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Outcomes of time-limited psychotherapy in applied settings: Replicating the Second Sheffield Psychotherapy Project.

Michael Barkham · Anne Rees · William B. Stiles · Roxane M. Agnew · Jeremy E. Halstead · Alison Culverwell +1 more

143 citations0/0 files storedJournal of Consulting and Clinical Psychology

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Psychotherapy Techniques and Applications Psychoanalysis and Psychopathology Research Counseling, Therapy, and Family Dynamics

Abstract

In a replication and extension of the Second Sheffield Psychotherapy Project (SPP2), a collaborative psychotherapy project (CPP) was carried out at 3 sites within the National Health Service of the United Kingdom. Clients (N = 36) stratified at 3 levels of severity of depression were randomly assigned to one of 2 treatment approaches (psychodynamic-interpersonal or cognitive-behavioral) of 2 time-limited durations (8 or 16 sessions). Gains in both treatment approaches were approximately equivalent and were similar for CPP and SPP2 clients when measured at the end of treatment. However, CPP patients did not maintain their gains to the extent that the SPP2 clients did at 3-month and 1-year follow-up assessments. In the CPP, clients given 16 sessions showed a statistically significant advantage over clients given 8 sessions on some measures at some assessments; in the SPP2, similar effects were noted only among some subgroups of clients.

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2004Therapist Competence and Outcome of Cognitive Therapy for Depression 2006Psychodynamic psychotherapy: A systematic review of techniques, indications and empirical evidence 2003Outcomes of patients completing and not completing cognitive therapy for depression 1998Relations of the alliance with psychotherapy outcome: Findings in the second Sheffield Psychotherapy Project.2010Is there a dose–effect relationship between the number of psychotherapy sessions and improvement of social functioning?2014Empirically supported methods of short-term psychodynamic therapy in depression – Towards an evidence-based unified protocol 2012Can Psychotherapists Function as Their Own Controls?2004Dose–effect relations in time-limited combined psycho-pharmacological treatment for depression

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