Effectiveness of Open-Ended Psychotherapy Under Clinically Representative Conditions

• Published in: Frontiers in psychiatry Vol. 11; p. 384
• Main Authors: Nordmo, Magnus, Sønderland, Nils Martin, Havik, Odd E, Eilertsen, Dag-Erik, Monsen, Jon T, Solbakken, Ole Andre
• Format: Journal Article
• Language: English
• Published: Switzerland Frontiers Media S.A 20-05-2020
• Subjects: effectiveness; naturalistic; outcome; Psychiatry; psychotherapy; representative; effectiveness; psychotherapy; naturalistic; representative; outcome
• ISSN: 1664-0640; 1664-0640
• DOI: 10.3389/fpsyt.2020.00384

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.