Abbass A.A., Rabung S., Leichsenring F., et al. Psychodynamic Psychotherapy for Children and Adolescents: A Meta-Analysis of Short-Term Psychodynamic Models

Journal of the American Academy of Child and Adolescent Psychiatry, August 2013. — Volume 52. — Number 8. — Pp. 863-875.Objective: Psychodynamically based brief psychotherapy is frequently used in clinical practice for a range of common mental disorders in children and adolescents. There have been no meta-analyses to evaluate the effectiveness of these therapies. Method: After a broad search, Authors meta-analyzed controlled outcome studies of short-term psychodynamic psychotherapies (STPP, 40 or fewer sessions). Authors also performed sensitivity analyses and evaluated the risk of bias in this body of studies.
Results: Authors found 11 studies with a total of 655 patients covering a broad range of conditions including depression, anxiety disorders, anorexia nervosa, and borderline personality disorder. STPP did not separate from what were mostly robust treatment comparators, but there were some subgroup differences. Robust (g ¼ 1.07, 95% CI ¼ 0.80–1.34) within group effect sizes were observed suggesting the treatment may be effective. These effects increased in follow up compared to post treatment (overall, g ¼ 0.24, 95% CI ¼ 0.00–0.48), suggesting a tendency toward increased gains. Heterogeneity was high across most analyses, suggesting that these data need be interpreted with caution.
Conclusion: This review suggests that STPP may be effective in children and adolescents across a range of common mental disorders.
Key Words: anxiety, child, depression, psychodynamic, psychotherapy