The Long-Term Effectiveness of Psychodynamic and Analytical Psychotherapy in Routine Care

  • Objective: This naturalistic study examines the long-term effectiveness of two psychoanalytically oriented therapies-psychodynamic psychotherapy (PP) and analytical psychotherapy (AP)-in routine care settings in Germany. Method: A total of 428 patients diagnosed with various mental disorders according to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition, underwent treatment with either PP or AP. Diagnoses were reassessed at the end of treatment, and patients provided annual self-reports of their mental health over a 6-year period. We employed propensity score methods and piecewise linear latent growth curve models to estimate treatment effects on primary outcomes (i.e., number of diagnoses, symptom distress) and secondary outcomes (i.e., personality dysfunction, interpersonal problems, general life satisfaction). Results: Patients exhibited substantial and sustained improvements across all outcomes in both treatments. Notably, those receiving AP experienced greater (long-term) improvement in primary andObjective: This naturalistic study examines the long-term effectiveness of two psychoanalytically oriented therapies-psychodynamic psychotherapy (PP) and analytical psychotherapy (AP)-in routine care settings in Germany. Method: A total of 428 patients diagnosed with various mental disorders according to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition, underwent treatment with either PP or AP. Diagnoses were reassessed at the end of treatment, and patients provided annual self-reports of their mental health over a 6-year period. We employed propensity score methods and piecewise linear latent growth curve models to estimate treatment effects on primary outcomes (i.e., number of diagnoses, symptom distress) and secondary outcomes (i.e., personality dysfunction, interpersonal problems, general life satisfaction). Results: Patients exhibited substantial and sustained improvements across all outcomes in both treatments. Notably, those receiving AP experienced greater (long-term) improvement in primary and most secondary outcomes compared to those in PP. Improvements in PP primarily occurred during the 1st year, while AP patients continued to show progress throughout the entire observation period. For some outcomes (symptom distress, personality dysfunction, and interpersonal problems), AP was particularly effective for patients with more severe problems at baseline. Conclusions: Psychoanalytically oriented treatments in routine care are associated with substantial and lasting improvements, even posttreatment. Our findings highlight an incremental benefit of AP over PP, particularly for complex cases. Future research should explore treatment mechanisms, cost-effectiveness, and implications for health policy.zeige mehrzeige weniger

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Metadaten
Verfasserangaben:Miriam Henkel, Johannes Zimmermann, Matthias Volz, Dorothea Huber, Hermann StaatsGND, Cord BeneckeGND
DOI:https://doi.org/10.1037/ccp0000985
ISSN:0022-006X
ISSN:1939-2117
Titel des übergeordneten Werkes (Englisch):Journal of Consulting and Clinical Psychology
Untertitel (Englisch):Results From a Naturalistic Study Over 6 Years
Verlagsort:Washington, D.C.
Dokumentart:Wissenschaftlicher Artikel
Sprache:Englisch
Jahr der Erstveröffentlichung:2025
Veröffentlichende Institution:Fachhochschule Potsdam
Urhebende Körperschaft:American Psychological Association (APA)
Datum der Freischaltung:08.12.2025
GND-Schlagwort:Effektivität; Langzeittherapie; Psychoanalyse
Jahrgang:93
Ausgabe / Heft:2
Erste Seite:814
Letzte Seite:828
Fachbereiche und Zentrale Einrichtungen:FB1 Sozial- und Bildungswissenschaften
DDC-Klassifikation:100 Philosophie und Psychologie / 150 Psychologie
Open Access:Bronze Open Access
Lizenz (Deutsch):Keine öffentliche Lizenz - es gilt das deutsche Urheberrecht
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