Clinical- and cost-effectiveness of intensive short-term dynamic psychotherapy for chronic pain in a tertiary psychotherapy service

Peter Lilliengren, Angela Cooper, Joel M. Town, Steve Kisely, Allan Abbass

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

9 Citas (Scopus)

Resumen

Objective: The objective of this study is to assess the clinical- and cost-effectiveness of intensive short-term dynamic psychotherapy (ISTDP) for patients with chronic pain. Method: A sample of 228 pain patients was drawn from a larger naturalistic study of ISTDP. They received an average of 6.1 sessions delivered by 31 therapists. Psychiatric symptoms and interpersonal problems were assessed at three time points. Healthcare data from baseline year and three years following treatment came from independent governmental databases. Results: Multilevel models indicated significant reductions in symptoms and interpersonal problems during treatment, including a moderate to large pre-post effect size (d = 0.76) for somatization. Further, the sample had successive reductions in yearly healthcare costs, reaching the normal population mean two years post-treatment. Conclusion: Within the limitations of the uncontrolled design, our study suggests that ISTDP may be both clinically effective and cost-effective for patients with chronic pain.

Idioma originalEnglish
Páginas (desde-hasta)414-417
Número de páginas4
PublicaciónAustralasian Psychiatry
Volumen28
N.º4
DOI
EstadoPublished - ago. 1 2020

Nota bibliográfica

Funding Information:
Within the limitations of the uncontrolled design, our study suggests that ISTDP may be both clinically effective and cost-effective for patients with chronic pain. chronic pain cost-effectiveness naturalistic short-term dynamic psychotherapy The Mental Health Foundation of Nova Scotia Dalhousie University https://doi.org/10.13039/501100002977 The Capital District Mental Health Service Dalhousie University Psychiatry Research Fund edited-state corrected-proof typesetter ts1

Publisher Copyright:
© The Royal Australian and New Zealand College of Psychiatrists 2020.

ASJC Scopus Subject Areas

  • Psychiatry and Mental health

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