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Personality Disorders as a Possible Moderator of the Effects of Relational Interventions in Short-Term Psychoanalytic Psychotherapy with Depressed Adolescents

Author

Listed:
  • Hans Ole Korsgaard

    (The Nic Waal Institute, Lovisenberg Hospital, 0440 Oslo, Norway)

  • Randi Ulberg

    (Institute of Clinical Medicine, University of Oslo, 0316 Oslo, Norway
    Department of Psychiatry, Diakonhjemmet Hospital, 0370 Oslo, Norway
    Research Unit, Division of Mental Health, Vestfold Hospital Trust, 3116 Tønsberg, Norway)

  • Benjamin Hummelen

    (Division of Mental Health and Addiction, Oslo University Hospital, 0424 Oslo, Norway)

  • Nick Midgley

    (Research Department of Clinical, Educational and Health Psychology, University College London (UCL), London WC1E 6BT, UK
    Anna Freud National Centre for Children and Families, London N1 9JH, UK)

  • Agneta Thorén

    (The Erica Foundation, 114 24 Stockholm, Sweden)

  • Hanne-Sofie Johnsen Dahl

    (Research Unit, Division of Mental Health, Vestfold Hospital Trust, 3116 Tønsberg, Norway
    Department of Psychology, University of Oslo, 0316 Oslo, Norway)

Abstract

A significant proportion of adolescents suffering from major depressive disorder (MDD) are likely to have a co-morbid personality disorder (PD). Short-term psychoanalytic psychotherapy (STPP) was found to be one treatment of choice for adolescents suffering from MDD. Background: The first experimental study of transference work-in teenagers (FEST-IT) demonstrated the efficaciousness of transference work in STPP with adolescents suffering from MDD. The usefulness of STPP may be enhanced by exploring possible moderators. Methods: Depressed adolescents ( N = 69), aged 16–18 years, were diagnosed with the structured interview for DSM-IV PDs and randomized to 28 weeks of STPP with or without transference work. A mixed linear model was applied. The moderator effect was investigated by a three-way interaction including “time”, “treatment group” and “number of PD criteria”. Results: A small but significant moderator effect was found for cluster B personality pathology. Patients with a higher number of cluster B PD criteria at baseline did better up to one-year post-treatment where therapists encouraged patients to explore the patient–therapist relationship in the here and now. Conclusion: When treated with psychoanalytic psychotherapy for MDD, adolescents with cluster B PD symptoms seem to profit more from transference work than adolescents without such pathology.

Suggested Citation

  • Hans Ole Korsgaard & Randi Ulberg & Benjamin Hummelen & Nick Midgley & Agneta Thorén & Hanne-Sofie Johnsen Dahl, 2022. "Personality Disorders as a Possible Moderator of the Effects of Relational Interventions in Short-Term Psychoanalytic Psychotherapy with Depressed Adolescents," IJERPH, MDPI, vol. 19(17), pages 1-12, September.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:17:p:10952-:d:904812
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    Cited by:

    1. Ana Calderon & Knut Arne Hooper Storeide & Cecilie Elvejord & Helene Amundsen Nissen-Lie & Randi Ulberg & Hanne-Sofie Johnsen Dahl, 2022. "Examining Psychotherapeutic Processes with Depressed Adolescents: A Comparative Study of Two Psychodynamic Therapies," IJERPH, MDPI, vol. 19(24), pages 1-20, December.

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