Psykodynamisk psykoterapi for barn og unge: Metaanalyse

Psychodynamic psychotherapy for children and adolescents: a meta-analysis of short-term psychodynamic models

Forfattere
Abbass, A. A. Rabung, S. Leichsenring, F. Refseth, J. S. Midgley, N.
Årstall
2013
Tidsskrift
Journal of the American Academy of Child & Adolescent Psychiatry
Volum
52
Sider
863-75
OBJECTIVE: Psychodynamically based brief psychotherapy is frequently used in clinical practice for a range of common mental disorders in children and adolescents. To our knowledge, there have been no meta-analyses to evaluate the effectiveness of these therapies. METHOD: After a broad search, we meta-analyzed controlled outcome studies of short-term psychodynamic psychotherapies (STPP, 40 or fewer sessions). We also performed sensitivity analyses and evaluated the risk of bias in this body of studies. RESULTS: We found 11 studies with a total of 655 patients covering a broad range of conditions including depression, anxiety disorders, anorexia nervosa, and borderline personality disorder. STPP did not separate from what were mostly robust treatment comparators, but there were some subgroup differences. Robust (g = 1.07, 95% CI = 0.80-1.34) within group effect sizes were observed suggesting the treatment may be effective. These effects increased in follow up compared to post treatment (overall, g = 0.24, 95% CI = 0.00-0.48), suggesting a tendency toward increased gains. Heterogeneity was high across most analyses, suggesting that these data need be interpreted with caution. CONCLUSION: This review suggests that STPP may be effective in children and adolescents across a range of common mental disorders. Copyright © 2013 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.

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Tiltaksnivå

Behandling og hjelpetiltak

Tema

Psykiske vansker og lidelser

Følelsesmessige problemer

Depresjon og nedstemthet (inkl. både vansker og lidelse)

Angstproblematikk

Angst og engstelighet (inkl. både vansker og lidelse)

Spiseforstyrrelser

Tiltak

Psykologiske behandlingsmetoder

Psykodynamisk/interpersonlig terapi

Organisering av tiltak

Korttidstiltak

Aldersgruppe

Barn i skolealder (6-12 år)

Ungdom (13-18 år)

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