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Depression: HELP
Articles by Allan A. Abbass
Based on 21 articles published since 2010
(Why 21 articles?)
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Between 2010 and 2020, A. Abbass wrote the following 21 articles about Depression.
 
+ Citations + Abstracts
1 Editorial Bona Fide Psychotherapy Models Are Equally Effective for Major Depressive Disorder: Future Research Directions. 2016

Abbass, Allan A / Town, Joel M. ·Centre for Emotions and Health, Dalhousie University, Halifax, Nova Scotia, Canada. · Centre for Emotions and Health, Dalhousie University, Halifax, Nova Scotia, Canada2National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care South West Peninsula, Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, England. ·JAMA Psychiatry · Pubmed #27487423.

ABSTRACT: -- No abstract --

2 Review The Emergence of Psychodynamic Psychotherapy for Treatment Resistant Patients: Intensive Short-Term Dynamic Psychotherapy. 2016

Abbass, Allan. ·FRCPC, Professor and Director, Centre for Emotions and Health, Dalhousie University, Halifax, Canada. ·Psychodyn Psychiatry · Pubmed #27200465.

ABSTRACT: Intensive short-term dynamic psychotherapy (ISTDP) was developed out of the need for relatively short psychodynamic psychotherapeutic treatment approaches to complex and resistant patient populations so common in public health systems. Based on extensive study of video recordings, Habib Davanloo discovered, and other researchers have validated, some important clinical ingredients that align the therapist with healthy aspects of the patient striving for resolution of chronic neurotic disorders and fragile character structure. In the case of character neurotic highly resistant patients, these approaches including "pressure," "clarification," "challenge to defenses," and "head on collision" can be used in a tailored and properly timed way to help the chronically suffering patient to overcome his or her own resistance and access core drivers of these pathologies. In this article the meta-psychological basis of ISTDP is reviewed and illustrated with an extended case vignette.

3 Review The efficacy of short-term psychodynamic psychotherapy for depression: A meta-analysis update. 2015

Driessen, Ellen / Hegelmaier, Lisa M / Abbass, Allan A / Barber, Jacques P / Dekker, Jack J M / Van, Henricus L / Jansma, Elise P / Cuijpers, Pim. ·VU University Amsterdam, Department of Clinical Psychology, Amsterdam, The Netherlands; EMGO Institute for Health and Care Research, VU University and VU University Medical Center Amsterdam, The Netherlands. Electronic address: e.driessen@vu.nl. · VU University Amsterdam, Department of Clinical Psychology, Amsterdam, The Netherlands. · Dalhousie University, Centre for Emotions and Health, Halifax, NS, Canada. · Adelphi University, The Derner Institute of Advanced Psychological Studies, NY, USA. · VU University Amsterdam, Department of Clinical Psychology, Amsterdam, The Netherlands; Arkin Mental Health Care, Amsterdam, The Netherlands. · Arkin Mental Health Care, Amsterdam, The Netherlands. · VU University Amsterdam, University Library, Amsterdam, The Netherlands. · VU University Amsterdam, Department of Clinical Psychology, Amsterdam, The Netherlands; EMGO Institute for Health and Care Research, VU University and VU University Medical Center Amsterdam, The Netherlands. ·Clin Psychol Rev · Pubmed #26281018.

ABSTRACT: OBJECTIVES: The efficacy of short-term psychodynamic psychotherapy (STPP) for depression is debated. Recently, a number of large-scale and high-quality studies have been conducted. We examined the efficacy of STPP by updating our 2010 meta-analysis. RESULTS: After a thorough literature search, 54 studies (33 randomized clinical trials) totaling 3946 subjects were included. STPP was significantly more effective than control conditions at post-treatment on depression, general psychopathology and quality of life measures (d=0.49 to 0.69). STPP pre-treatment to post-treatment changes (d=0.57 to 1.18) indicated significant improvements on all outcome measures, which either significantly improved further (d=0.20 to 1.04) or were maintained from post-treatment to follow-up. No significant differences were found between individual STPP and other psychotherapies at post-treatment (d=-0.14) and follow-up (d=-0.06) in analyses that were adequately powered to detect a clinically relevant difference. STPP was significantly more efficacious than other psychotherapies on anxiety measures at both post-treatment (d=0.35) and follow-up (d=0.76). CONCLUSION: We found clear indications that STPP is effective in the treatment of depression in adults. Although more high-quality studies are needed, particularly to assess the efficacy of STPP compared to control conditions at follow-up and to antidepressants, these findings add to the evidence-base of STPP for depression.

