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Psychodynamic therapy on par with CBT, pharmacotherapy in treating mental disorders

07 Oct 2017
Psychiatrists are health professionals who specialise in the field of mental health

Psychodynamic therapy is comparable with other established treatments, including pharmacotherapy and cognitive-behavioural therapy (CBT), in terms of efficacy, a recent study has shown.

Researchers formally tested the equivalence of psychodynamic therapy to treatments established in efficacy and controlled for researcher allegiance effects by including representatives of psychodynamic therapy and CBT, the main rival psychotherapeutic treatments (adversarial collaboration).

The formal criteria for testing equivalence was applied, implying a particularly strict test: a priori definition of a margin compatible with equivalence (g=0.25), using the two one-sided test procedure and ensuring the efficacy of the comparator. Independent raters evaluated effect sizes, study quality, as well as allegiance.

The following criteria were used in the systematic literature search: randomized controlled trial of manual-guided psychodynamic therapy in adults, testing psychodynamic therapy against a treatment with efficacy established for the disorder under study, and applying reliable and valid outcome measures. “Target symptoms” (eg, depressive symptoms in depressive disorder) was the main outcome.

A total of 23 randomized controlled trials with 2,751 patients met the inclusion criteria. Reliable rating methods showed that the mean quality of studies was good.

Based on statistical analyses, psychodynamic therapy was equivalent to comparison conditions for target symptoms at post-treatment (g=‒0.153; 90 percent equivalence CI, ‒0.227 to ‒0.079) and at follow-up (g=‒0.049; ‒0.137 to ‒0.038) since both CIs were included in the equivalence interval (‒0.25 to 0.25).

“Further research should examine who benefits most from which treatment,” according to researchers, adding that pharmacotherapy, CBT and psychodynamic therapy were the most frequently applied strategies for treatment of mental disorders.

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Most Read Articles
Elvira Manzano, 4 days ago
Bisphosphonates have proven antifracture efficacy and remain to be the cornerstone of osteoporosis treatment. However, a drug holiday is of particular importance with bisphosphonates due to some signals with long-term use of the drug, including rare incidence of atypical femoral fracture (AFF) and osteonecrosis of the jaw (ONJ), says a leading endocrinologist at AFOS 2017.
Yesterday
Breast cancer patients have notably different microbiomes in the local breast tissue and urinary tract, a recent study reveals. Particularly, species in the Methylobacterium genus are reduced in the local breast tissue while the urinary tract is enriched in gram-positive bacteria.
Pearl Toh, 13 Oct 2017
Women with higher plasma tryptophan concentrations were less likely to have poor sleep quality during pregnancy, especially among those with anxiety symptoms, according to the GUSTO* study.
Tristan Manalac, Yesterday
Statin use, particularly in smokers, obese patients and nondiabetics, has a strong and dose-dependent association with decreasing risk of pancreatic ductal adenocarcinoma (PDAC), according to a new study.