Evidence map›Paper›PMID 36451114›Full record

ArticleBMC psychiatry2022

The Effectiveness of an Intensive Inpatient Psychotherapy Program for Chronic Depression: A naturalistic comparison with wait list.

Mikkel Eielsen, Pål Gunnar Ulvenes, Jan Ivar Røssberg, Andreas Høstmælingen, Christina S Soma, Bruce E Wampold

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05221567 (The Effectiveness of Intensive Psychotherapy for Chronic Depression), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05221567 nacompletednot on this map

The Effectiveness of Intensive Psychotherapy for Chronic Depression: A Naturalistic Comparison With Treatment-as-Usual

TypeinterventionalSponsorModum BadRan2012 to 2017Enrolled280ConditionsChronic Depression, Persistent Depressive Disorder, Recurrent Major DepressionArmsPsychotherapy
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Changes in patient-reported outcomes during admission to a South African psychiatric facility.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2024
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 3 countries.

Mikkel EielsenInstitute of Clinical Medicine, University of Oslo, Sognsvanssveien 21, 0372, Oslo, Norway. mikkel.eielsen@gmail.com.ORCID 0000-0002-5223-8278
Pål Gunnar UlvenesResearch Institute, Modum Bad Psychiatric Center, Modum Bad Research Institute, Badeveien 287, 3370, Vikersund, Norway.ORCID 0000-0002-0679-1320
Jan Ivar RøssbergInstitute of Clinical Medicine, University of Oslo, Sognsvanssveien 21, 0372, Oslo, Norway.ORCID 0000-0003-4115-9133
Andreas HøstmælingenDepartment of Psychology, University of Oslo, Forskningsveien 3a, 0373, Oslo, Norway.ORCID 0000-0002-2513-1192
Christina S SomaDepartment of Educational Psychology, University of Utah, 1721 Campus Center Dr., SAEC Room 3220, Salt Lake City, UT, 84109, USA.ORCID 0000-0002-3607-6643
Bruce E WampoldResearch Institute, Modum Bad Psychiatric Center, Modum Bad Research Institute, Badeveien 287, 3370, Vikersund, Norway.ORCID 0000-0003-1507-980X
University of Oslo · NOUniversity of Utah · USUniversity of Wisconsin–Madison · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with chronic depression (CD) typically have an early symptom onset, more psychiatric comorbidities, more treatment attempts, and more frequent and longer inpatient hospitalizations than patients with major depressive disorders. The main purpose of this study was to investigate the effectiveness of an intensive inpatient psychotherapy program for patients with chronic depression (CD). The primary research question was whether two intensive psychodynamic inpatient treatments, affect phobia therapy (APT) and VITA, were superior to an outpatient wait list condition, receiving treatment as usual (TAU), at completion of treatment. To investigate if a potential difference between the intensive treatment and the wait list control group was dependent on a specific psychotherapeutic model, the study contrasted two therapies with similar intensity, but different theoretical rationales.

methodsTwo hundred eighty patients with CD were included in a naturalistic study. Patients were assessed at four time points; assessment, start of therapy, end of therapy and 1-year follow-up. Three comparisons were performed with patients matched across groups; Intensive inpatient treatment program (APT + VITA) vs wait list during treatment, APT vs VITA during treatment and APT vs VITA during follow-up. The outcome measure was the BDI-II.

resultsIntensive inpatient treatment program vs. wait list showed a significant difference in favor of the intensive treatment. No significant differences were found between APT and VITA during therapy or follow-up; but both groups had large effect sizes during treatment, which were maintained during follow-up.

conclusionsThe intensive inpatient psychotherapy program showed superior effect on chronic depression over an outpatient wait list condition receiving treatment as usual (TAU), but no significant differences were found between the two intensive inpatient psychodynamic treatments. The results provide support for the effectiveness of an intensive inpatient psychotherapy program in treatment of chronic and severe disorders, such as CD, which could be of benefit for policymakers and the health care sector as they are allocating recourses efficiently.

trial registrationThis study has been retrospectively registered on ClinicalTrials.gov (NCT05221567) on February 3rd, 2022.

Indexed as

InpatientsMajor Depressive DisorderDepressionDimapritHumansPsychotherapyAPTDimapritChronic depressionInpatient treatmentIntensive psychotherapy programPsychotherapy effectiveness

Identifiers

PMID36451114
PMCPMC9710086
OpenAlexW4311012006

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.