Clinical studies in Psychodynamic Psychotherapy: A systematic review of follow-ups interventions

Detalhes bibliográficos
Autor(a) principal: da Costa, Camila Piva
Data de Publicação: 2017
Outros Autores: Bastos, Andre Goettems, Padoan, Carolina Stopinski, Eizirik, Cláudio Laks
Tipo de documento: Artigo
Idioma: por
Título da fonte: Contextos Clínicos
Texto Completo: https://revistas.unisinos.br/index.php/contextosclinicos/article/view/ctc.2017.101.04
Resumo: The effectiveness of a treatment is usually measured by the clinical improvement of the patient. However, an important factor to consider is the maintenance of the results after the end of the treatment. For this, the follow-up is a relevant tool. The objective of this study was to systematically review and analyze follow-up studies with clinical interventions in psychodynamic psychotherapy from 2006 to 2016. The searches were made in the main databases with the following descriptors: psychodynamic psychotherapy, outcome, follow-up and equivalents. Twenty-seven articles met the inclusion criteria. Studies indicate that psychotherapies are effective treatments not only during the process and results tend to remain after patient discharge. Conclusions indicate that follow-up measures should be considered to assess the long-term effectiveness of a treatment. In studies comparing models of psychotherapy effectiveness, it was seen that in most cases there were no significant differences between treatment groups, that is, patients presented improvement independently of the type of psychotherapy. However, long-term treatment models tend to have higher maintenance rates of improvement in the post-discharge period. The maintenance of long-term treatment results seems to be a relevant clinical indication to be considered when indicating treatment.Keywords: follow-up, psychodynamic psychotherapy, effectiveness.
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spelling Clinical studies in Psychodynamic Psychotherapy: A systematic review of follow-ups interventionsEstudos clínicos em psicoterapia psicodinâmica: uma revisão do follow-up das intervençõesThe effectiveness of a treatment is usually measured by the clinical improvement of the patient. However, an important factor to consider is the maintenance of the results after the end of the treatment. For this, the follow-up is a relevant tool. The objective of this study was to systematically review and analyze follow-up studies with clinical interventions in psychodynamic psychotherapy from 2006 to 2016. The searches were made in the main databases with the following descriptors: psychodynamic psychotherapy, outcome, follow-up and equivalents. Twenty-seven articles met the inclusion criteria. Studies indicate that psychotherapies are effective treatments not only during the process and results tend to remain after patient discharge. Conclusions indicate that follow-up measures should be considered to assess the long-term effectiveness of a treatment. In studies comparing models of psychotherapy effectiveness, it was seen that in most cases there were no significant differences between treatment groups, that is, patients presented improvement independently of the type of psychotherapy. However, long-term treatment models tend to have higher maintenance rates of improvement in the post-discharge period. The maintenance of long-term treatment results seems to be a relevant clinical indication to be considered when indicating treatment.Keywords: follow-up, psychodynamic psychotherapy, effectiveness.A efetividade de um tratamento costuma ser mensurada pela melhoraclínica do paciente. No entanto, um fator importante a ser considerado é a manutenção dos resultados após o término do tratamento. Para isso, o follow-up é uma ferramenta relevante. O objetivo deste estudo foi revisar eanalisar de forma sistemática os estudos de follow-up com intervenções clínicas em psicoterapia psicodinâmica de 2006 a 2016. As buscas foram feitas nas principais bases de dados com os seguintes descritores: psicoterapia psicodinâmica, resultado, follow-up e equivalentes. Vinte e sete artigos atenderamaos critérios de inclusão. Os estudos indicam que as psicoterapias são tratamentos efetivos não apenas durante o processo, mas que os resultados tendem a se manter após a alta do paciente. As conclusões indicam que, para avaliar a efetividade de tratamento, as medidas de follow-up devem ser consideradas. Nos estudos que comparavam a efetividade entre modelos de psicoterapia, foi visto que, na maioria dos