Existential dynamic therapy (“VITA”) for treatment-resistant depression with Cluster C disorder: Matched comparison to treatment as usual
Abstract
Existential suffering may contribute to treatment-resistant depression. The "VITA" treatment model was designed for such patients with long-standing depression accompanied by existential and/or religious concerns. This naturalistic effectiveness study compared the VITA model (n = 50) with a "treatment as usual" comparison group (TAU; n = 50) of patients with treatment-resistant depression and cluster c comorbidity. The TAU patients were matched on several characteristics with the VITA patients. The VITA model included existential, dynamic, narrative and affect-focused components. The VITA group had significantly greater improvement on symptom distress and relational problems during treatment and from pre-treatment to 1-year follow-up. Patients in the VITA, at follow-up, were more likely to be employed and less likely be using psychotropic medications.
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A considerable body of evidence supports the use of existential therapies to address the existential fears that often underlie depressive disorders.
“In light of evidence supporting a relationship between depressive disorders and death anxiety, a considerable body of evidence supports the use of existential therapies to address the existential fears that often underlie depressive disorders (Ghaemi, 2007;Stalsett, Gude, Ronnestad, & Monsen, 2012).”
From Death anxiety and its role in psychopathology: Reviewing the status of a transdiagnostic construct (2014) · cites this paper as Stalsett, Gude, Ronnestad, & Monsen, 2012
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- Authors
- Stålsett, G., Gude, T., Rønnestad, M. H., & Monsen, J. T.
- Affiliations
- Modum Bad – Gordon Johnsens stiftelse (NO)
- University of Oslo (NO)
- Corresponding author
- Stålsett, Gry
- Venue
- Psychotherapy Research
- Publisher
- Informa UK Limited
- Published
- 2012-06-12
- Volume
- 22
- Issue
- 5
- Pages
- 579-591
- ISSN
- 1050-3307 (ISSN-L)
- 1468-4381
- OpenAlex
- W2062866859
- Cited by
- 26
- References
- 97
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 2 · 2023: 4 · 2022: 3 · 2021: 3 · 2020: 2 · 2019: 1 · 2017: 1 · 2016: 2 · 2015: 1 · 2014: 1 · 2013: 1
- FWCI
- 1.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychotherapy Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- Vita, treatment-resistant depression, cluster C personality disorders, existential suffering, religious concerns, psychodynamic psychotherapy, narrative therapy, usual care, symptom distress, relationship problems, employment, psychotropic drug use
- MeSH terms
- Adult, Existentialism, Female, Humans, Male, Middle Aged, Personality Disorders, Psychoanalytic Therapy, Psychotherapy, Religion and Psychology, Treatment Outcome, Spirituality, Depressive Disorder, Treatment-Resistant, Narrative Therapy
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