4 Review Psychodynamic psychotherapy for children and adolescents: a meta-analysis of short-term psychodynamic models. 2013

Abbass, Allan A / Rabung, Sven / Leichsenring, Falk / Refseth, Johanne S / Midgley, Nick. ·Department of PsychiatryDalhousie University, Halifac, NS, Canada. allan.abbass@dal.ca ·J Am Acad Child Adolesc Psychiatry · Pubmed #23880496.

ABSTRACT: OBJECTIVE: Psychodynamically based brief psychotherapy is frequently used in clinical practice for a range of common mental disorders in children and adolescents. To our knowledge, there have been no meta-analyses to evaluate the effectiveness of these therapies. METHOD: After a broad search, we meta-analyzed controlled outcome studies of short-term psychodynamic psychotherapies (STPP, 40 or fewer sessions). We also performed sensitivity analyses and evaluated the risk of bias in this body of studies. RESULTS: We found 11 studies with a total of 655 patients covering a broad range of conditions including depression, anxiety disorders, anorexia nervosa, and borderline personality disorder. STPP did not separate from what were mostly robust treatment comparators, but there were some subgroup differences. Robust (g = 1.07, 95% CI = 0.80-1.34) within group effect sizes were observed suggesting the treatment may be effective. These effects increased in follow up compared to post treatment (overall, g = 0.24, 95% CI = 0.00-0.48), suggesting a tendency toward increased gains. Heterogeneity was high across most analyses, suggesting that these data need be interpreted with caution. CONCLUSION: This review suggests that STPP may be effective in children and adolescents across a range of common mental disorders.

5 Review Short-Term Psychodynamic Psychotherapy for personality disorders: a critical review of randomized controlled trials. 2011

Town, Joel M / Abbass, Allan / Hardy, Gillian. ·Dalhousie University Department of Psychiatry, Canada. joel.town@dal.ca ·J Pers Disord · Pubmed #22217220.

ABSTRACT: The research evidence for Short-Term Psychodynamic Psychotherapy (STPP) in the treatment of personality disorders (PD) was examined through consideration of studies utilizing randomized controlled designs. An extensive literature search revealed eight published Randomized Controlled Trials (RCT) of moderate study quality. A critical review of this literature is offered to provide an evidence-based guidance for clinicians and implications for treatments are discussed. Preliminary conclusions suggest STPP may be considered an efficacious empirically-supported treatment option for a range of PDs, producing significant and medium to long-term improvements for a large percentage of patients. Further research is recommended to allow comparisons with alternative evidence-based approaches.

6 Clinical Trial Intensive Short-Term Dynamic Psychotherapy Trial Therapy: Effectiveness and Role of "Unlocking the Unconscious". 2017

Abbass, Allan / Town, Joel / Ogrodniczuk, John / Joffres, Michel / Lilliengren, Peter. ·*Department of Psychiatry, Dalhousie University, Halifax; †Department of Psychiatry, University of British Columbia; ‡Faculty of Health Sciences, Simon Fraser University, Vancouver, Canada; and §Department of Psychology, Stockholm University, Sweden. ·J Nerv Ment Dis · Pubmed #28459728.

