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dc.contributor.authorLilliengren, Peter
dc.contributor.authorJohansson, Robert
dc.contributor.authorTown, Joel M
dc.contributor.authorKisely, Steve
dc.contributor.authorAbbass, Allan
dc.date.accessioned2021-09-15T23:22:23Z
dc.date.available2021-09-15T23:22:23Z
dc.date.issued2017
dc.identifier.issn1063-3995
dc.identifier.doi10.1002/cpp.2101
dc.identifier.urihttp://hdl.handle.net/10072/408010
dc.description.abstractThe objective of this study was to evaluate the clinical- and cost-effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) for generalized anxiety disorder (GAD). We further aimed to examine if a key clinical process within the ISTDP framework, termed the level of mobilization of unprocessed complex emotions (MUCE), was related to outcome. The sample consisted of 215 adult patients (60.9% female) with GAD and comorbid conditions treated in a tertiary mental health outpatient setting. The patients were provided an average of 8.3 sessions of ISTDP delivered by 38 therapists. The level of MUCE in treatment was assessed from videotaped sessions by a rater blind to treatment outcome. Year-by-year healthcare costs were derived independently from government databases. Multilevel growth models indicated significant decreases in psychiatric symptoms and interpersonal problems during treatment. These gains were corroborated by reductions in healthcare costs that continued for 4 years post-treatment reaching normal population means. Further, we found that the in-treatment level of MUCE was associated with larger treatment effects, underlining the significance of emotional experiencing and processing in the treatment of GAD. We conclude that ISTDP appears to reduce symptoms and costs associated with GAD and that the ISTDP framework may be useful for understanding key therapeutic processes in this challenging clinical population. Controlled studies of ISTDP for GAD are warranted.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherJohn Wiley & Sons
dc.relation.ispartofpagefrom1313
dc.relation.ispartofpageto1321
dc.relation.ispartofissue6
dc.relation.ispartofjournalClinical Psychology & Psychotherapy
dc.relation.ispartofvolume24
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchCognitive and computational psychology
dc.subject.fieldofresearchcode52
dc.subject.fieldofresearchcode5204
dc.subject.keywordsSocial Sciences
dc.subject.keywordsPsychology, Clinical
dc.subject.keywordsPsychology
dc.subject.keywordscost-effectiveness
dc.subject.keywordsemotion processing
dc.titleIntensive short-term dynamic psychotherapy for generalized anxiety disorder: A pilot effectiveness and process-outcome study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationLilliengren, P; Johansson, R; Town, JM; Kisely, S; Abbass, A, Intensive short-term dynamic psychotherapy for generalized anxiety disorder: A pilot effectiveness and process-outcome study, Clinical Psychology & Psychotherapy, 2017, 24 (6), pp. 1313-1321
dcterms.dateAccepted2017-05-23
dc.date.updated2021-09-15T23:20:21Z
gro.hasfulltextNo Full Text
gro.griffith.authorKisely, Steve R.


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