Effectiveness of Open-Ended Psychotherapy Under Clinically Representative Conditions
This study investigates the effectiveness of open-ended psychotherapy in a large, naturalistic, and diverse patient cohort using rigorous and multifaceted assessments. Patients (N = 370) in open-ended psychotherapy completed an extensive set of self-report measures and diagnostic interviews, includi...
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| Published in: | Frontiers in psychiatry Vol. 11; p. 384 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Switzerland
Frontiers Media S.A
20-05-2020
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| Subjects: | |
| Online Access: | Get full text |
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| Summary: | This study investigates the effectiveness of open-ended psychotherapy in a large, naturalistic, and diverse patient cohort using rigorous and multifaceted assessments.
Patients (N = 370) in open-ended psychotherapy completed an extensive set of self-report measures and diagnostic interviews, including long-term follow-up in order to assess stability of outcomes. About half of the patients qualified for a personality disorder at the onset of treatment. Treatments were open-ended, and on average therapists provided substantially larger treatment doses than common in the literature.
A substantial majority recovered from their respective Axis I (58%) and/or Axis II (55%) disorders during treatment. Patients also experienced large positive changes in self-report measures of overall psychiatric symptoms and moderate positive changes in self-reported interpersonal problems, while very few (< 3%) demonstrated negative development. The patients maintained their diagnostic and self-assessed changes at a two-and-a-half-year follow-up. In contrast, self-reported occupational functioning showed minimal improvement throughout the treatment and follow-up phase.
A naturalistic patient cohort undergoing open-ended psychotherapy demonstrates substantial and stable improvements. |
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| Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Reviewed by: Warren Mansell, University of Manchester, United Kingdom; William B. Stiles, Miami University, United States Edited by: Veena Kumari, Brunel University London, United Kingdom This article was submitted to Psychological Therapies, a section of the journal Frontiers in Psychiatry |
| ISSN: | 1664-0640 1664-0640 |
| DOI: | 10.3389/fpsyt.2020.00384 |