ABSTRACT: This study examined the effects of trial therapy interviews using intensive short-term dynamic psychotherapy with 500 mixed sample, tertiary center patients. Furthermore, we investigated whether the effect of trial therapy was larger for patients who had a major unlocking of the unconscious during the interview compared with those who did not. Outcome measures were the Brief Symptom Inventory (BSI) and the Inventory of Interpersonal Problems (IIP), measured at baseline and at 1-month follow-up. Significant outcome effects were observed for both the BSI and the IIP with small to moderate preeffect/posteffect sizes, Cohen's d = 0.52 and 0.23, respectively. Treatment effects were greater in patients who had a major unlocking of the unconscious compared with those who did not. The trial therapy interview appears to be beneficial, and its effects may relate to certain therapeutic processes. Further controlled research is warranted.

7 Clinical Trial Symptom- and personality disorder changes in intensive short-term dynamic residential treatment for treatment-resistant anxiety and depressive disorders. 2016

Solbakken, Ole André / Abbass, Allan. ·1The Department of Psychology,University of Oslo,Oslo,Norway. · 3The Centre for Emotions and Health,Dalhousie University,Halifax, NS,Canada. ·Acta Neuropsychiatr · Pubmed #26916592.

ABSTRACT: OBJECTIVE: The study investigated the effectiveness of an 8-week intensive residential treatment programme based on principles from intensive short-term dynamic psychotherapy for patients with known treatment-resistant anxiety- and/or depressive disorders (mainly with comorbid personality disorders). METHODS: Patients (N=95) with prior repeated treatment failure were included. Changes in self-reported target complaints, symptom severity, and overall interpersonal problems have been presented for these patients in two previous articles. We now expand upon the existing knowledge by presenting novel data from a number of important observer-based and self-reported outcome domains (diagnostic changes on Axis I and II, changes in overall personality dysfunction, disorder complexity, medication use, health care utilisation, and occupational activity). RESULTS: There were pervasive and significant improvements on all measures during treatment, which were maintained or further improved during follow-up. Fourteen months after the end of treatment, 46.26% of patients had recovered in terms of Axis I pathology, 63.79% had recovered in terms of Axis II pathology, 71.18% had returned to work, and there was a 28.62% reduction in regular use of psychotropic medications. Health care utilisation was reduced by 65.55%, and there were large improvements in disorder complexity and levels of personality dysfunction. CONCLUSION: The treatment programme was highly effective for patients with common and complex treatment-resistant mental disorders. Results are encouraging for the relatively large number of patients who tend not to benefit from standard formats of treatment for debilitating psychological problems.

8 Article Inadequate Reporting of a Randomized Trial Comparing Cognitive-Behavioral Therapy and Psychodynamic Therapy for Depression. 2019

Leichsenring, Falk / Liliengren, Peter / Lindqvist, Karin / Mechler, Jakob / Falkenstöm, Fredrik / Philips, Björn / Steinert, Christiane / Abbass, Allan. ·Department of Psychosomatics and PsychotherapyJustus Liebig University GiessenGermanyFalk.Leichsenring@psycho.med.uni-giessen.de Department of Health Care SciencesErsta Bräcke University CollegeStockholmSweden. Department of PsychologyStockholm UniversityStockholmSweden. Department of Behavioural Sciences and LearningLinköping UniversityLinköpingSweden. Department of PsychologyStockholm UniversityStockholmSweden. Department of PsychologyMSB Medical SchoolBerlinGermany. Center for Emotions and HealthDalhousie UniversityHalifaxCanada. ·J Nerv Ment Dis · Pubmed #31157691.

ABSTRACT: -- No abstract --

9 Article None 2019

Munder, Thomas / Flückiger, Christoph / Leichsenring, Falk / Abbass, Allan A / Hilsenroth, Mark J / Luyten, Patrick / Rabung, Sven / Steinert, Christiane / Wampold, Bruce E. ·Department of Psychology University of Zürich Switzerland. · Department of Psychosomatics and Psychotherapy Justus-Liebig-University Gießen Germany. · Department of Psychiatry Centre for Emotions and Health Dalhousie University Halifax, NS Canada. · The Derner Institute of Advanced Psychological Studies Adelphi University USA Derner School of Psychology | Adelphi University. · Faculty of Psychology and Educational Sciences University of Leuven Belgium Faculty of Psychology and Educational Sciences - KU Leuven. · Department of Psychology University of Klagenfurt Austria Alps-Adria-University Klagenfurt - Psychology Institute. · Department of Psychology MSB Medical School Berlin Germany Psychology - MSB Medical School Berlin. · Modum Bad Psychiatric Center N-3370 Vikersund Norway. ·Z Psychosom Med Psychother · Pubmed #31154927.

