Quasi-experimental study on the effectiveness of psychoanalysis, long-term and short-term psychotherapy on XXXX symptoms, work ability and functional capacity during a 5-year follow-up.

@entity1 @entity148 @entity146
BACKGROUND: Psychotherapy is apparently an insufficient treatment for some @entity1 with mood or @entity148 . In this study the effectiveness of short-term and long-term psychotherapies was compared with that of psychoanalysis. METHODS: A total of 326 @entity146 outpatients with mood or @entity148 were randomly assigned to solution-focused therapy, short-term psychodynamic and long-term psychodynamic psychotherapies. Additionally, 41 @entity1 suitable for psychoanalysis were included in the study. The @entity1 were followed from the start of the treatment and assessed 9 times during a 5-year follow-up. The primary outcome measures on symptoms were the Beck Depression Inventory, the Hamilton Depression and Anxiety Rating Scales, and the Symptom Check List, @entity148 scale. Primary work ability and functional capacity measures were the Work Ability Index, the Work-subscale of the Social Adjustment Scale, and the Perceived Psychological Functioning Scale. RESULTS: A reduction in @entity146 symptoms and improvement in work ability and functional capacity was noted in all treatment groups during the 5-year follow-up. The short-term therapies were more effective than psychoanalysis during the first year, whereas the long-term therapy was more effective after 3years of follow-up. Psychoanalysis was most effective at the 5-year follow-up, which also marked the end of the psychoanalysis. CONCLUSIONS: Psychotherapy gives faster benefits than psychoanalysis, but in the long run psychoanalysis seems to be more effective. Results from trials, among @entity1 suitable for psychoanalysis and with longer follow-up, are needed before firm conclusions about the relative effectiveness of psychoanalysis and psychotherapy in the treatment of mood and @entity148 can be drawn.
