Will patients accept randomization to psychoanalysis? A feasibility study

Journal of the American Psychoanalytic Association
Eve CaligorSteven P Roose

Abstract

The feasibility of using a randomized design in a psychoanalytic outcome study was evaluated. Our hypothesis was that it would be feasible to randomize patients to psychoanalysis three or four times weekly on the couch for five years, supportive expressive therapy once or twice weekly for up to forty sessions, and cognitive behavior therapy once or twice weekly for up to forty sessions. Successful randomization was defined as a 30% recruitment rate among eligible patients. Recruitment began in September 2009 and closed in April 2010. A total of 132 subjects responded to study advertisements, 107 of whom (81%) were triaged out. The remaining 25 were scheduled for the first of two clinical interviews, and 21 of 25 (88%) completed the interview. Eleven of the 25 (44%) were determined to be eligible based on inclusion and exclusion criteria. Eight of the 11 accepted the idea of randomization and completed the diagnostic assessment phase. Calculated on the basis of 8 of 11 eligible patients accepting randomization, the 95% confidence interval was that 39% to 92% of eligible subjects would participate in a larger study of this design. Our findings support the feasibility of implementing an RCT comparing psychoanalysis as defined by t...Continue Reading

References

Apr 3, 2001·BMJ : British Medical Journal·C ChilversUNKNOWN Counselling versus Antidepressants in Primary Care Study Group
Jun 5, 2002·Archives of General Psychiatry·Glen O GabbardPeter Fonagy
Jul 21, 2004·Bulletin of the Menninger Clinic·Falk Leichsenring
Feb 12, 2009·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Jacques P Barber
May 15, 2012·Journal of the American Psychoanalytic Association·Steven P Roose, UNKNOWN Psychoanalytic Outcome Committee

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Citations

Sep 6, 2013·Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Österreichischer Nervenärzte und Psychiater·Hemma Rössler-Schülein, Henriette Löffler-Stastka
Feb 22, 2014·Psychodynamic Psychiatry·Daniel A Plotkin
Jul 18, 2015·Journal of the American Psychoanalytic Association·Melanie RatzekGünther Klug
May 15, 2012·Journal of the American Psychoanalytic Association·Frans de JongheJack Dekker
May 15, 2012·Journal of the American Psychoanalytic Association·Steven P Roose, UNKNOWN Psychoanalytic Outcome Committee
Mar 5, 2019·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Miriam HenkelCord Benecke

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