ABSTRACT:

10 Article Is psychotherapy effective? A re-analysis of treatments for depression. 2019

Munder, T / Flückiger, C / Leichsenring, F / Abbass, A A / Hilsenroth, M J / Luyten, P / Rabung, S / Steinert, C / Wampold, B E. ·Psychologische Hochschule Berlin,Berlin,Germany. · Department of Psychology,University of Zürich,Zürich,Switzerland. · Department of Psychosomatics and Psychotherapy,Justus-Liebig-University Giessen,Giessen,Germany. · Department of Psychiatry,Centre for Emotions and Health, Dalhousie University,Halifax, NS,Canada. · The Derner Institute of Advanced Psychological Studies,Adelphi University, Hy Weinberg Center,Garden City, NY,USA. · Faculty of Psychology and Educational Sciences,University of Leuven,Leuven,Belgium. · Department of Psychology,Alpen-Adria-Universität Klagenfurt,Klagenfurt,Austria. · Modum Bad Psychiatric Center, Modum Bad,Vikersund,Norway. ·Epidemiol Psychiatr Sci · Pubmed #30058524.

ABSTRACT: AimsThe aim of this study was to reanalyse the data from Cuijpers et al.'s (2018) meta-analysis, to examine Eysenck's claim that psychotherapy is not effective. Cuijpers et al., after correcting for bias, concluded that the effect of psychotherapy for depression was small (standardised mean difference, SMD, between 0.20 and 0.30), providing evidence that psychotherapy is not as effective as generally accepted. METHODS: The data for this study were the effect sizes included in Cuijpers et al. (2018). We removed outliers from the data set of effects, corrected for publication bias and segregated psychotherapy from other interventions. In our study, we considered wait-list (WL) controls as the most appropriate estimate of the natural history of depression without intervention. RESULTS: The SMD for all interventions and for psychotherapy compared to WL controls was approximately 0.70, a value consistent with past estimates of the effectiveness of psychotherapy. Psychotherapy was also more effective than care-as-usual (SMD = 0.31) and other control groups (SMD = 0.43). CONCLUSIONS: The re-analysis reveals that psychotherapy for adult patients diagnosed with depression is effective.

11 Article Which patients benefit specifically from short-term psychodynamic psychotherapy (STPP) for depression? Study protocol of a systematic review and meta-analysis of individual participant data. 2018

Driessen, Ellen / Abbass, Allan A / Barber, Jacques P / Connolly Gibbons, Mary Beth / Dekker, Jack J M / Fokkema, Marjolein / Fonagy, Peter / Hollon, Steven D / Jansma, Elise P / de Maat, Saskia C M / Town, Joel M / Twisk, Jos W R / Van, Henricus L / Weitz, Erica / Cuijpers, Pim. ·Department of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health research institute, Vrije Universiteit Amsterdam, Amsterdam, Netherlands. · Centre for Emotions & Health, Dalhousie University, Halifax, Nova Scotia, Canada. · Gordon F. Derner School of Psychology, Adelphi University, Garden City, New York, USA. · Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA. · Department of Research, Arkin Mental Health Care, Amsterdam, Netherlands. · Department of Methodology and Statistics, Leiden University, Leiden, Netherlands. · Department of Clinical, Educational and Health Psychology, University College London, London, UK. · Department of Psychology, Vanderbilt University, Nashville, Tennessee, USA. · University Library, Vrije Universiteit Amsterdam, Amsterdam, Netherlands. · Dutch Psychoanalytic Institute, Arkin Mental Health Care, Amsterdam, Netherlands. · Department of Health Sciences, Vrije Universiteit Amsterdam, Amsterdam, Netherlands. · Department of Epidemiology and Biostatistics, VU University Medical Center Amsterdam, Amsterdam, Netherlands. ·BMJ Open · Pubmed #29463590.

