Psychodynamic psychotherapy for children and adolescents: a meta-analysis of short-term psychodynamic models
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Psychodynamic psychotherapy for children and adolescents: a meta-analysis of short-term psychodynamic models. / Abbass, Allan A; Rabung, Sven; Leichsenring, Falk; Refseth, Johanne S; Midgley, Nick.
In: J AM ACAD CHILD PSY, Vol. 52, No. 8, 01.08.2013, p. 863-75.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Psychodynamic psychotherapy for children and adolescents: a meta-analysis of short-term psychodynamic models
AU - Abbass, Allan A
AU - Rabung, Sven
AU - Leichsenring, Falk
AU - Refseth, Johanne S
AU - Midgley, Nick
N1 - Copyright © 2013 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.
PY - 2013/8/1
Y1 - 2013/8/1
N2 - OBJECTIVE: Psychodynamically based brief psychotherapy is frequently used in clinical practice for a range of common mental disorders in children and adolescents. To our knowledge, there have been no meta-analyses to evaluate the effectiveness of these therapies.METHOD: After a broad search, we meta-analyzed controlled outcome studies of short-term psychodynamic psychotherapies (STPP, 40 or fewer sessions). We also performed sensitivity analyses and evaluated the risk of bias in this body of studies.RESULTS: We found 11 studies with a total of 655 patients covering a broad range of conditions including depression, anxiety disorders, anorexia nervosa, and borderline personality disorder. STPP did not separate from what were mostly robust treatment comparators, but there were some subgroup differences. Robust (g = 1.07, 95% CI = 0.80-1.34) within group effect sizes were observed suggesting the treatment may be effective. These effects increased in follow up compared to post treatment (overall, g = 0.24, 95% CI = 0.00-0.48), suggesting a tendency toward increased gains. Heterogeneity was high across most analyses, suggesting that these data need be interpreted with caution.CONCLUSION: This review suggests that STPP may be effective in children and adolescents across a range of common mental disorders.
AB - OBJECTIVE: Psychodynamically based brief psychotherapy is frequently used in clinical practice for a range of common mental disorders in children and adolescents. To our knowledge, there have been no meta-analyses to evaluate the effectiveness of these therapies.METHOD: After a broad search, we meta-analyzed controlled outcome studies of short-term psychodynamic psychotherapies (STPP, 40 or fewer sessions). We also performed sensitivity analyses and evaluated the risk of bias in this body of studies.RESULTS: We found 11 studies with a total of 655 patients covering a broad range of conditions including depression, anxiety disorders, anorexia nervosa, and borderline personality disorder. STPP did not separate from what were mostly robust treatment comparators, but there were some subgroup differences. Robust (g = 1.07, 95% CI = 0.80-1.34) within group effect sizes were observed suggesting the treatment may be effective. These effects increased in follow up compared to post treatment (overall, g = 0.24, 95% CI = 0.00-0.48), suggesting a tendency toward increased gains. Heterogeneity was high across most analyses, suggesting that these data need be interpreted with caution.CONCLUSION: This review suggests that STPP may be effective in children and adolescents across a range of common mental disorders.
KW - Adolescent
KW - Child
KW - Humans
KW - Mental Disorders
KW - Models, Psychological
KW - Psychotherapy, Brief
KW - Psychotherapy, Psychodynamic
KW - Treatment Outcome
U2 - 10.1016/j.jaac.2013.05.014
DO - 10.1016/j.jaac.2013.05.014
M3 - SCORING: Journal article
C2 - 23880496
VL - 52
SP - 863
EP - 875
JO - J AM ACAD CHILD PSY
JF - J AM ACAD CHILD PSY
SN - 0890-8567
IS - 8
ER -