casos, não existem diferenças significativas entre os grupos, ou seja, os pacientes apresentam melhora independentemente do tipo de psicoterapia. No entanto, evidenciou-se que os modelos de tratamento de longo prazo tendem a apresentar maiores taxas de manutenção da melhora no período após a alta. A manutenção dos resultados do tratamento em longo prazo parece ser um indicativo clínico relevante para ser considerado quando da indicação de tratamento.Palavras-chave: follow-up, psicoterapia psicodinâmica, efetividade.Unisinos2017-07-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistas.unisinos.br/index.php/contextosclinicos/article/view/ctc.2017.101.0410.4013/ctc.2017.101.04Contextos Clínicos; v. 10 n. 1 (2017): Jan-Jun; 48-591983-3482reponame:Contextos Clínicosinstname:Universidade do Vale do Rio dos Sinos (UNISINOS)instacron:Unisinosporhttps://revistas.unisinos.br/index.php/contextosclinicos/article/view/ctc.2017.101.04/6041da Costa, Camila PivaBastos, Andre GoettemsPadoan, Carolina StopinskiEizirik, Cláudio Laksinfo:eu-repo/semantics/openAccess2017-07-13T18:42:18Zoai:ojs2.revistas.unisinos.br:article/12566Revistahttps://revistas.unisinos.br/index.php/contextosclinicosPUBhttps://revistas.unisinos.br/index.php/contextosclinicos/oaidfalcke@unisinos.br||periodicos@unisinos.br1983-34821983-3482opendoar:2017-07-13T18:42:18Contextos Clínicos - Universidade do Vale do Rio dos Sinos (UNISINOS)false
dc.title.none.fl_str_mv Clinical studies in Psychodynamic Psychotherapy: A systematic review of follow-ups interventions
Estudos clínicos em psicoterapia psicodinâmica: uma revisão do follow-up das intervenções
title Clinical studies in Psychodynamic Psychotherapy: A systematic review of follow-ups interventions
spellingShingle Clinical studies in Psychodynamic Psychotherapy: A systematic review of follow-ups interventions
da Costa, Camila Piva
title_short Clinical studies in Psychodynamic Psychotherapy: A systematic review of follow-ups interventions
title_full Clinical studies in Psychodynamic Psychotherapy: A systematic review of follow-ups interventions
title_fullStr Clinical studies in Psychodynamic Psychotherapy: A systematic review of follow-ups interventions
title_full_unstemmed Clinical studies in Psychodynamic Psychotherapy: A systematic review of follow-ups interventions
title_sort Clinical studies in Psychodynamic Psychotherapy: A systematic review of follow-ups interventions
author da Costa, Camila Piva
author_facet da Costa, Camila Piva
Bastos, Andre Goettems
Padoan, Carolina Stopinski
Eizirik, Cláudio Laks
author_role author
author2 Bastos, Andre Goettems
Padoan, Carolina Stopinski
Eizirik, Cláudio Laks
author2_role author
author
author
dc.contributor.author.fl_str_mv da Costa, Camila Piva
Bastos, Andre Goettems
Padoan, Carolina Stopinski
Eizirik, Cláudio Laks
description The effectiveness of a treatment is usually measured by the clinical improvement of the patient. However, an important factor to consider is the maintenance of the results after the end of the treatment. For this, the follow-up is a relevant tool. The objective of this study was to systematically review and analyze follow-up studies with clinical interventions in psychodynamic psychotherapy from 2006 to 2016. The searches were made in the main databases with the following descriptors: psychodynamic psychotherapy, outcome, follow-up and equivalents. Twenty-seven articles met the inclusion criteria. Studies indicate that psychotherapies are effective treatments not only during the process and results tend to remain after patient discharge. Conclusions indicate that follow-up measures should be considered to assess the long-term effectiveness of a treatment. In studies comparing models of psychotherapy effectiveness, it was seen that in most cases there were no significant differences between treatment groups, that is, patients presented improvement independently of the type of psychotherapy. However, long-term treatment models tend to have higher maintenance rates of improvement in the post-discharge period. The maintenance of long-term treatment results seems to be a relevant clinical indication to be considered when indicating treatment.Keywords: follow-up, psychodynamic psychotherapy, effectiveness.
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dc.source.none.fl_str_mv Contextos Clínicos; v. 10 n. 1 (2017): Jan-Jun; 48-59
1983-3482
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instname:Universidade do Vale do Rio dos Sinos (UNISINOS)
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