ABSTRACT: INTRODUCTION: Short-term psychodynamic psychotherapy (STPP) is an empirically supported treatment that is often used to treat depression. However, it is largely unclear if certain subgroups of depressed patients can benefit specifically from this treatment method. We describe the protocol for a systematic review and meta-analysis of individual participant data (IPD) aimed at identifying predictors and moderators of STPP for depression efficacy. METHOD AND ANALYSIS: We will conduct a systematic literature search in multiple bibliographic databases (PubMed, PsycINFO, Embase.com, Web of Science and Cochrane's Central Register of Controlled Trials), 'grey literature' databases (GLIN and UMI ProQuest) and a prospective trial register (http://www.controlled-trials.com). We will include studies reporting (a) outcomes on standardised measures of (b) depressed (c) adult patients (d) receiving STPP. We will next invite the authors of these studies to share the participant-level data of their trials and combine these data to conduct IPD meta-analyses. The primary outcome for this study is post-treatment efficacy as assessed by a continuous depression measure. Potential predictors and moderators include all sociodemographic variables, clinical variables and psychological patient characteristics that are measured before the start of treatment and are assessed consistently across studies. One-stage IPD meta-analyses will be conducted using mixed-effects models. ETHICS AND DISSEMINATION: Institutional review board approval is not required for this study. We intend to submit reports of the outcomes of this study for publication to international peer-reviewed journals in the fields of psychiatry or clinical psychology. We also intend to present the outcomes at international scientific conferences aimed at psychotherapy researchers and clinicians. The findings of this study can have important clinical implications, as they can inform expectations of STPP efficacy for individual patients, and help to make an informed choice concerning the best treatment option for a given patient. PROSPERO REGISTRATION NUMBER: CRD42017056029.

12 Article Body talk: Sex differences in the influence of alexithymia on physical complaints among psychiatric outpatients. 2018

Ogrodniczuk, John S / Kealy, David / Joyce, Anthony S / Abbass, Allan A. ·Department of Psychiatry, University of British Columbia, Vancouver, Canada. Electronic address: john.ogrodniczuk@ubc.ca. · Department of Psychiatry, University of British Columbia, Vancouver, Canada. · Department of Psychiatry, University of Alberta, Edmonton, Canada. · Department of Psychiatry, Dalhousie University, Halifax, Canada. ·Psychiatry Res · Pubmed #29309955.

ABSTRACT: This study investigated the relationship between alexithymia and physical complaints among psychiatric outpatients, and whether sex moderated this relationship. Participants (N = 185) completed measures of physical complaints (bodily symptom burden, pain severity, pain interference), alexithymia, current symptom (depression, anxiety) distress, and somatosensory amplification (i.e., a person's tendency to be bothered by physical sensations). Hierarchical regression analyses were conducted, controlling for the influence of current psychiatric symptom distress and somatosensory amplification. Findings revealed differential relationships between alexithymia and physical complaints (pain interference) for women and men, in addition to main effects for sex and alexithymia. The findings suggest that the negative influence of alexithymia on bodily-related problems may not be universal.

13 Article A randomised controlled trial of Intensive Short-Term Dynamic Psychotherapy for treatment resistant depression: the Halifax Depression Study. 2017

Town, Joel M / Abbass, Allan / Stride, Chris / Bernier, Denise. ·Centre for Emotions & Health, Department of Psychiatry, Dalhousie University, Halifax, Canada; Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, UK. Electronic address: joel.town@plymouth.ac.uk. · Centre for Emotions & Health, Department of Psychiatry, Dalhousie University, Halifax, Canada. · The Institute of Work Psychology, University of Sheffield, Sheffield, UK. · Department of Psychiatry, Dalhousie University, Halifax, Canada. ·J Affect Disord · Pubmed #28266318.

