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Everyday evidence: Patient characteristics, therapy types, and outcomes of psychotherapy in Swedish public health service settings
Stockholm University, Faculty of Social Sciences, Department of Psychology.
2011 (English)In: Book of Abstracts: 42nd International Meeting of the Society for Psychotherapy Research, Ulm, Germany: Ulmer Textbank , 2011, 177-177 p.Conference paper (Other academic)
Abstract [en]

Aim: Defining empirically supported treatments exclusively in terms of randomized controlled trials has numerous limitations. This naturalistic study presents patients’ pre-treatment characteristics and compares outcomes for three psychotherapy types as practiced in psychiatric routine care. Method: Data were collected during a 3-year period at 13 out-patient psychiatric care services participating in the on-line system for Quality Assurance of Psychotherapy in Sweden (QAPS). Of the 1,498 registered patients 14% never started psychotherapy, 17% dropped out from treatment and 36% are dropouts from data collection. Outcomes were studied for 180 patients who received CBT, PDT or integrative/eclectic psychotherapy. Results: Some minor differences were found between patients who remained in therapy, dropouts from treatment and from data collection. There were no significant differences in psychological distress pre-treatment between the three psychotherapy types, and patients showed significant improvements post-treatment. There were no statistically significant differences in effectiveness between psychotherapy types. Discussion: Overall, the psychotherapy delivered by the Swedish public health services included in this study is effective for the majority of patients who complete treatment. The theoretically different psychotherapy approaches had equivalent outcomes. Variations in the size and type of improvement were noted depending on outcome measure, indicating that a majority of patients may experience reduced symptoms through brief psychotherapy, but not necessarily an increased life satisfaction to the same extent. The results must be interpreted with caution since there were no treatment integrity or adherence controls, non-random assignment to treatments, large attrition, and incomplete data.

Place, publisher, year, edition, pages
Ulm, Germany: Ulmer Textbank , 2011. 177-177 p.
Keyword [en]
psychotherapy process, practice, dropout, predictors
National Category
Research subject
URN: urn:nbn:se:su:diva-70131ISBN: 978-3-926-00235-8OAI: diva2:479350
42nd International Meeting of the Society for Psychotherapy Research, June 29 - July 2, 2011, Bern, Switzerland
Available from: 2012-01-17 Created: 2012-01-17 Last updated: 2012-04-20Bibliographically approved

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