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Cited by 282Psychotherapy Techniques and ApplicationsPsychoanalysis and Psychopathology ResearchAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

The DOI matches its Crossref record; 66 of the 66 references it cites were found in a registry or an index.

Randomized trial on the effectiveness of long-and short-term psychodynamic psychotherapy and solution-focused therapy on psychiatric symptoms during a 3-year follow-up

Knekt, P., Lindfors, O., Härkänen, T., Välikoski, M., Virtala, E., Laaksonen, M. A., Marttunen, M., Kaipainen, M., Renlund, C., the Helsinki Psychotherapy Study Group·2008·Psychological Medicine
DOI 10.1017/s003329170700164x
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Abstract

BACKGROUND: Insufficient evidence exists for a viable choice between long- and short-term psychotherapies in the treatment of psychiatric disorders. The present trial compares the effectiveness of one long-term therapy and two short-term therapies in the treatment of mood and anxiety disorders. METHOD: In the Helsinki Psychotherapy Study, 326 out-patients with mood (84.7%) or anxiety disorder (43.6%) were randomly assigned to three treatment groups (long-term psychodynamic psychotherapy, short-term psychodynamic psychotherapy, and solution-focused therapy) and were followed up for 3 years from start of treatment. Primary outcome measures were depressive symptoms measured by self-report Beck Depression Inventory (BDI) and observer-rated Hamilton Depression Rating Scale (HAMD), and anxiety symptoms measured by self-report Symptom Check List Anxiety Scale (SCL-90-Anx) and observer-rated Hamilton Anxiety Rating Scale (HAMA). RESULTS: A statistically significant reduction of symptoms was noted for BDI (51%), HAMD (36%), SCL-90-Anx (41%) and HAMA (38%) during the 3-year follow-up. Short-term psychodynamic psychotherapy was more effective than long-term psychodynamic psychotherapy during the first year, showing 15-27% lower scores for the four outcome measures. During the second year of follow-up no significant differences were found between the short-term and long-term therapies, and after 3 years of follow-up long-term psychodynamic psychotherapy was more effective with 14-37% lower scores for the outcome variables. No statistically significant differences were found in the effectiveness of the short-term therapies. CONCLUSIONS: Short-term therapies produce benefits more quickly than long-term psychodynamic psychotherapy but in the long run long-term psychodynamic psychotherapy is superior to short-term therapies. However, more research is needed to determine which patients should be given long-term psychotherapy for the treatment of mood or anxiety disorders.

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  1. 1994, Diagnostic and Statistical Manual of Mental Disorders
  2. 1999, SAS Online Doc. SAS/STAT User's Guide, Version 8

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Metadata

Authors
Knekt, P., Lindfors, O., Härkänen, T., Välikoski, M., Virtala, E., Laaksonen, M. A., Marttunen, M., Kaipainen, M., Renlund, C., & the Helsinki Psychotherapy Study Group
Affiliations
  • Social Insurance Institution (FI)
  • Helsinki University Hospital (FI)
Corresponding author
Knekt, P.
ORCID
Venue
Psychological Medicine
Publisher
Cambridge University Press (CUP)
Published
2007-11-16
Volume
38
Issue
5
Pages
689-703
ISSN
  • 0033-2917 (ISSN-L)
  • 1469-8978
DOI
10.1017/s003329170700164x
OpenAlex
W2093343421
Cited by
282
References
64
Citations by year
2026: 8 · 2025: 9 · 2024: 8 · 2023: 28 · 2022: 6 · 2021: 5 · 2020: 12 · 2019: 13 · 2018: 11 · 2017: 11 · 2016: 25 · 2015: 17 · 2014: 33 · 2013: 22 · 2012: 22
FWCI
11.64
Type
journal article
Language
en
Open access
closed
Licence
www.cambridge.org/core/terms (unspecified)
Locations
  • Psychological Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
Helsingin ja Uudenmaan Sairaanhoitopiiri
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
psychodynamic psychotherapy, solution-focused therapy, brief psychotherapy, long-term psychotherapy, mood disorders, anxiety disorders, depressive symptoms, anxiety symptoms, treatment effectiveness, long-term follow-up
MeSH terms
Adult, Anxiety Disorders, Major Depressive Disorder, Depressive Disorder, Major, Female, Finland, Follow-Up Studies, Hospitalization, Humans, Long-Term Care, Male, Patient Dropouts, Personality Disorders, Personality Inventory, Problem Solving, Psychoanalytic Therapy, Psychotherapy, Brief

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