Change in defense mechanisms and coping patterns during the course of 2-year-long psychotherapy and psychoanalysis for recurrent depression: a pilot study of a randomized controlled trial.

Détails

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Etat: Public
Version: Author's accepted manuscript
ID Serval
serval:BIB_8CB02C4CD096
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Change in defense mechanisms and coping patterns during the course of 2-year-long psychotherapy and psychoanalysis for recurrent depression: a pilot study of a randomized controlled trial.
Périodique
Journal of Nervous and Mental Disease
Auteur(s)
Kramer U., de Roten Y., Perry J.C., Despland J.N.
ISSN
1539-736X (Electronic)
ISSN-L
0022-3018
Statut éditorial
Publié
Date de publication
2013
Peer-reviewed
Oui
Volume
201
Numéro
7
Pages
614-620
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
Very little research has been conducted so far to study the potential mechanisms of change in long-term active psychological treatments of recurrent depression. The present pilot randomized controlled trial aimed to determine the feasibility of studying the change process occurring in patients during the course of 2-year-long dynamic psychotherapy, psychoanalysis, and cognitive therapy, as compared with clinical management. In total, eight outpatients presenting with recurrent depression, two patients per treatment arm, were included. All patients were randomly assigned to one of the four treatment conditions. Defense mechanisms and coping patterns were assessed using validated observer-rated methodology based on transcribed, semistructured follow-along independent dynamic interviews. The results indicated that, whereas some patients in the active treatments changed on the symptomatic levels, some others remained unchanged during the course of their 2-year-long treatment. However, with regard to potential mechanisms of change in these patients, changes in defense mechanisms and coping patterns were revealed to be important processes over time in successful therapies and, to a lesser extent, in less successful treatments. No change was found either on outcome or on the process measure for the control condition, that is, clinical management. These results are discussed along with previous data comparing change in defense mechanisms and coping during the course of treatments.
Pubmed
Web of science
Création de la notice
04/07/2013 14:41
Dernière modification de la notice
20/08/2019 14:51
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