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Everyday Evidence: Outcomes of Psychotherapies in Swedish Public Health Services

Werbart, Andrzej; Levin, Lars; Andersson, Hakan and Sandell, Rolf LU (2013) In Psychotherapy 50(1). p.119-130
Abstract
This naturalistic study presents outcomes for three therapy types practiced in psychiatric public health care in Sweden. Data were collected over a 3-year period at 13 outpatient psychiatric care services participating in the online Quality Assurance of Psychotherapy in Sweden (OAPS) system. Of the 1,498 registered patients, 14% never started psychotherapy, 17% dropped out from treatment, and 36% dropped out from data collection. Outcome measures included symptom severity, quality of life, and self-rated health. Outcomes were studied for 180 patients who received cognitive behavioral, psychodynamic, or integrative/eclectic therapy after control for dropout representativity. Among treatment completers, patients with different pretreatment... (More)
This naturalistic study presents outcomes for three therapy types practiced in psychiatric public health care in Sweden. Data were collected over a 3-year period at 13 outpatient psychiatric care services participating in the online Quality Assurance of Psychotherapy in Sweden (OAPS) system. Of the 1,498 registered patients, 14% never started psychotherapy, 17% dropped out from treatment, and 36% dropped out from data collection. Outcome measures included symptom severity, quality of life, and self-rated health. Outcomes were studied for 180 patients who received cognitive behavioral, psychodynamic, or integrative/eclectic therapy after control for dropout representativity. Among treatment completers, patients with different pretreatment characteristics seem to have received different treatments. Patients showed significant improvements, and all therapy types had generally good outcomes in terms of symptom reduction and clinical recovery. Overall, the psychotherapy delivered by the Swedish public health services included in this study is beneficial for the majority of patients who complete treatment. Multilevel regression modeling revealed no significant effect for therapy type for three different outcome measures. Neither did treatment duration have any significant effect. The analysis did not demonstrate any significant therapist effects on the three outcome measures. The results must be interpreted with caution, as there was large attrition and incomplete data, nonrandom assignment to treatment, no treatment integrity control, and lack of long-term follow-up. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
psychotherapy, effectiveness, naturalistic design, routine clinical, practice, therapy types
in
Psychotherapy
volume
50
issue
1
pages
119 - 130
publisher
Amer Psychological Assoc, Div Psychotherapy
external identifiers
  • wos:000316155800016
  • scopus:84875283769
ISSN
0033-3204
DOI
10.1037/a0031386
language
English
LU publication?
yes
id
2ff9ffa0-dae2-440b-8717-69023561f536 (old id 3636616)
date added to LUP
2013-04-24 14:32:08
date last changed
2019-01-06 07:44:43
@article{2ff9ffa0-dae2-440b-8717-69023561f536,
  abstract     = {This naturalistic study presents outcomes for three therapy types practiced in psychiatric public health care in Sweden. Data were collected over a 3-year period at 13 outpatient psychiatric care services participating in the online Quality Assurance of Psychotherapy in Sweden (OAPS) system. Of the 1,498 registered patients, 14% never started psychotherapy, 17% dropped out from treatment, and 36% dropped out from data collection. Outcome measures included symptom severity, quality of life, and self-rated health. Outcomes were studied for 180 patients who received cognitive behavioral, psychodynamic, or integrative/eclectic therapy after control for dropout representativity. Among treatment completers, patients with different pretreatment characteristics seem to have received different treatments. Patients showed significant improvements, and all therapy types had generally good outcomes in terms of symptom reduction and clinical recovery. Overall, the psychotherapy delivered by the Swedish public health services included in this study is beneficial for the majority of patients who complete treatment. Multilevel regression modeling revealed no significant effect for therapy type for three different outcome measures. Neither did treatment duration have any significant effect. The analysis did not demonstrate any significant therapist effects on the three outcome measures. The results must be interpreted with caution, as there was large attrition and incomplete data, nonrandom assignment to treatment, no treatment integrity control, and lack of long-term follow-up.},
  author       = {Werbart, Andrzej and Levin, Lars and Andersson, Hakan and Sandell, Rolf},
  issn         = {0033-3204},
  keyword      = {psychotherapy,effectiveness,naturalistic design,routine clinical,practice,therapy types},
  language     = {eng},
  number       = {1},
  pages        = {119--130},
  publisher    = {Amer Psychological Assoc, Div Psychotherapy},
  series       = {Psychotherapy},
  title        = {Everyday Evidence: Outcomes of Psychotherapies in Swedish Public Health Services},
  url          = {http://dx.doi.org/10.1037/a0031386},
  volume       = {50},
  year         = {2013},
}