Defense Mechanisms and Treatment Response in Depressed Inpatients.

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Version: Final published version
License: Not specified
Serval ID
serval:BIB_28D44C26F35E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Defense Mechanisms and Treatment Response in Depressed Inpatients.
Journal
Frontiers in psychology
Author(s)
de Roten Y., Djillali S., Crettaz von Roten F., Despland J.N., Ambresin G.
ISSN
1664-1078 (Print)
ISSN-L
1664-1078
Publication state
Published
Issued date
2021
Peer-reviewed
Oui
Volume
12
Pages
633939
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
The study investigated the extent to which defensive functioning and defense mechanisms predict clinically meaningful symptomatic improvement within brief psychodynamic psychotherapy for recurrent and chronic depression in an inpatient setting. Treatment response was defined as a reduction in symptom severity of 46% or higher from the baseline score on the Montgomery-Asberg Depression Rating Scale (MADRS). A subsample of 41 patients (19 responders and 22 non-responders) from an RCT was included. For each case, two sessions (the second and the penultimate) of brief inpatient psychodynamic psychotherapy (a manualized 12-session therapy program developed in Lausanne) were transcribed and then coded using the Defense Mechanism Rating Scales (DMRS) and the Psychotic Defense Mechanism Rating Scales (P-DMRS), an additional scale developed to study psychotic defenses. Results showed that defensive functioning and mature and immature defense changed during psychotherapy and predicted treatment response. Patient's defenses observed throughout therapy also predicted treatment response at 12-month follow-up. The addition of psychotic defenses allows a better prediction of the treatment response. Overall, these results are in line with previous research and provide further validation of defensive functioning as a predictor of outcomes and a mechanism of change in psychotherapy.
Keywords
brief psychotherapy, defense, depression, inpatient, psychodynamic psychotherapy, psychotic defense, treatment response
Pubmed
Web of science
Open Access
Yes
Create date
19/03/2021 15:00
Last modification date
24/04/2021 6:33
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