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Patterns of Change in Interpersonal Problems During and After Short-term and Long-term Psychodynamic Group Therapy: A
Anette Fjeldstad1, Per Høglend2, Steinar Lorentzen1,2
1a Department for Research and Development , Clinic for Mental Health and Addiction Oslo University Hospital , Oslo , Norway.
Short-term psychodynamic group therapy showed faster initial improvement in interpersonal problems than long-term therapy. However, both therapy durations yielded similar long-term outcomes for most interpersonal issues.
Area of Science:
- Psychology
- Psychotherapy Research
Background:
- Interpersonal problems are a common focus in psychodynamic group therapy.
- Understanding the differential impact of therapy duration is crucial for optimizing treatment.
Purpose of the Study:
- To compare the trajectory of change in interpersonal problems between short-term and long-term psychodynamic group therapy.
- To investigate early and later therapeutic effects based on treatment duration.
Main Methods:
- 167 outpatients with mixed diagnoses were randomized to 20 or 80 weekly sessions.
- Interpersonal problems were assessed using the Inventory of Interpersonal Problems over 3 years.
- Linear mixed models were employed to analyze changes across six time points.
Main Results:
- Short-term therapy demonstrated significantly greater early improvement on the 'cold' interpersonal problem subscale compared to long-term therapy.
- A similar trend was observed for the 'socially avoidant' subscale.
- No significant differences were found between short-term and long-term therapy for other interpersonal problem areas over the 3-year period.
Conclusions:
- While short-term psychodynamic group therapy may offer faster initial symptom reduction in specific areas, long-term therapy does not show superior overall improvement in interpersonal problems over three years.
- Treatment duration may influence the pace but not necessarily the extent of improvement in interpersonal functioning.
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