ABSTRACT: BACKGROUND: While short-term psychodynamic psychotherapies have been shown effective for major depression, it is unclear if this could be a treatment of choice for depressed patients, many of whom have chronic and complex health issues, who have not sufficiently responded to treatment. METHOD: This superiority trial used a single blind randomised parallel group design to test the efficacy of time-limited Intensive Short-Term Dynamic Psychotherapy (ISTDP) for treatment resistant depression (TRD). Patients referred to secondary care community mental health teams (CMHT) who met DSM-IV criteria for major depressive episode, had received antidepressant treatment ≥6 weeks, and had Hamilton Depression Rating Scale (HAM-D) scores of ≥16 were recruited. The effects of 20 sessions of ISTDP were judged through comparison against secondary care CMHT treatment as usual (TAU). The primary outcome was HAM-D scores at 6 months. Secondary outcomes included the Patient Health Questionnaire (PHQ-9) self-report measures for depression and dichotomous measures of both remission (defined as HAM-D score ≤7) and partial remission (defined as HAM-D score ≤12). RESULTS: Sixty patients were randomised to 2 groups (ISTDP=30 and TAU=30), with data collected at baseline, 3, and 6 months. Multi-level linear regression modelling showed that change over time on both depression scales was significantly greater in the ISTDP group in comparison to TAU. Statistically significant between-group treatment differences, in the moderate to large range, favouring ISTDP, were observed on both the observer rated (Cohen's d=0.75) and self-report measures (Cohen's d=0.85) of depression. Relative to TAU, patients in the ISTDP group were significantly more likely after 6 months to achieve complete remission (36.0% vs. 3.7%) and partial remission (48.0% vs. 18.5%). LIMITATIONS: It is unclear if the results are generalizable to other providers, geographical locations and cultures. CONCLUSIONS: Time-limited ISTDP appears an effective treatment option for TRD, showing large advantages over routine treatment delivered by secondary care services.

14 Article Effects of Intensive Short-Term Dynamic Psychotherapy on Depressive Symptoms and Executive Functioning in Major Depression. 2016

Ajilchi, Bita / Nejati, Vahid / Town, Joel M / Wilson, Ryan / Abbass, Allan. ·*Department of Psychology, Faculty of Human Science, Sciences & Research Branch, Islamic Azad University (IAU); †Department of Psychology, Faculty of Human Science, Shahid Beheshti University, Tehran, Iran; and ‡Department of Psychiatry, and §Centre for Emotions & Health, Dalhousie University, Halifax, Canada. ·J Nerv Ment Dis · Pubmed #27065106.

ABSTRACT: This study examined the efficacy of intensive short-term dynamic psychotherapy (ISTDP) on depressive symptoms and executive functioning in patients with major depression. We examined pretest, posttest, and follow-up depression scores as well as pretest-posttest executive functioning scores between 16 participants receiving ISTDP and 16 allocated to wait-list control. Participants in each group were matched according to age, sex, and educational level. Mixed-models analyses demonstrated significant interaction effects of group and time on depression scores when the group ISTDP was compared with the wait-list control group; participants receiving ISTDP had significantly reduced depression severity both after treatment and at follow-up. Next, a series of hierarchical regression models demonstrated modest improvements on most tests of executive functioning in participants receiving ISTDP. Depressed patients receiving ISTDP show a sustained reduction in depression severity after treatment and after 12-month follow-up and improvements in executive functioning after treatment compared with a wait-list control.

15 Article Intensive short-term dynamic residential treatment program for patients with treatment-resistant disorders. 2015

Solbakken, Ole André / Abbass, Allan. ·The Department of Psychology, University of Oslo, Postboks 1094, Blindern, 0317 Oslo, Norway. Electronic address: o.a.solbakken@psykologi.uio.no; Drammen DistrictPsychiatricCentre,DivisionforMentalHealthandAddiction,VestreVikenHealthTrust,Norway. · The Centre for Emotions and Health, Dalhousie University, 5909 Veterans Memorial Lane, Halifax, NS, Canada B3H 2E2. Electronic address: allan.abbass@dal.ca. ·J Affect Disord · Pubmed #25917295.

