Selection criteria for brief dynamic psychotherapy: reliability, factor structure and long-term predictive validity.
Forty outpatients were evaluated for psychotherapy with a modified version of Sifneos' selection criteria for brief dynamic psychotherapy. Reliabilities were acceptable for most items when the ratings of 4 clinical judges were averaged. A factor analysis of the reliable items produced four of the five dimensions of suitability proposed by Sifneos and others: circumscribed focus, motivation, flexible interaction, quality of interpersonal relations. A combination of these dimensions were more significant predictors of long-term dynamic change than background and DSM-III axis I-V variables. Problem solving capacity (use of self-understanding) before treatment could not be reliably rated and was accordingly not tested as a possible fifth dimension of suitability.
Høglend
P
P
Department of Psychiatry, University of Oslo, Norway.
Sørbye
O
O
Sørlie
T
T
Fossum
A
A
Engelstad
V
V
D001008:Anxiety Disorders / Q000523:psychology / Q000628:therapy*; D003866:Depressive Disorder / Q000523:psychology / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D007406:Interview, Psychological; D009042:Motivation; D010552:Personality Assessment / Q000706:statistics & numerical data*; D010554:Personality Disorders / Q000523:psychology / Q000628:therapy*; D011340:Problem Solving; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D011575:Psychoanalytic Therapy / Q000379:methods*; D011594:Psychometrics; D011614:Psychotherapy, Brief / Q000379:methods*