Short-Term Psychodynamic Psychotherapy and Cognitive-Behavioral Therapy in Generalized Anxiety Disorder: A Randomized, Controlled Trial

Leichsenring, Falk; Salzer, Simone; Jaeger, Ulrich; Kächele, Horst; Kreische, Reinhard; Leweke, Frank; Rüger, Ulrich; Winkelbach, Christel; Leibing, Eric

doi:10.1176/foc.8.1.foc66

Cited by 22 publications

(41 citation statements)

References 25 publications

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“…Campbell et al (2012) and Titov et al (2010) only reported ITT sample results and both had relatively high attrition rates (17% & 16% respectively); therefore their results may have been biased and should be viewed with caution. The remaining three studies using the LOCF method (Leichsenring et al, 2009;Robinson et al, 2010;Steinmetz et al, 2011) had relatively low attrition rates (8%, 7% and 5.5% respectively) therefore the risk of bias was quite low for these studies.…”

Section: Quality Of Statistical Analysismentioning

confidence: 96%

“…[Insert Table 1 Treatment duration ranged from a single 90 minute session with testing immediately after the session (Feldman et al, 2010), to a maximum of 30 weeks of treatment (Leichsenring et al, 2009); however, in the majority of studies (N=15) treatment varied from 4 weeks to 8 weeks. For most studies, treatment occurred on a weekly basis, either through online modules to be completed in the internet-based treatments or through face-to-face sessions with therapists either in group format or one-to-one format.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…Firstly, some of the studies stated that participants were randomised but did not provide detail on the randomisation process (Leichsenring et al, 2009;Robins et al, 2012;Vollestad et al, 2011;Watkins et al, 2009). These studies may have employed appropriate processes of randomisation but the lack of detail made it difficult for us to assess; and best practice suggests that randomisation processes should be reported in full.…”

Section: [Insert Table 3 About Here]mentioning

confidence: 99%

“…In the studies in which ITT analysis was performed, nine studies (Campbell et al, 2012;Jain et al, 2007;Leichsenring et al, 2009;Robinson et al, 2010;Steinmetz et al, 2011;Titov et al, 2010;Vollestad et al, 2011;Watkins et al, 2011;Watkins et al, 2012) employed the LOCF method for data imputation; and five of these studies (Campbell et al, 2012;Jain et al, 2007;Titov et al, 2010;Vollestad et al, 2011;Watkins et al, 2012) had an attrition rate of greater than 10 percent. However, Jain et al (2007) and Vollestad et al (2011) evidenced best practice by reporting results for both 'completer' and ITT samples providing assurance that the attrition rate did not compromise reported results; and Watkins et al (2011) and Watkins et al (2012) conducted sensitivity analysis to ensure that drop-outs did not adversely affect their results.…”

Section: Quality Of Statistical Analysismentioning

confidence: 99%

“…Six of these studies assessed treatments with a cognitive behaviour therapy (CBT) focus against either a waitlist control condition or other treatments (Andersson et al, 2012;Leichsenring et al, 2009;Paxling et al, 2011;Robins et al, 2012;Robinson et al, 2010;Titov et al, 2010;Westra et al, 2009). Out of these studies, four delivered their interventions via the Internet; while the other two studies delivered their interventions via individual face-to-face sessions (Leichsenring et al, 2009;Westra et al, 2009). Andersson et al (2012) evaluated an eight-week Internet-based CBT (iCBT) programme against an eight-week Internet-based Psychodynamic therapy (iPDT) programme.…”

Section: Effects Of Treatment On Self-reported Worrymentioning

confidence: 99%

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Assessing treatments used to reduce rumination and/or worry: A systematic review

Querstret

Cropley

2013

Clinical Psychology Review

184

112

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Perseverative cognitions such as rumination and worry are key components of mental illnesses such as depression and anxiety. Given the frequent comorbidity of conditions in which rumination and worry are present, it is possible they are underpinned by the same cognitive process. Furthermore, rumination and worry appear to be part of a causal chain that can lead to long-term health consequences, including cardiovascular disease and other chronic conditions. It is important therefore to understand what interventions may be useful in reducing their incidence. This systematic review aimed to assess treatments used to reduce worry and/or rumination. As we were interested in understanding the current treatment landscape, we limited our search from 2002-2012. Nineteen studies were included in the review and were assessed for methodological quality and treatment integrity. Results suggested that mindfulness-based and cognitive behavioural interventions may be effective in the reduction of both rumination and worry; with both Internet-delivered and face-to-face delivered formats useful. More broadly, it appears that treatments in which participants are encouraged to change their thinking style, or to disengage from emotional response to rumination and/or worry (e.g., through mindful techniques), could be helpful. Implications for treatment and avenues for future research are discussed.

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Section: Quality Of Statistical Analysismentioning

confidence: 96%

Section: Description Of Included Studiesmentioning

confidence: 99%

Section: [Insert Table 3 About Here]mentioning

confidence: 99%

Section: Quality Of Statistical Analysismentioning

confidence: 99%

Section: Effects Of Treatment On Self-reported Worrymentioning

confidence: 99%

See 3 more Smart Citations

Assessing treatments used to reduce rumination and/or worry: A systematic review

Querstret

Cropley

2013

Clinical Psychology Review

184

112

View full text Add to dashboard Cite

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Intensive Short‐Term Dynamic Psychotherapy for generalized anxiety disorder: A pilot effectiveness and process‐outcome study

Lilliengren

Town

Kisely

et al. 2017

Clin Psychology and Psychoth

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The objective of this study was to evaluate the clinical- and cost-effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) for generalized anxiety disorder (GAD). We further aimed to examine if a key clinical process within the ISTDP framework, termed the level of mobilization of unprocessed complex emotions (MUCE), was related to outcome. The sample consisted of 215 adult patients (60.9% female) with GAD and comorbid conditions treated in a tertiary mental health outpatient setting. The patients were provided an average of 8.3 sessions of ISTDP delivered by 38 therapists. The level of MUCE in treatment was assessed from videotaped sessions by a rater blind to treatment outcome. Year-by-year healthcare costs were derived independently from government databases. Multilevel growth models indicated significant decreases in psychiatric symptoms and interpersonal problems during treatment. These gains were corroborated by reductions in healthcare costs that continued for 4 years post-treatment reaching normal population means. Further, we found that the in-treatment level of MUCE was associated with larger treatment effects, underlining the significance of emotional experiencing and processing in the treatment of GAD. We conclude that ISTDP appears to reduce symptoms and costs associated with GAD and that the ISTDP framework may be useful for understanding key therapeutic processes in this challenging clinical population. Controlled studies of ISTDP for GAD are warranted.

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Fluctuations in alliance and use of techniques over time: A bidirectional relation between use of “common factors” techniques and the development of the working alliance

Solomonov

McCarthy

Keefe

et al. 2017

Clin Psychology and Psychoth

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Short-Term Psychodynamic Psychotherapy and Cognitive-Behavioral Therapy in Generalized Anxiety Disorder: A Randomized, Controlled Trial

Cited by 22 publications

References 25 publications

Assessing treatments used to reduce rumination and/or worry: A systematic review

Assessing treatments used to reduce rumination and/or worry: A systematic review

Intensive Short‐Term Dynamic Psychotherapy for generalized anxiety disorder: A pilot effectiveness and process‐outcome study

Fluctuations in alliance and use of techniques over time: A bidirectional relation between use of “common factors” techniques and the development of the working alliance

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