To assess the current status of psychodynamic therapy (PDT) as an empirically supported treatment (EST), we carried out a pre-registered systematic umbrella review addressing evidence for PDT in common mental disorders adults, based on updated model ESTs. Following this model, focused meta-analyses randomized controlled trials (RCTs) published past two years to efficacy. In addition, reviewed effectiveness, cost-effectiveness and mechanisms change. Meta-analyses were evaluated by at least...

Lesbian, gay, bisexual, and queer (LGBQ)-affirmative cognitive behavioral therapy (CBT) focused on minority stress processes can address gay bisexual men's transdiagnostic mental health concerns. Identifying moderators of treatment outcomes may inform the mechanisms LGBQ-affirmative CBT subpopulations who derive particular benefit.

The aim of this article was to construct an empirical bridge between object relations theory and attachment by investigating how researchers in both traditions have contributed understanding assessing identity diffusion (a keystone personality pathology) patients with borderline disorder during 1 year transference-focused psychotherapy (TFP).The Adult Attachment Interview (AAI) the Structured Personality Organization (STIPO) were administered (N=104, all women) before after treatment. This...

Background Dropout rates for effective therapies posttraumatic stress disorder (PTSD) can be high, especially in practice settings. Although clinicians have intuitions regarding what treatment patients may complete, there are few systematic data to drive those judgments. Methods A multivariable model of dropout risk was constructed with randomized clinical trial (n = 160) comparing prolonged exposure (PE) and cognitive processing therapy (CPT) rape-induced PTSD. two-step bootstrapped...

Abstract Background Psychotherapies for depression are equally effective on average, but individual responses vary widely. Outcomes can be improved by optimizing treatment selection using multivariate prediction models. A promising approach is the Personalized Advantage Index (PAI) that predicts optimal a given and magnitude of advantage. The current study aimed to extend PAI long-term outcomes after acute-phase psychotherapy. Methods Data come from randomized trial comparing cognitive...

Premature discontinuation of therapy is a widespread problem that hampers the delivery mental health treatment. A high degree variability has been found among rates premature treatment discontinuation, suggesting may differ depending on potential moderators. In current study, our aim was to identify demographic and interpersonal variables moderate association between assignment dropout.Data from randomized controlled trial conducted November 2001 through June 2007 (N = 156) comparing...

No evidence-based therapy for borderline personality disorder (BPD) exhibits a clear superiority. However, BPD is highly heterogeneous, and different patients may specifically benefit from the interventions of particular treatment.From randomized trial comparing year dialectical behavior (DBT) to general psychiatric management (GPM) BPD, long-term (2-year-post) outcome data patient baseline variables (n = 156) were used examine individual combined patient-level moderators differential...

Patients with major depressive disorder (MDD) and a comorbid personality (PD) have been found to exhibit relatively poor outcomes in cognitive therapy (CT) other treatments. Adaptations of CT focusing heavily on patients' core beliefs yielded promising findings the treatment PD. However, there no investigations that specifically tested whether increased focus maladaptive contributes CT's efficacy for these patients.

Objectives: Greater symptom change is often assumed to follow greater technique use, a "more better" approach. We tested whether psychodynamic techniques, as well common factors and techniques from other orientations, had curvilinear relation outcome (i.e., moderate or "just right" intervention levels predict better than lower higher levels). Methods: For 33 patients receiving supportive-expressive psychotherapy for depression, interventions were assessed at Week 4 using the multitheoretical...

Separation anxiety disorder (SAD) comprises one aspect of attachment dysregulation or insecurity. Although SAD aggravates posttraumatic stress (PTSD) risk, no clinical research has tracked how many patients with PTSD have SAD, its associations, response to treatment. Our open trial interpersonal psychotherapy (IPT) for veterans assessed these domains.Twenty-nine diagnosed chronic on the Clinician-Administered Scale were using Structured Clinical Interview Anxiety Symptoms (SCI-SAS), and...

No studies of psychotherapies for panic disorder (PD) have examined effects on comorbid personality disorders (PersD), yet half such patients a PersD.In randomized trial PD with and without agoraphobia comparing Cognitive-Behavioral Therapy (CBT) Panic-Focused Psychodynamic Psychotherapy (PFPP), PersD was assessed pre-to-post treatment the Structured Clinical Interview Diagnosis Axis-II Disorders (SCID-II). For completing therapy (n = 118, 54 PersD), covariance between SCID-II criteria...

Impaired reflective functioning (RF) is common among patients with borderline personality disorder (BPD). Transference-focused psychotherapy (TFP) has been demonstrated to improve RF compared other BPD treatments. If reflects a treatment mechanism for TFP, differences in pretreatment may also serve as prescriptive factor TFP's effects.A total of 194 were randomized across two clinical trials receive TFP (n = 83), dialectical behavior therapy (DBT; n 31), supportive psychodynamic (SPT; 28),...

Objective The aim of this study was twofold: (a) Investigate whether therapists are consistent in their use therapeutic techniques throughout supportive–expressive therapy (SET) and (b) Examine the bi‐directional relation between therapists' working alliance over course SET. Method Thirty‐seven depressed patients were assigned to 16 weeks SET as part a larger randomized clinical trial (Barber, Barrett, Gallop, Rynn, & Rickels, ). Working Alliance Inventory‐Short Form (WAI‐SF) collected...