PMID- 22876529
OWN - NLM
STAT- MEDLINE
DCOM- 20120823
LR  - 20180831
IS  - 0002-9564 (Print)
IS  - 0002-9564 (Linking)
VI  - 66
IP  - 2
DP  - 2012
TI  - Psychodynamic therapy for depression in women with infants and young children.
PG  - 181-99
AB  - BACKGROUND: It has long been known that the rate of depression is high among 
      women with infants and young children. In recent research a psychodynamic therapy 
      group was found to be beneficial for a self-selected, postnatal subgroup of women 
      who were of middle socio-economic status (SES), educated and who met DSM-IV 
      criteria for clinical or subclinical depression. The current study sought to 
      replicate these findings with individual psychodynamic therapy and to compare 
      outcomes for three psychodynamic treatment conditions: individual, group, and 
      combined individual and group. METHOD: Patients began and left treatment from 
      each of the three psychodynamic therapy conditions on a self-determined basis. 
      Pre- and postintervention DSM-IV Global Assessment of Functioning (GAF) were 
      obtained by reliable blind raters. A ten-variable, self-administered 
      postintervention outcome questionnaire provided further data. RESULTS: Women (n = 
      58) in all three therapeutic conditions showed statistically significant 
      improvement in their pre-to-post GAF and large treatment effects. On the 
      questionnaire, they indicated that they were affected positively by all three 
      conditions. Statistically significant differences among treatment conditions 
      favored the individual treatment. CONCLUSIONS: Psychodynamic therapy appears well 
      suited for the population of women in this study, especially when administered on 
      an individual basis. The model employed here emphasized receiving and developing 
      empathic emotional attunement, insight into one's relationships and early 
      experiences, and a process for expressing feelings and resolving problems. 
      Compared to group and combination therapies, the individual treatment may afford 
      the greatest opportunity for receiving and developing these features and, thus, 
      the best outcomes.
FAU - Kurzweil, Sonya
AU  - Kurzweil S
AD  - Harvard Medical School, Department of Psychiatry, Boston, MA, USA. sonya@skdc.org
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am J Psychother
JT  - American journal of psychotherapy
JID - 0110672
SB  - IM
MH  - Adult
MH  - Child, Preschool
MH  - Combined Modality Therapy/methods
MH  - Depression, Postpartum/psychology/therapy
MH  - Depressive Disorder/*psychology/*therapy
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Middle Aged
MH  - Mothers/*psychology
MH  - Observer Variation
MH  - Psychotherapy/*methods
MH  - Psychotherapy, Group/*methods
MH  - Self Report
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
EDAT- 2012/08/11 06:00
MHDA- 2012/08/24 06:00
CRDT- 2012/08/11 06:00
PHST- 2012/08/11 06:00 [entrez]
PHST- 2012/08/11 06:00 [pubmed]
PHST- 2012/08/24 06:00 [medline]
AID - 10.1176/appi.psychotherapy.2012.66.2.181 [doi]
PST - ppublish
SO  - Am J Psychother. 2012;66(2):181-99. doi: 
      10.1176/appi.psychotherapy.2012.66.2.181.