Short-Term Psychodynamic Psychotherapy with Mentalization-Based Techniques in Major Depressive Disorder patients: Relationship among alexithymia, reflective functioning, and outcome variables - A Pilot study
| Autor: | Silvia Fronza, Eleonora Minacapelli, Cinzia Bressi, Lorenzo Magri, Lavinia Barone, E.P. Nocito, Francesca Lionetti, Elisabetta Dipasquale |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male 050103 clinical psychology medicine.medical_specialty Theory of Mind Pilot Projects Outcome (game theory) 03 medical and health sciences 0302 clinical medicine Arts and Humanities (miscellaneous) Alexithymia Rating scale Intervention (counseling) Outcome Assessment Health Care Developmental and Educational Psychology medicine Humans 0501 psychology and cognitive sciences Affective Symptoms Psychiatry Depression (differential diagnoses) Depressive Disorder Major Psychodynamic psychotherapy 05 social sciences Middle Aged medicine.disease 030227 psychiatry Psychiatry and Mental health Clinical Psychology Mentalization Psychotherapy Brief Major depressive disorder Female Psychotherapy Psychodynamic Psychology Clinical psychology |
| Zdroj: | Psychology and Psychotherapy: Theory, Research and Practice. 90:299-313 |
| ISSN: | 1476-0835 |
| DOI: | 10.1111/papt.12110 |
| Popis: | Objectives In depressed patients, recent advances have highlighted impairment in mentalizing: identifying and interpreting one's own or other's mental states. Short-Term Psychodynamic Psychotherapy (STPP) has proven to be effective in reducing symptoms and improving relational/functional abilities in these subjects. Therefore, the first aim of our study was to evaluate effectiveness of STPP with Mentalization-Based Techniques (STMBP) on their clinical outcomes and the second, to investigate Reflective Functioning and alexithymia concerning treatment outcomes in depressed subjects. Design A baseline evaluation of reflective functioning, alexithymia and depression was conducted before an STMBP treatment. Patients were re-tested successively after 40 weeks (T1) and in a follow-up after 1 year at the end of the treatment (T2). Methods A total of 24 patients principally diagnosed with Major Depressive Disorder (MDD) underwent a STMBP conducted by two expert therapists. Global Assessment Functioning (GAF), Toronto Alexithymia Scale-20 (TAS-20) and Hamilton Depression Rating Scale (HAM-D) data were collected at the baseline (T0) by two clinical therapists, along with RF scores rated by two trained raters. HAM-D, TAS-20 and GAF follow-ups were conducted at the end of the treatment after 40 weeks (T1) and after 1-year follow-up (T2). Results Results highlighted an improvement of both HAM-D and TAS-20 scores in our sample. Moreover, a negative correlation between RF and TAS-20 was found. Both HAM-D and RF at T0 influenced depressive outcomes at the end of the treatment. Conclusions Results confirmed the effectiveness of STMBP in MDD, suggesting also an inverse association between RF and alexithymia. Practitioner points Our study demonstrates how STMBP could be effective in MDD even after 40 sessions, maintaining its effect in a 1-year follow-up. STMBP improves subjective capability of reflecting on the mental states of oneself and others. Our intervention allows patients to orientate thoughts from inside to outside, reducing negative beliefs also in absence of a pharmacological therapy (during the follow-up). |
| Databáze: | OpenAIRE |
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