Department of Health Care Sciences, St Lukas Educational Institute, Ersta Sköndal Bräcke University College, Sweden.
Centre for Emotions and Health, Dalhousie University, Canada.
Australas Psychiatry. 2020 Aug;28(4):414-417. doi: 10.1177/1039856220901478. Epub 2020 Feb 24.
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.
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.
Multilevel models indicated significant reductions in symptoms and interpersonal problems during treatment, including a moderate to large pre-post effect size ( = 0.76) for somatization. Further, the sample had successive reductions in yearly healthcare costs, reaching the normal population mean two years post-treatment.
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.
本研究旨在评估强化短期动态心理治疗（ISTDP）对慢性疼痛患者的临床和成本效益。
从一项更大的 ISTDP 自然主义研究中抽取了 228 名疼痛患者作为样本。他们接受了平均 6.1 次由 31 名治疗师提供的治疗。在三个时间点评估了精神症状和人际问题。基线年和治疗后三年的医疗保健数据来自独立的政府数据库。
多层次模型表明，在治疗过程中症状和人际问题显著减轻，包括躯体化的中等至大的前后效应量（= 0.76）。此外，该样本的年度医疗保健费用持续减少，治疗后两年达到正常人群的平均水平。
在非对照设计的限制内，我们的研究表明，对于慢性疼痛患者，ISTDP 可能既具有临床疗效又具有成本效益。