ABSTRACT: BACKGROUND: The study investigated the effectiveness of an Intensive Short-Term Dynamic (ISTDP) residential treatment program for patients with treatment resistant anxiety- and/or depressive disorders, with and without comorbid personality disorders. METHOD: A non-randomized controlled trial examined the effects of an eight week intensive residential treatment program based on principles from ISTDP. Patients (N=60), who had repeated prior treatment failure for current mental disorder, sufficient dysfunction to warrant hospitalization, and evidencing capacity to take an intrapsychic perspective on own problems, were included. Outcome variables included measures of target complaints (depression/anxiety, social role dysfunction, and interpersonal distress), general symptom distress, and interpersonal functioning. Measures were administered throughout and after treatment. Change was assessed by multilevel growth curve modeling. Changes during and after treatment were compared to those reported by a sub-sample of wait-list controls taking treatment as usual (N=30). RESULTS: The treatment group evidenced significant improvements on all measures. By contrast, receiving treatment as usual while on the wait-list did not yield significant changes. Effect sizes in the treatment group were consistently large at both termination and follow-up. Fourteen months after treatment 50.0% of patients had recovered in terms of target complaints. Approximately 53.3% and 48.3%, respectively, had recovered in terms of general symptom distress and interpersonal functioning. LIMITATIONS: Limitations included a relatively small sample size, inability to discern the effectiveness of separate components of the treatment program, and lack of randomization of patients to wait-list and treatment. CONCLUSION: ISTDP-based residential treatment with an eight-week time-limit appears to be effective for alleviating common and severe, treatment resistant mental disorders. The treatment program was superior to receiving treatment as usual while on the wait-list. Participation in the program quickly reduced target complaints, symptoms and interpersonal problems for patients who, based on previous treatment experiences, were expected to fare poorly in treatment. Gains were consistently maintained or improved further at follow-up. Results are promising for patients with chronic debilitating problems who often do not profit from traditional psychiatric treatment.

16 Article Long-term healthcare cost reduction with Intensive Short-term Dynamic Psychotherapy in a tertiary psychiatric service. 2015

Abbass, Allan / Kisely, Steve / Rasic, Daniel / Town, Joel M / Johansson, Robert. ·Dalhousie University, 8203-5909 Veterans Memorial Lane, Halifax, NS, B3H 2E2, Canada. Electronic address: allan.abbass@dal.ca. · School of Medicine, Queensland, Australia. · Dalhousie University, Halifax, NS, Canada. · Centre for Emotions and Health, Dalhousie University, Halifax, NS, Canada. · Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden. ·J Psychiatr Res · Pubmed #25840829.

ABSTRACT: OBJECTIVE: To evaluate whether a mixed population of patients treated with Intensive Short-term Dynamic Psychotherapy (ISTDP) would exhibit reduced healthcare costs in long-term follow-up. METHODS: A quasi-experimental design was employed in which data on pre- and post-treatment healthcare cost were compared for all ISTDP cases treated in a tertiary care service over a nine year period. Observed cost changes were compared with those of a control group of patients referred but never treated. Physician and hospital costs were compared to treatment cost estimates and normal population cost figures. RESULTS: 1082 patients were included; 890 treated cases for a broad range of somatic and psychiatric disorders and 192 controls. The treatment averaged 7.3 sessions and measures of symptoms and interpersonal problems significantly improved. The average cost reduction per treated case was $12,628 over 3 follow-up years: this compared favorably with the estimated treatment cost of $708 per patient. Significant differences were seen between groups for follow-up hospital costs. CONCLUSIONS: ISTDP in this setting appears to facilitate reductions in healthcare costs, supporting the notion that brief dynamic psychotherapy provided in a tertiary setting can be beneficial to health care systems overall. CLINICALTRIALS. GOV IDENTIFIER NUMBER: NCT01924715.

