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Clinical- and cost-effectiveness of intensive short-term dynamic psychotherapy for chronic pain in a tertiary psychotherapy service.

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Title: Clinical- and cost-effectiveness of intensive short-term dynamic psychotherapy for chronic pain in a tertiary psychotherapy service.
Authors: Lilliengren, Peter (AUTHOR), Cooper, Angela (AUTHOR), Town, Joel M (AUTHOR), Kisely, Steve (AUTHOR), Abbass, Allan (AUTHOR)
Source: Australasian Psychiatry. Aug2020, Vol. 28 Issue 4, p414-417. 4p.
Subjects: Psychodynamic psychotherapy, Brief psychotherapy, Chronic pain, Medical care costs, Psychotherapy, Medical care cost statistics, Mental illness treatment, Chronic pain treatment, Economics, Mental illness, Treatment effectiveness, Cost effectiveness
Geographic Terms: Canada
Abstract: Objective: The objective of this study is to assess the clinical- and cost-effectiveness of intensive short-term dynamic psychotherapy (ISTDP) for patients with chronic pain.Method: A sample of 228 pain patients was drawn from a larger naturalistic study of ISTDP. They received an average of 6.1 sessions delivered by 31 therapists. Psychiatric symptoms and interpersonal problems were assessed at three time points. Healthcare data from baseline year and three years following treatment came from independent governmental databases.Results: Multilevel models indicated significant reductions in symptoms and interpersonal problems during treatment, including a moderate to large pre-post effect size (d = 0.76) for somatization. Further, the sample had successive reductions in yearly healthcare costs, reaching the normal population mean two years post-treatment.Conclusion: Within the limitations of the uncontrolled design, our study suggests that ISTDP may be both clinically effective and cost-effective for patients with chronic pain. [ABSTRACT FROM AUTHOR]
Copyright of Australasian Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Clinical- and cost-effectiveness of intensive short-term dynamic psychotherapy for chronic pain in a tertiary psychotherapy service.
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  Data: <searchLink fieldCode="AR" term="%22Lilliengren%2C+Peter%22">Lilliengren, Peter</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cooper%2C+Angela%22">Cooper, Angela</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Town%2C+Joel+M%22">Town, Joel M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kisely%2C+Steve%22">Kisely, Steve</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Abbass%2C+Allan%22">Abbass, Allan</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Australasian+Psychiatry%22">Australasian Psychiatry</searchLink>. Aug2020, Vol. 28 Issue 4, p414-417. 4p.
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  Data: <searchLink fieldCode="DE" term="%22Psychodynamic+psychotherapy%22">Psychodynamic psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Brief+psychotherapy%22">Brief psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Chronic+pain%22">Chronic pain</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+costs%22">Medical care costs</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapy%22">Psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+cost+statistics%22">Medical care cost statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness+treatment%22">Mental illness treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Chronic+pain+treatment%22">Chronic pain treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Economics%22">Economics</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness%22">Mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Cost+effectiveness%22">Cost effectiveness</searchLink>
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  Data: <bold>Objective: </bold>The objective of this study is to assess the clinical- and cost-effectiveness of intensive short-term dynamic psychotherapy (ISTDP) for patients with chronic pain.<bold>Method: </bold>A sample of 228 pain patients was drawn from a larger naturalistic study of ISTDP. They received an average of 6.1 sessions delivered by 31 therapists. Psychiatric symptoms and interpersonal problems were assessed at three time points. Healthcare data from baseline year and three years following treatment came from independent governmental databases.<bold>Results: </bold>Multilevel models indicated significant reductions in symptoms and interpersonal problems during treatment, including a moderate to large pre-post effect size (d = 0.76) for somatization. Further, the sample had successive reductions in yearly healthcare costs, reaching the normal population mean two years post-treatment.<bold>Conclusion: </bold>Within the limitations of the uncontrolled design, our study suggests that ISTDP may be both clinically effective and cost-effective for patients with chronic pain. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Australasian Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1177/1039856220901478
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        Text: English
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      – SubjectFull: Chronic pain
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      – SubjectFull: Medical care costs
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      – SubjectFull: Economics
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      – SubjectFull: Mental illness
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      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Cost effectiveness
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              Text: Aug2020
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              Y: 2020
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