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Sustained Reduction in Health Care Service Usage after Adjunctive Treatment of Intensive Short-Term Dynamic Psychotherapy in Patients with Bipolar Disorder
Stockholm University, Faculty of Social Sciences, Department of Psychology, Clinical psychology.
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2019 (English)In: Psychodynamic Psychiatry, ISSN 2162-2590, Vol. 47, no 1, p. 99-112Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to evaluate changes in long-term health care costs and symptom severity after adjunctive intensive short-term dynamic psychotherapy (ISTDP) individually tailored and administered to patients with bipolar disorder undergoing standard psychiatric care. Eleven therapists with different levels of expertise delivered an average of 4.6 one-hour sessions of ISTDP to 29 patients with bipolar disorders. Health care service costs were compiled for a one-year period prior to the start of ISTDP along with four one-year periods after termination. Two validated self-report scales, the Brief Symptom Inventory and the Inventory of Interpersonal Problems, were administered at intake and termination of ISTDP. Hospital cost reductions were significant for the one-year post-treatment period relative to baseline year, and all cost reductions were sustained for the follow-up period of four post-treatment years. Self-reported psychiatric symptoms and interpersonal problems were significantly reduced. These preliminary findings suggest that this brief adjunctive psychotherapy may be beneficial and cost-effective in select patients with bipolar disorders, and that gains may be sustained in long-term followup. Future research directions are discussed.

Place, publisher, year, edition, pages
2019. Vol. 47, no 1, p. 99-112
Keywords [en]
bipolar disorder, short-term psychotherapy, psychodynamic, clinical outcomes, economic evaluation, long-term effects
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:su:diva-177666DOI: 10.1521/pdps.2019.47.1.99OAI: oai:DiVA.org:su-177666DiVA, id: diva2:1383193
Available from: 2020-01-07 Created: 2020-01-07 Last updated: 2020-01-07Bibliographically approved

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