Longer term outcome of cognitive-behavioural and psychodynamic psychotherapy in routine mental health care: randomised controlled trial.
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Longer term outcome of cognitive-behavioural and psychodynamic psychotherapy in routine mental health care: randomised controlled trial. / Watzke, Birgit; Rüddel, Heinz; Jürgensen, Ralph; Koch-Gromus, Uwe; Kriston, Levente; Grothgar, Barbara; Schulz, Holger.
In: BEHAV RES THER, Vol. 50, No. 9, 9, 09.2012, p. 580-587.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Longer term outcome of cognitive-behavioural and psychodynamic psychotherapy in routine mental health care: randomised controlled trial.
AU - Watzke, Birgit
AU - Rüddel, Heinz
AU - Jürgensen, Ralph
AU - Koch-Gromus, Uwe
AU - Kriston, Levente
AU - Grothgar, Barbara
AU - Schulz, Holger
N1 - Copyright © 2012 Elsevier Ltd. All rights reserved.
PY - 2012/9
Y1 - 2012/9
N2 - We investigated the comparative effectiveness of cognitive-behavioural (CBT) and psychodynamic therapy (PDT) under clinically representative conditions as a subtrial of a prior study (Watzke et al., 2010, BJP). A consecutive sample of 147 patients with common mental disorders was randomised to either CBT or PDT in routine mental health care. In a primary per-protocol analysis patients randomised to CBT had a significantly better longer term outcome in the primary outcome symptom severity (General Severity Index of the SCL-14; p=.001; partial ?(2)=0.073) as well as in health related quality of life (Mental Component Summary of the SF-8; p=.013; partial ?(2)=.041) and concerning interpersonal issues (Inventory of Interpersonal Problems, IIP-C; p=.001; partial ?(2)=.070) 6 months after treatment than patients randomised to PDT. These results could be confirmed in intention-to-treat analyses (n=180) suggesting that there was no substantial attrition bias due to drop outs at the follow-up assessment. Thus, the so called equivalence outcome paradox was not replicated in this study.
AB - We investigated the comparative effectiveness of cognitive-behavioural (CBT) and psychodynamic therapy (PDT) under clinically representative conditions as a subtrial of a prior study (Watzke et al., 2010, BJP). A consecutive sample of 147 patients with common mental disorders was randomised to either CBT or PDT in routine mental health care. In a primary per-protocol analysis patients randomised to CBT had a significantly better longer term outcome in the primary outcome symptom severity (General Severity Index of the SCL-14; p=.001; partial ?(2)=0.073) as well as in health related quality of life (Mental Component Summary of the SF-8; p=.013; partial ?(2)=.041) and concerning interpersonal issues (Inventory of Interpersonal Problems, IIP-C; p=.001; partial ?(2)=.070) 6 months after treatment than patients randomised to PDT. These results could be confirmed in intention-to-treat analyses (n=180) suggesting that there was no substantial attrition bias due to drop outs at the follow-up assessment. Thus, the so called equivalence outcome paradox was not replicated in this study.
KW - Adult
KW - Humans
KW - Male
KW - Female
KW - Treatment Outcome
KW - Evidence-Based Practice
KW - Analysis of Variance
KW - Mental Health
KW - Psychotherapy/methods
KW - Mental Disorders/therapy
KW - Cognitive Therapy/methods
KW - Adult
KW - Humans
KW - Male
KW - Female
KW - Treatment Outcome
KW - Evidence-Based Practice
KW - Analysis of Variance
KW - Mental Health
KW - Psychotherapy/methods
KW - Mental Disorders/therapy
KW - Cognitive Therapy/methods
U2 - 10.1016/j.brat.2012.04.005
DO - 10.1016/j.brat.2012.04.005
M3 - SCORING: Journal article
C2 - 22750189
VL - 50
SP - 580
EP - 587
JO - BEHAV RES THER
JF - BEHAV RES THER
SN - 0005-7967
IS - 9
M1 - 9
ER -
