The Effectiveness of Brief Versus Intermediate Duration Psychodynamic Psychotherapy in the Treatment of Adjustment Disorder
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Treatment studies and particularly psychotherapeutic treatment studies of patients suffering from an adjustment disorder are very scarce, leading to insufficient evidence regarding the efficacy of treatment in this population. Whereas timely psychotherapy is known to be of benefit in the treatment of adjustment disorders, the ideal duration of psychotherapeutic interventions is not known. This study examined whether a brief 12-session focused psychodynamic psychotherapy may be as efficient as a longer intermediate-term (1 year) psychodynamic psychotherapy in treating patients suffering from an adjustment disorder. Subjects (n = 66) were randomly assigned to either brief or intermediate psychotherapy. They were assessed by self-report measures and clinician’s evaluation at baseline, end of therapy, and 9 months after therapy was terminated. The results showed a good overall improvement in the whole group. Furthermore, brief psychotherapy was found to be as good as intermediate psychotherapy both at the end of treatment and at follow-up. Although our study was not designed to confirm the efficacy of dynamic psychotherapy in the treatment of adjustment disorders, our results suggest that brief interventions may be good enough in adjustment disorder, thus allowing treatment of a greater number of patients without compromising for the quality and suitability of treatment.
KeywordsAdjustment disorder Brief psychotherapy Psychodynamic psychotherapy Treatment outcome
We thank Dr. Yaron Yagil and Mrs. Yael Gottlieb-Litvin for their active role in designing and conducting this study. The study was funded by internal means only.
Conflict of interest
The authors declare that they have no conflict of interest.
- Azocar, F., & Greenwood, G. L. (2007). Adult adjustment disorder: A review of its current diagnostic status: A Brief Report. The Internet Journal of Mental Health, 4, 3.Google Scholar
- Cabaniss, B. L., Cherry, S., Douglas, C. J., & Schwartz, A. R. (2011). Psychodynamic psychotherapy: A clinical manual. West Sussex: Wiley.Google Scholar
- Cohen, J. (1977). Statistical power analysis for the behavioral sciences. New York: Academic Press.Google Scholar
- Derogatis, L. R. (1983). SCL-90-R: Administration, scoring, and procedures manual-II. In M. D. Towson (Ed.), Clinical Psychometric Research. Baltimore: John Hopkins University Press.Google Scholar
- First, M. B., Spitzer, R. L., Gibbon, M. & Williams, J. B.W. (1995). Structured clinical interview for DSM-IV patient edition (SCID-I/P, Version 2.0). Biometrics Research Department. New York: New York State Psychiatric Institute.Google Scholar
- Guy, W. (1976). Clinical Global Impressions. In ECDEU assessment manual for psychopharmacology, revised. Rockville: MD: National Institute of Mental Health National Institute of Mental Health, pp. 217–22.Google Scholar
- Horvath, A. O., & Greenberg, L. S. (1989). Development and validation of the Working Alliance Inventory. Journal of Consulting and Clinical Psychology, 36(2), 223–233.Google Scholar
- Knekt, P., Lindfors, O., Harkanen, T., Valikoski, M., Virtala, E., Laaksonen, M. A., et al. (2008a). Randomized trial on the effectiveness of long- and short-term psychodynamic psychotherapy and solution-focused therapy on psychiatric symptoms during a 3-year follow-up. Psychological Medicine, 38(5), 689–703.PubMedCrossRefGoogle Scholar
- Knekt, P., Linfors, O., Laaksonen, M. A., Raitasalo, R., Haaramo, P., & Jarvikoski, A. (2008b). Effectiveness of short-term and long-term psychotherapy on work ability and functional capacity—A randomized clinical trial on depressive and anxiety disorders. Journal of Affective Disorders, 107(1–3), 95–106.PubMedCrossRefGoogle Scholar
- Shalev, A. Y., Abramowitz, M. Z. & Kaplan-De-Nour, A. (1994). Structured clinical interview for DSM-IV patient edition (SCID-I/P, Version 2.0; Hebrew Version, 1994). Center for Traumatic Stress, Department of Psychiatry. Jerusalem: Hadassah University Hospital.Google Scholar