Psychoanalytic psychotherapy for children and adolescents with severe depressive psychopathology
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Psychoanalytic psychotherapy for children and adolescents with severe depressive psychopathology : preliminary results of an effectiveness trial. / Weitkamp, Katharina; Daniels, Judith K; Hofmann, Helmut; Timmermann, Helene; Romer, Georg; Wiegand-Grefe, Silke.
In: PSYCHOTHERAPY, Vol. 51, No. 1, 03.2014, p. 138-47.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Psychoanalytic psychotherapy for children and adolescents with severe depressive psychopathology
T2 - preliminary results of an effectiveness trial
AU - Weitkamp, Katharina
AU - Daniels, Judith K
AU - Hofmann, Helmut
AU - Timmermann, Helene
AU - Romer, Georg
AU - Wiegand-Grefe, Silke
N1 - (c) 2014 APA, all rights reserved.
PY - 2014/3
Y1 - 2014/3
N2 - This waitlist-controlled field study aimed to evaluate the effectiveness of psychoanalytic short- and long-term psychotherapy for children and adolescents by using a prospective design. The presented analyses focus on the self- and parent-reported levels of depression and the therapists' ratings of the patients' level of functioning. Thirty-five children and adolescents (aged 4-21 years) and their parents who entered psychoanalytic therapy in private practices in northern Germany participated in this ongoing study. At the time of data analysis, the wait-list control group comprised 17 patients. Data were collected from therapists, parents, and from the patients themselves. Questionnaires were administered at the beginning and the end of treatment, as well as up to 5 points in time during therapy. Follow-up took place at 6 and 12 months after therapy. Depression levels were measured with the self- and parent-reported screening questionnaire Child Depression Inventory, and quality of life with the KIDSCREEN. Patients received, on average, 97 sessions of therapy (range: 25-205). Overall, patients showed pronounced impairments at the commencement of outpatient therapy. At the end of therapy, there was a significant reduction in depression in the treatment group (parent report: d = 0.88, p < .001; patient report d = 0.68, p ≤ .003). The wait-list control group, which received minimal treatment, displayed a slight, but not statistically significant, symptom improvement in the patient report (d = 0.07, p ≤ .503), but a significant improvement in the parent report (d = 0.49, p ≤ .008). The results suggest that psychoanalytic therapy is successful in alleviating depressive pathology and improving quality of life for a significant number of depressed children and adolescents.
AB - This waitlist-controlled field study aimed to evaluate the effectiveness of psychoanalytic short- and long-term psychotherapy for children and adolescents by using a prospective design. The presented analyses focus on the self- and parent-reported levels of depression and the therapists' ratings of the patients' level of functioning. Thirty-five children and adolescents (aged 4-21 years) and their parents who entered psychoanalytic therapy in private practices in northern Germany participated in this ongoing study. At the time of data analysis, the wait-list control group comprised 17 patients. Data were collected from therapists, parents, and from the patients themselves. Questionnaires were administered at the beginning and the end of treatment, as well as up to 5 points in time during therapy. Follow-up took place at 6 and 12 months after therapy. Depression levels were measured with the self- and parent-reported screening questionnaire Child Depression Inventory, and quality of life with the KIDSCREEN. Patients received, on average, 97 sessions of therapy (range: 25-205). Overall, patients showed pronounced impairments at the commencement of outpatient therapy. At the end of therapy, there was a significant reduction in depression in the treatment group (parent report: d = 0.88, p < .001; patient report d = 0.68, p ≤ .003). The wait-list control group, which received minimal treatment, displayed a slight, but not statistically significant, symptom improvement in the patient report (d = 0.07, p ≤ .503), but a significant improvement in the parent report (d = 0.49, p ≤ .008). The results suggest that psychoanalytic therapy is successful in alleviating depressive pathology and improving quality of life for a significant number of depressed children and adolescents.
KW - Adolescent
KW - Child
KW - Child, Preschool
KW - Depressive Disorder, Major
KW - Female
KW - Germany
KW - Humans
KW - Long-Term Care
KW - Male
KW - Personality Assessment
KW - Psychoanalytic Therapy
KW - Psychotherapy, Brief
KW - Young Adult
KW - Comparative Study
KW - Controlled Clinical Trial
KW - Journal Article
U2 - 10.1037/a0034178
DO - 10.1037/a0034178
M3 - SCORING: Journal article
C2 - 24377409
VL - 51
SP - 138
EP - 147
JO - PSYCHOTHERAPY
JF - PSYCHOTHERAPY
SN - 0033-3204
IS - 1
ER -