Latent trajectories of change for clients at a psychodynamic training clinic

J Clin Psychol. 2019 Jul;75(7):1147-1168. doi: 10.1002/jclp.22769. Epub 2019 Feb 28.

Abstract

Objective: Employing practice-based research methods, we addressed the need to examine the effectiveness of psychodynamic treatment as a supplement to the efficacy evidence offered by randomized clinical trials.

Method: We used person-centered analyses to generate latent subgroups of clients (N = 118; M age = 40.92; 53.4% female; 81.4% Caucasian; 80.5% heterosexual) receiving contemporary relational psychotherapy (CRP) at a psychodynamic community mental health training clinic.

Results: Subgroups of clients reported a change in depression, social conflict, and anxiety symptomatology, and overall life satisfaction, depicted by significant quadratic growth curves. Findings also offered exploratory support for a theoretical proposition from CRP that improved relational functioning would correspond to improved affect dysregulation and overall life satisfaction.

Conclusion: Clinical and training implications highlight the need to distinguish subgroups of "responders" and "nonresponders" to inform treatment.

Keywords: latent trajectories; parallel growth; practice-based evidence; psychoanalytic; relational.

MeSH terms

  • Adult
  • Aged
  • Ambulatory Care Facilities
  • Anxiety Disorders / therapy*
  • Depressive Disorder / therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Satisfaction
  • Psychotherapy, Psychodynamic / methods*
  • Randomized Controlled Trials as Topic
  • Research Design
  • Treatment Outcome*
  • Young Adult