title: Supportive-expressive dynamic psychotherapy in the community mental health system: a pilot effectiveness trial for the treatment of depression.
abstract: The goal of the current article is to present the results of a randomized pilot investigation of a brief dynamic psychotherapy compared with treatment-as-usual (TAU) in the treatment of moderate-to-severe depression in the community mental health system. Forty patients seeking services for moderate-to-severe depression in the community mental health system were randomized to 12 weeks of psychotherapy, with either a community therapist trained in brief dynamic psychotherapy or a TAU therapist. Results indicated that blind judges could discriminate the dynamic sessions from the TAU sessions on adherence to dynamic interventions. The results indicate moderate-to-large effect sizes in favor of the dynamic psychotherapy over the TAU therapy in the treatment of depression. The Behavior and Symptom Identification Scale-24 showed that 50% of patients treated with dynamic therapy moved into a normative range compared with only 29% of patients treated with TAU.
authors.affiliation: Department of Psychiatry, University of Pennsylvania, USA. gibbonsm@mail.med.upenn.edu
authors.forename: Mary Beth Connolly
authors.initials: MB
authors.lastname: Gibbons
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Thompson
authors.forename: Kelli
authors.initials: K
authors.lastname: Scott
authors.forename: Lindsay A
authors.initials: LA
authors.lastname: Schauble
authors.forename: Tessa
authors.initials: T
authors.lastname: Mooney
authors.forename: Donald
authors.initials: D
authors.lastname: Thompson
authors.forename: Patricia
authors.initials: P
authors.lastname: Green
authors.forename: Mary Jo
authors.initials: MJ
authors.lastname: MacArthur
authors.forename: Paul
authors.initials: P
authors.lastname: Crits-Christoph
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D018672:Community Health Planning / Q000379:methods*; D054521:Cultural Competency / Q000523:psychology; D003865:Major Depressive Disorder / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data; D010353:Patient Education as Topic / Q000379:methods; D010414:Pennsylvania; D010865:Pilot Projects; D011369:Professional-Patient Relations; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D011613:Psychotherapy / Q000379:methods; D011614:Psychotherapy, Brief / Q000379:methods*; D012944:Social Support; D016896:Treatment Outcome