17 Article Implementation of an intensive short-term dynamic treatment program for patients with treatment-resistant disorders in residential care. 2014

Solbakken, Ole André / Abbass, Allan. ·The Department of Psychology, University of Oslo, Forskningsv, 3, Pb, 1094 Blindern, Oslo 0317, Norway. o.a.solbakken@psykologi.uio.no. ·BMC Psychiatry · Pubmed #24438222.

ABSTRACT: BACKGROUND: This protocol presents a systematic residential treatment- and research program aimed at patients who have not responded adequately to previous treatment attempts. Patients included in the program primarily suffer from anxiety and/or depressive disorders and usually from one or more comorbid personality disorders. The treatment program is time-limited (eight weeks) and has its basis in treatment principles specified in intensive short-term dynamic psychotherapy (ISTDP). This treatment modality is theoretically well-suited for the handling of various forms of treatment resistance presumably central to these patients' previous non-response to psychological and psychiatric interventions. METHODS/DESIGN: The research component of the project entails a naturalistic longitudinal research design which aims at systematic evaluation of the effectiveness of the program. To our knowledge, this is one of the first treatment programs and corresponding research projects that systematically select patients with previous non- or negative response to treatment and subjects them to a broad and comprehensive, but theoretically unified and consistent treatment system. DISCUSSION: The present paper introduces the project, describes its theoretical and methodological underpinnings, and discusses possible future implications and contributions of the project. It thereby serves as a comprehensive background reference to future publications from the project.

18 Article Key clinical processes in intensive short-term dynamic psychotherapy. 2013

Abbass, Allan A / Town, Joel M. ·Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia B3H 2E2, Canada. allan.abbass@dal.ca ·Psychotherapy (Chic) · Pubmed #24000866.

ABSTRACT: Davanloo's Intensive Short-term Dynamic Psychotherapy (ISTDP), while derived from traditional psychoanalytic theory, is a modified brief treatment with growing empirical support for its effectiveness with clients with psychoneurotic disorders and character pathology. This model describes key empirically derived processes that can bring ready access to unprocessed unconscious emotions that otherwise perpetuate widespread symptom and behavioral disorders. Herein we describe the metapsychological underpinnings, clinical application, and evidence for central interventions used in ISTDP through the use of a case example.

19 Minor Updating the Evidence and Recommendations for Short-Term Psychodynamic Psychotherapy in the Treatment of Major Depressive Disorder in Adults. 2017

Town, Joel M / Abbass, Allan / Driessen, Ellen / Luyten, Patrick / Weerasekera, Priyanthy. ·PenCLAHRC, Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, UK. · Centre for Emotions and Health, Dalhousie University, Halifax, Nova Scotia. · Department of Clinical, Neuro, and Developmental Psychology, VU University Amsterdam, Amsterdam, The Netherlands EMGO Institute for Health and Care Research, VU University Amsterdam and VU University Medical Center, Amsterdam, The Netherlands. · Faculty of Psychology and Educational Sciences, University of Leuven, Leuven, Belgium. · Research Department of Clinical, Educational, and Health Psychology, University College London, London, UK. · Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario. ·Can J Psychiatry · Pubmed #28055257.

ABSTRACT: -- No abstract --

20 Minor What is the evidence for specific factors in the psychotherapeutic treatment of fibromyalgia? Comment on "Is brief psychodynamic psychotherapy in primary fibromyalgia syndrome with concurrent depression an effective treatment? A randomized controlled trial". 2013

Luyten, Patrick / Abbass, Allan. ·Faculty of Psychology and Educational Sciences, University of Leuven, Belgium; Research Department of Clinical, Educational and Health Psychology, University College London, United Kingdom. Electronic address: patrick.luyten@ppw.kuleuven.be. ·Gen Hosp Psychiatry · Pubmed #23992628.

ABSTRACT: -- No abstract --

21 Minor Evidence for short-term psychodynamic psychotherapy for depression. 2012

Abbass, Allan A / Shedler, Jonathan / Town, Joel M. · ·J Clin Psychiatry · Pubmed #22697196.

ABSTRACT: -- No abstract --