The DOI matches its Crossref record; 87 of the 87 references it cites were found in a registry or an index.
Comparative effects of short-term psychodynamic psychotherapy and cognitive-behavioral therapy in depression
Abstract
Unlabelled This article reviews the efficacy of short-term psychodynamic psychotherapy (STPP) in depression compared to cognitive-behavioral therapy (CBT) or behavioral therapy (BT). In this review, only studies in which at least 13 therapy sessions were performed have been included, and a sufficient number of patients per group were treated (N > or = 20). With regard to outcome criteria, the results were reviewed for improvements in depressive symptoms, general psychiatric symptoms, and social functioning. Six studies met the inclusion criteria.Results In 58 of the 60 comparisons (97%) performed in the six studies and their follow-ups, no significant difference could be detected between STPP and CBT/BT concerning the effects in depressive symptoms, general psychiatric symptomatology, and social functioning. Furthermore, STPP and CBT/BT did not differ significantly with regard to the patients that were judged as remitted or improved. According to a meta-analytic procedure described by R. Rosenthal (1991) the studies do not differ significantly with regard to the patients that were judged as remitted or improved after treatment with STPP or CBT/BT. The mean difference between STPP and CBT/BT concerning the number of patients that were judged as remitted or improved corresponds to a small effect size (post-assessment: phi = 0.08, follow-up assessment: phi = 0.12). Thus, STPP and CBT/BT seem to be equally effective methods in the treatment of depression. However, because of the small number of studies which met the inclusion criteria, this result can only be preliminary. Furthermore, it applies only to the specific forms of STPP that were examined in the selected studies and cannot be generalized to other forms of STPP. Further studies are needed to examine the effects of specific forms of STPP in both controlled and naturalistic settings. Furthermore, there are findings indicating that 16-20 sessions of both STPP and CBT/BT are insufficient for most patients to achieve lasting remission. Future studies should address the effects of longer treatments of depression.
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“For STPP of depression remission rates between 45% and 70% at post-therapy assessment were published [26], while remission rates in primary-care settings (comparable to TAU) ranged between 20% and about 50% (6 months) [27-29].”
From Efficacy of psychodynamic short-term psychotherapy for depressed breast cancer patients: Study protocol for a randomized controlled trial (2012) · cites this paper as [26]
Citations
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Chambless, D. L., & Hollon, S. D. (1998) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.66.1.7 · Cited by 3,067 · cited 2×
“…Association, 1980, 1983) and especially the comparative efficacy of STPP and CBT/BT. Comparisons with a rival treatment provide the most stringent test of efficacy, because they not only control for common factors, but also involve tests between rival specific mechanisms (Chambless & Hollon, 1998).”
BackgroundHandbook of Psychotherapy and Behavior Change
Sanford, E. F. (1988) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1988.42.1.153 · Cited by 2,586
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- Leichsenring, 1996, Zur Meta-Analyse von Grawe, Gruppenpsychotherapie und Gruppendynamik, 32, 205
- Nietzel, 1987, Clinical significance of psychotherapy for unipolar depression, Journal of Consulting and Clinical Psycholgy, 55, 56
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The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses
Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012) · Cognitive Therapy and Research · doi:10.1007/s10608-012-9476-1 · Cited by 3,445
The efficacy of psychodynamic psychotherapy
Shedler, J. (2010) · American Psychologist · doi:10.1037/a0018378 · Cited by 1,452
Effectiveness of Long-term Psychodynamic Psychotherapy: A Meta-analysis
Leichsenring, F. (2008) · JAMA · doi:10.1001/jama.300.13.1551 · Cited by 65
Self-citationBarth, J., Munder, T., Gerger, H., Nüesch, E., Trelle, S., Znoj, H., Jüni, P., & Cuijpers, P. (2013) · PLoS Medicine · doi:10.1371/journal.pmed.1001454 · Cited by 569
“In contrast, a meta-analytic comparison of cognitive-behavioural therapy and short-term psychodynamic therapy for depression found no significant differences in efficacy between these interventions [14].”
BackgroundResultLeichsenring, F., & Leibing, E. (2003) · American Journal of Psychiatry · doi:10.1176/appi.ajp.160.7.1223 · Cited by 546
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Metadata
- Authors
- Leichsenring, F.
- Affiliations
- University of Göttingen (DE)
- Corresponding author
- Leichsenring, Falk
- ORCID
- Leichsenring, Falk
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2001-04
- Volume
- 21
- Issue
- 3
- Pages
- 401-419
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W1713240235
- Cited by
- 281
- References
- 79
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 5 · 2023: 4 · 2022: 4 · 2021: 4 · 2020: 7 · 2019: 9 · 2018: 7 · 2017: 6 · 2016: 18 · 2015: 12 · 2014: 24 · 2013: 18 · 2012: 23
- FWCI
- 6.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- GRO (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- short-term dynamic psychotherapy, cognitive behavioral therapy, behavior therapy, depression, treatment efficacy, depressive symptoms, remission, social functioning, psychotherapy comparison
- MeSH terms
- Adult, Aged, Depressive Disorder, Female, Humans, Male, Middle Aged, Psychotherapy, Recurrence, Time Factors, Reproducibility of Results, Cognitive Behavioral Therapy, Treatment Outcome
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