Cognitive Behavioral Therapy versus Short Psychodynamic Supportive Psychotherapy in the outpatient treatment of depression: a randomized controlled trial

Driessen, Ellen; Van, Henricus L.; Schoevers, Robert A.; Cuijpers, Pim; Van Aalst, Gerda; Don, Frank J.; Hendriksen, Mariëlle; Kool, Simone; Molenaar, Pieter J.; Peen, Jaap; Dekker, Jack J. M.
January 2007
BMC Psychiatry;2007, Vol. 7, p58
Academic Journal
Background: Previous research has shown that Short Psychodynamic Supportive Psychotherapy (SPSP) is an effective alternative to pharmacotherapy and combined treatment (SPSP and pharmacotherapy) in the treatment of depressed outpatients. The question remains, however, how Short Psychodynamic Supportive Psychotherapy compares with other established psychotherapy methods. The present study compares Short Psychodynamic Supportive Psychotherapy to the evidence-based Cognitive Behavioral Therapy in terms of acceptability, feasibility, and efficacy in the outpatient treatment of depression. Moreover, this study aims to identify clinical predictors that can distinguish patients who may benefit from either of these treatments in particular. This article outlines the study protocol. The results of the study, which is being currently carried out, will be presented as soon as they are available. Methods/Design: Adult outpatients with a main diagnosis of major depressive disorder or depressive disorder not otherwise specified according to DSM-IV criteria and mild to severe depressive symptoms (Hamilton Depression Rating Scale score = 14) are randomly allocated to Short Psychodynamic Supportive Psychotherapy or Cognitive Behavioral Therapy. Both treatments are individual psychotherapies consisting of 16 sessions within 22 weeks. Assessments take place at baseline (week 0), during the treatment period (week 5 and 10) and at treatment termination (week 22). In addition, a follow-up assessment takes place one year after treatment start (week 52). Primary outcome measures are the number of patients refusing treatment (acceptability); the number of patients terminating treatment prematurely (feasibility); and the severity of depressive symptoms (efficacy) according to an independent rater, the clinician and the patient. Secondary outcome measures include general psychopathology, general psychotherapy outcome, pain, health-related quality of life, and cost-effectiveness. Clinical predictors of treatment outcome include demographic variables, psychiatric symptoms, cognitive and psychological patient characteristics and the quality of the therapeutic relationship. Discussion: This study evaluates Short Psychodynamic Supportive Psychotherapy as a treatment for depressed outpatients by comparing it to the established evidence-based treatment Cognitive Behavioral Therapy. Specific strengths of this study include its strong external validity and the clinical relevance of its research aims. Limitations of the study are discussed.


Related Articles

  • Depressed patients' preferences for type of psychotherapy: a preliminary study. Yrondi, Antoine; Rieu, Julie; Massip, Claire; Bongard, Vanina; Schmitt, Laurent // Patient Preference & Adherence;Sep2015, Vol. 9, p1371 

    Background: The treatment recommendations for depressed patients by the American Psychiatric Association encourage a focus on the patient's preferences. The focus of this study was the preference of depressed inpatients for the type of psychotherapy. Methods: Twenty-nine subjects of both sexes...

  • Management: psychodynamics. Dominian, J. // British Medical Journal;10/20/1979, Vol. 2 Issue 6196, p987 

    Focuses on the aspects of psychodynamic treatment. Interpretation on the emotional patterns of the couple; Process of behavior therapy; Details on enjoying the appropriate parental response.

  • Childhood depression: a place for psychotherapy. Trowell, Judith; Joffe, Ilan; Campbell, Jesse; Clemente, Carmen; Almqvist, Fredrik; Soininen, Mika; Koskenranta-Aalto, Ulla; Weintraub, Sheila; Kolaitis, Gerasimos; Tomaras, Vlassis; Anastasopoulos, Dimitris; Grayson, Kate; Barnes, Jacqueline; Tsiantis, John // European Child & Adolescent Psychiatry;Apr2007, Vol. 16 Issue 3, p157 

    Although considered clinically effective, there is little systematic research confirming the use of Individual Psychodynamic Psychotherapy or Family Therapy as treatments for depression in children and young adolescents. A clinical trial assessed the effectiveness of these two forms of...

  • Good Science or Good Business? Healy, David // Hastings Center Report;Mar/Apr2000, Vol. 30 Issue 2, p19 

    Focuses on the treatment of psychological disorders. Emergence of psychodynamic therapy; Developmental trajectory for the antidepressants determined by external event; Designation of Prozac as an antidepressant; Lifestyles and the disease model.

  • The Current Status of Individual Short-term Dynamic Psychotherapy and Its Future: An Overview. Sifneos, Peter E. // American Journal of Psychotherapy;Oct1984, Vol. 38 Issue 4, p472 

    Presents an overview of the status of individual short-term dynamic psychotherapy in Europe and North America. Criteria for selection; Focalization during the psychiatric evaluation; Technique; Limitation of time; Activity of the therapist; Transference neurosis; Degree of support given to a...

  • Continuing Education.  // Pharmaceutical Representative;Apr2008, Vol. 38 Issue 4, p44 

    The article presents an overview of psychotherapy in the U.S. Psychiatric disorders develop from a number of different genetic, biochemical, environmental or organic factors. It can affect interpersonal relationships and the ability to function in daily life. Basic Freudian principles are...

  • INTERVENTIONS THAT APPLY SCRIPTURE IN PSYCHOTHERAPY. GARZON, FERNANDO // Journal of Psychology & Theology;Summer2005, Vol. 33 Issue 2, p113 

    Christian therapists are sometimes challenged in their work with appropriately religious clients to develop treatment components that incorporate the Bible. Utilizing a case study format, this article describes various intervention strategies available for the clinician to consider....

  • Process theory as a framework for comprehensive psychodynamic formulations. Sabelli, Hector C.; Carlson-Sabelli, Linnea // Genetic, Social & General Psychology Monographs;Feb91, Vol. 117 Issue 1, p7 

    Proposes a method for developing integrative psychiatric formulations based on process theory, as contrasted to eclectic attempts to combine separate theories. Importance of biological factors in causing psychiatric disorders; Case studies; Conflict formulation of depression.

  • Functional Male Dyspareunia: A Case Study. Gruver, Gene Gary // American Journal of Psychotherapy;Jul1977, Vol. 31 Issue 3, p450 

    Deals with an apparently successful treatment of a male with a long history of dyspareunia. Multicausal nature of dyspareunia; Need for an approach utilizing both a psychodynamic and behavioral methodology; Distraction of the inhibited person from his previously paired responses; Diminution of...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics