Cargando…
Patients Characteristics and Psychosocial Treatment in Psychodynamic and Cognitive Behavior Therapy
Introduction: The most prevalent psychotherapy schools are psychodynamic (PDT) and cognitive behavior therapy (CBT). There are no scientific guidelines on which type of patient should be treated by which therapist, and how they can find the best one. Part of the answer can be derived from data on wh...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8160362/ https://www.ncbi.nlm.nih.gov/pubmed/34054618 http://dx.doi.org/10.3389/fpsyt.2021.664975 |
_version_ | 1783700269151813632 |
---|---|
author | Muschalla, Beate Linden, Michael Rose, Matthias |
author_facet | Muschalla, Beate Linden, Michael Rose, Matthias |
author_sort | Muschalla, Beate |
collection | PubMed |
description | Introduction: The most prevalent psychotherapy schools are psychodynamic (PDT) and cognitive behavior therapy (CBT). There are no scientific guidelines on which type of patient should be treated by which therapist, and how they can find the best one. Part of the answer can be derived from data on who is treated in which way. Objective: Objective of this study was to compare patients in routine PDT and CBT to describe similarities and differences in regard to patient status and treatment. Materials and Methods: A research psychotherapist visited 73 cognitive behavior therapists and 58 psychodynamic psychotherapists in their office and asked them to report about the last cases they had seen. There were 188 CBT and 134 PD case reports. Results: There were no significant differences in socio-demographics between PDT and CBT patients. The average number of treatment session so far was significantly higher in PDT than CBT. There were longer duration of illness, more parallel medical treatments and higher rates of sick leave in CBT patients. While assessment of capacities with the Mini-ICF-APP showed no differences, more participation restrictions were found in CBT patients. Correspondingly there were more sociomedical interventions, especially in regard to work. Conclusions: The differences between PDT and CBT may be explained by the fact that PDT requires analytical capabilities on the side of the patient, which may exclude patients with social problems, while CBT is coping oriented which allows the inclusion of all kinds of patients. Still, in both treatment modes, complex patients are treated with multidimensional interventions. |
format | Online Article Text |
id | pubmed-8160362 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-81603622021-05-29 Patients Characteristics and Psychosocial Treatment in Psychodynamic and Cognitive Behavior Therapy Muschalla, Beate Linden, Michael Rose, Matthias Front Psychiatry Psychiatry Introduction: The most prevalent psychotherapy schools are psychodynamic (PDT) and cognitive behavior therapy (CBT). There are no scientific guidelines on which type of patient should be treated by which therapist, and how they can find the best one. Part of the answer can be derived from data on who is treated in which way. Objective: Objective of this study was to compare patients in routine PDT and CBT to describe similarities and differences in regard to patient status and treatment. Materials and Methods: A research psychotherapist visited 73 cognitive behavior therapists and 58 psychodynamic psychotherapists in their office and asked them to report about the last cases they had seen. There were 188 CBT and 134 PD case reports. Results: There were no significant differences in socio-demographics between PDT and CBT patients. The average number of treatment session so far was significantly higher in PDT than CBT. There were longer duration of illness, more parallel medical treatments and higher rates of sick leave in CBT patients. While assessment of capacities with the Mini-ICF-APP showed no differences, more participation restrictions were found in CBT patients. Correspondingly there were more sociomedical interventions, especially in regard to work. Conclusions: The differences between PDT and CBT may be explained by the fact that PDT requires analytical capabilities on the side of the patient, which may exclude patients with social problems, while CBT is coping oriented which allows the inclusion of all kinds of patients. Still, in both treatment modes, complex patients are treated with multidimensional interventions. Frontiers Media S.A. 2021-05-14 /pmc/articles/PMC8160362/ /pubmed/34054618 http://dx.doi.org/10.3389/fpsyt.2021.664975 Text en Copyright © 2021 Muschalla, Linden and Rose. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychiatry Muschalla, Beate Linden, Michael Rose, Matthias Patients Characteristics and Psychosocial Treatment in Psychodynamic and Cognitive Behavior Therapy |
title | Patients Characteristics and Psychosocial Treatment in Psychodynamic and Cognitive Behavior Therapy |
title_full | Patients Characteristics and Psychosocial Treatment in Psychodynamic and Cognitive Behavior Therapy |
title_fullStr | Patients Characteristics and Psychosocial Treatment in Psychodynamic and Cognitive Behavior Therapy |
title_full_unstemmed | Patients Characteristics and Psychosocial Treatment in Psychodynamic and Cognitive Behavior Therapy |
title_short | Patients Characteristics and Psychosocial Treatment in Psychodynamic and Cognitive Behavior Therapy |
title_sort | patients characteristics and psychosocial treatment in psychodynamic and cognitive behavior therapy |
topic | Psychiatry |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8160362/ https://www.ncbi.nlm.nih.gov/pubmed/34054618 http://dx.doi.org/10.3389/fpsyt.2021.664975 |
work_keys_str_mv | AT muschallabeate patientscharacteristicsandpsychosocialtreatmentinpsychodynamicandcognitivebehaviortherapy AT lindenmichael patientscharacteristicsandpsychosocialtreatmentinpsychodynamicandcognitivebehaviortherapy AT rosematthias patientscharacteristicsandpsychosocialtreatmentinpsychodynamicandcognitivebehaviortherapy |