Cargando…

Personality Disorders as a Possible Moderator of the Effects of Relational Interventions in Short-Term Psychoanalytic Psychotherapy with Depressed Adolescents

A significant proportion of adolescents suffering from major depressive disorder (MDD) are likely to have a co-morbid personality disorder (PD). Short-term psychoanalytic psychotherapy (STPP) was found to be one treatment of choice for adolescents suffering from MDD. Background: The first experiment...

Descripción completa

Detalles Bibliográficos
Autores principales: Korsgaard, Hans Ole, Ulberg, Randi, Hummelen, Benjamin, Midgley, Nick, Thorén, Agneta, Dahl, Hanne-Sofie Johnsen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9518348/
https://www.ncbi.nlm.nih.gov/pubmed/36078667
http://dx.doi.org/10.3390/ijerph191710952
_version_ 1784799161127796736
author Korsgaard, Hans Ole
Ulberg, Randi
Hummelen, Benjamin
Midgley, Nick
Thorén, Agneta
Dahl, Hanne-Sofie Johnsen
author_facet Korsgaard, Hans Ole
Ulberg, Randi
Hummelen, Benjamin
Midgley, Nick
Thorén, Agneta
Dahl, Hanne-Sofie Johnsen
author_sort Korsgaard, Hans Ole
collection PubMed
description A significant proportion of adolescents suffering from major depressive disorder (MDD) are likely to have a co-morbid personality disorder (PD). Short-term psychoanalytic psychotherapy (STPP) was found to be one treatment of choice for adolescents suffering from MDD. Background: The first experimental study of transference work-in teenagers (FEST-IT) demonstrated the efficaciousness of transference work in STPP with adolescents suffering from MDD. The usefulness of STPP may be enhanced by exploring possible moderators. Methods: Depressed adolescents (N = 69), aged 16–18 years, were diagnosed with the structured interview for DSM-IV PDs and randomized to 28 weeks of STPP with or without transference work. A mixed linear model was applied. The moderator effect was investigated by a three-way interaction including “time”, “treatment group” and “number of PD criteria”. Results: A small but significant moderator effect was found for cluster B personality pathology. Patients with a higher number of cluster B PD criteria at baseline did better up to one-year post-treatment where therapists encouraged patients to explore the patient–therapist relationship in the here and now. Conclusion: When treated with psychoanalytic psychotherapy for MDD, adolescents with cluster B PD symptoms seem to profit more from transference work than adolescents without such pathology.
format Online
Article
Text
id pubmed-9518348
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-95183482022-09-29 Personality Disorders as a Possible Moderator of the Effects of Relational Interventions in Short-Term Psychoanalytic Psychotherapy with Depressed Adolescents Korsgaard, Hans Ole Ulberg, Randi Hummelen, Benjamin Midgley, Nick Thorén, Agneta Dahl, Hanne-Sofie Johnsen Int J Environ Res Public Health Article A significant proportion of adolescents suffering from major depressive disorder (MDD) are likely to have a co-morbid personality disorder (PD). Short-term psychoanalytic psychotherapy (STPP) was found to be one treatment of choice for adolescents suffering from MDD. Background: The first experimental study of transference work-in teenagers (FEST-IT) demonstrated the efficaciousness of transference work in STPP with adolescents suffering from MDD. The usefulness of STPP may be enhanced by exploring possible moderators. Methods: Depressed adolescents (N = 69), aged 16–18 years, were diagnosed with the structured interview for DSM-IV PDs and randomized to 28 weeks of STPP with or without transference work. A mixed linear model was applied. The moderator effect was investigated by a three-way interaction including “time”, “treatment group” and “number of PD criteria”. Results: A small but significant moderator effect was found for cluster B personality pathology. Patients with a higher number of cluster B PD criteria at baseline did better up to one-year post-treatment where therapists encouraged patients to explore the patient–therapist relationship in the here and now. Conclusion: When treated with psychoanalytic psychotherapy for MDD, adolescents with cluster B PD symptoms seem to profit more from transference work than adolescents without such pathology. MDPI 2022-09-02 /pmc/articles/PMC9518348/ /pubmed/36078667 http://dx.doi.org/10.3390/ijerph191710952 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Korsgaard, Hans Ole
Ulberg, Randi
Hummelen, Benjamin
Midgley, Nick
Thorén, Agneta
Dahl, Hanne-Sofie Johnsen
Personality Disorders as a Possible Moderator of the Effects of Relational Interventions in Short-Term Psychoanalytic Psychotherapy with Depressed Adolescents
title Personality Disorders as a Possible Moderator of the Effects of Relational Interventions in Short-Term Psychoanalytic Psychotherapy with Depressed Adolescents
title_full Personality Disorders as a Possible Moderator of the Effects of Relational Interventions in Short-Term Psychoanalytic Psychotherapy with Depressed Adolescents
title_fullStr Personality Disorders as a Possible Moderator of the Effects of Relational Interventions in Short-Term Psychoanalytic Psychotherapy with Depressed Adolescents
title_full_unstemmed Personality Disorders as a Possible Moderator of the Effects of Relational Interventions in Short-Term Psychoanalytic Psychotherapy with Depressed Adolescents
title_short Personality Disorders as a Possible Moderator of the Effects of Relational Interventions in Short-Term Psychoanalytic Psychotherapy with Depressed Adolescents
title_sort personality disorders as a possible moderator of the effects of relational interventions in short-term psychoanalytic psychotherapy with depressed adolescents
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9518348/
https://www.ncbi.nlm.nih.gov/pubmed/36078667
http://dx.doi.org/10.3390/ijerph191710952
work_keys_str_mv AT korsgaardhansole personalitydisordersasapossiblemoderatoroftheeffectsofrelationalinterventionsinshorttermpsychoanalyticpsychotherapywithdepressedadolescents
AT ulbergrandi personalitydisordersasapossiblemoderatoroftheeffectsofrelationalinterventionsinshorttermpsychoanalyticpsychotherapywithdepressedadolescents
AT hummelenbenjamin personalitydisordersasapossiblemoderatoroftheeffectsofrelationalinterventionsinshorttermpsychoanalyticpsychotherapywithdepressedadolescents
AT midgleynick personalitydisordersasapossiblemoderatoroftheeffectsofrelationalinterventionsinshorttermpsychoanalyticpsychotherapywithdepressedadolescents
AT thorenagneta personalitydisordersasapossiblemoderatoroftheeffectsofrelationalinterventionsinshorttermpsychoanalyticpsychotherapywithdepressedadolescents
AT dahlhannesofiejohnsen personalitydisordersasapossiblemoderatoroftheeffectsofrelationalinterventionsinshorttermpsychoanalyticpsychotherapywithdepressedadolescents