Predictors of non-responding in short-term psychodynamic group therapy
Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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Predictors of non-responding in short-term psychodynamic group therapy. / Jensen, Hans Henrik; Mortensen, Erik Lykke; Lotz, Martin.
I: Nordic Psychology, Bind 69, Nr. 4, 2017, s. 264-280.Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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TY - JOUR
T1 - Predictors of non-responding in short-term psychodynamic group therapy
AU - Jensen, Hans Henrik
AU - Mortensen, Erik Lykke
AU - Lotz, Martin
PY - 2017
Y1 - 2017
N2 - Selection for psychotherapy may be improved by identifying predictors of non-responding to treatment, but there are only few studies of non-responding in short-term psychodynamic group therapy. We analyzed potential socio-demographic and clinical predictors in a sample of 239 patients in 39 sessions of psychodynamic group psychotherapy, including self-reported symptoms, personality, and extra-therapeutic events. Non-responding was assessed by the Symptom Check List-90-Revised Global Severity Index (SCL-90-R GSI) according to Jacobson and Truax’s Reliable Change Index. Non-responders represented 44.8% of the sample and these patients were still significantly higher in symptom load at a one-year follow-up. SCL-90-R Interpersonal Sensitivity, Compulsive personality as assessed by Millon Clinical Multiaxial Inventory-II (MCMI-II), adverse life events during the course of treatment (e.g. somatic illness, loss of partner or job), lack of social support, social burden and occupation were all significantly associated with non-responding in the bivariate analyses. However, in the multivariate analysis only adverse life events reached significance, and Interpersonal Sensitivity marginal significance, explaining 12.0% of variance. When only pre-treatment variables were included, Interpersonal sensitivity and MCMI Compulsive personality predicted non-responding. Adverse life events may indicate a need for re-evaluation of the treatment plan. Exclusion of these patients (17.6%) revealed lack of social support, low MCMI Passive–Aggressive personality scores, and presence of SCL-90-R Somatization symptoms to predict non-responding. Social support and scores on symptom and personality disorder scales, which indicate awareness of problems related to the interpersonal domain, may be highly relevant to explore before selection of patients to short-term time-limited psychodynamic group therapy.
AB - Selection for psychotherapy may be improved by identifying predictors of non-responding to treatment, but there are only few studies of non-responding in short-term psychodynamic group therapy. We analyzed potential socio-demographic and clinical predictors in a sample of 239 patients in 39 sessions of psychodynamic group psychotherapy, including self-reported symptoms, personality, and extra-therapeutic events. Non-responding was assessed by the Symptom Check List-90-Revised Global Severity Index (SCL-90-R GSI) according to Jacobson and Truax’s Reliable Change Index. Non-responders represented 44.8% of the sample and these patients were still significantly higher in symptom load at a one-year follow-up. SCL-90-R Interpersonal Sensitivity, Compulsive personality as assessed by Millon Clinical Multiaxial Inventory-II (MCMI-II), adverse life events during the course of treatment (e.g. somatic illness, loss of partner or job), lack of social support, social burden and occupation were all significantly associated with non-responding in the bivariate analyses. However, in the multivariate analysis only adverse life events reached significance, and Interpersonal Sensitivity marginal significance, explaining 12.0% of variance. When only pre-treatment variables were included, Interpersonal sensitivity and MCMI Compulsive personality predicted non-responding. Adverse life events may indicate a need for re-evaluation of the treatment plan. Exclusion of these patients (17.6%) revealed lack of social support, low MCMI Passive–Aggressive personality scores, and presence of SCL-90-R Somatization symptoms to predict non-responding. Social support and scores on symptom and personality disorder scales, which indicate awareness of problems related to the interpersonal domain, may be highly relevant to explore before selection of patients to short-term time-limited psychodynamic group therapy.
KW - non-responding
KW - psychodynamic group therapy
KW - adverse events
KW - social support
KW - interpersonal problems
U2 - 10.1080/19012276.2017.1323664
DO - 10.1080/19012276.2017.1323664
M3 - Review
VL - 69
SP - 264
EP - 280
JO - Nordic Psychology
JF - Nordic Psychology
SN - 1901-2276
IS - 4
ER -
ID: 185950365