Please use this identifier to cite or link to this item:
http://doi.org/10.25358/openscience-8541
Authors: | Beutel, Manfred Krakau, Lina Kaufhold, Johannes Bahrke, Ulrich Grabbhorn, Alexa Hautzinger, Martin Fiedler, Georg Kallenbach-Kaminski, Lisa Ernst, Mareike Rüger, Bernhard Leuzinger-Bohleber, Marianne |
Title: | Recovery from chronic depression and structural change : 5-year outcomes after psychoanalytic and cognitive-behavioural long-term treatments (LAC depression study) |
Online publication date: | 25-Jan-2023 |
Year of first publication: | 2022 |
Language: | english |
Abstract: | Objective: Psychotherapy of chronic depression has remained a challenge due to limited prognosis and high rates of recurrence. We present 5-year outcome data from a multicentre trial comparing psychoanalytic (PAT) and cognitive-behavioural (CBT) long-term treatments with randomized and preferred allocations analysing symptom (N = 227) and structural change (N = 134) trajectories. Method: Self- and blinded expert ratings of depression symptoms were performed at yearly intervals using the Beck Depression Inventory-II (BDI-II) and Quick Inventory of Depressive Symptoms (QIDS-C). Blinded expert ratings of Operationalized Psychodynamic Diagnosis (OPD) and the Heidelberg Restructuring Scale (HRS) at baseline, 1, 3, and 5 years assessed structural change in a subsample. Results: Lasting and comparable symptom changes were achieved by PAT and CBT. However, compared to CBT, PAT was more successful in restructuring, a major goal of long-term psychodynamic treatments with high frequency and duration. Limitations: Due to practical reasons, the time criterion for chronic depression of an acute phase had to be defined for over 1 year in the present study, which does not correspond to the DSM-5 criterion of 2 years. Therapy duration and session frequency were not incorporated into the statistical models. Conclusion: Long-term psychotherapy helps patients with a yearlong history of depression and often multiple unsuccessful treatment attempts to achieve lasting symptom changes. Future follow-up will clarify whether restructuring promotes further sustainable improvements. |
DDC: | 610 Medizin 610 Medical sciences |
Institution: | Johannes Gutenberg-Universität Mainz |
Department: | FB 04 Medizin |
Place: | Mainz |
ROR: | https://ror.org/023b0x485 |
DOI: | http://doi.org/10.25358/openscience-8541 |
Version: | Published version |
Publication type: | Zeitschriftenaufsatz |
License: | CC BY-NC-ND |
Information on rights of use: | https://creativecommons.org/licenses/by-nc-nd/4.0/ |
Journal: | Clinical psychology & psychotherapy Version of Record (VoR) |
Publisher: | Wiley |
Publisher place: | New York, NY u.a. |
Issue date: | 2022 |
ISSN: | 1099-0879 |
Publisher DOI: | 10.1002/cpp.2793 |
Appears in collections: | DFG-491381577-H |
Files in This Item:
File | Description | Size | Format | ||
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![]() | recovery_from_chronic_depress-20230110105415021.pdf | 1.33 MB | Adobe PDF | View/Open |