychotherapy Research PSYCHOLOGY, CLINICAL-
CiteScore
7.80
自引率
10.30%
发文量
68
期刊介绍: Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.
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