The purpose of this proposal is to further develop a scientific understanding of the efficacy of dynamic/interpersonal psychotherapy for a variety of mental disorders. Four set of studies are proposed. The first set focuses on the development of measures that will assist studies of the process and outcome of dynamic therapies. Included are method development studies on measures of the accuracy of therapists' interventions and measures (both clinician judged and self-report) that assess change in core conflicts. The second set of studies involves analysis of the process of interpersonal and cognitive therapies for major depression in order to better understand the effective ingredients of treatment. Thirdly, treatment development projects designed to standardize dynamic therapy, collect preliminary efficacy data, and train therapists for outcome research will be conducted. Manual guided dynamic treatments will be developed for generalized anxiety disorder, treatment resistant chronic depression, and avoidant and obsessive-compulsive personality disorder. Finally, if successful, the treatment development projects will lead into comparative outcome trials. In addition, a comparative outcome study evaluating dynamic therapy for cocaine dependent patients (particularly those with high levels of non-substance abuse psychiatric symptoms) will be conducted.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Scientist Development Award - Research (K02)
Project #
5K02MH000756-10
Application #
2635427
Study Section
Clinical Psychopathology Review Committee (CPP)
Project Start
1989-01-01
Project End
1998-12-31
Budget Start
1998-01-01
Budget End
1998-12-31
Support Year
10
Fiscal Year
1998
Total Cost
Indirect Cost
Name
University of Pennsylvania
Department
Psychiatry
Type
Schools of Medicine
DUNS #
042250712
City
Philadelphia
State
PA
Country
United States
Zip Code
19104
Stulz, Niklaus; Thase, Michael E; Gallop, Robert et al. (2011) Psychosocial treatments for cocaine dependence: the role of depressive symptoms. Drug Alcohol Depend 114:41-8
Stulz, Niklaus; Gallop, Robert; Lutz, Wolfgang et al. (2010) Examining differential effects of psychosocial treatments for cocaine dependence: an application of latent trajectory analyses. Drug Alcohol Depend 106:164-72
Crits-Christoph, Paul; Gibbons, Mary Beth Connolly; Temes, Christina M et al. (2010) Interpersonal accuracy of interventions and the outcome of cognitive and interpersonal therapies for depression. J Consult Clin Psychol 78:420-8
Weiss, Roger D; Griffin, Margaret L; Gallop, Robert J et al. (2005) The effect of 12-step self-help group attendance and participation on drug use outcomes among cocaine-dependent patients. Drug Alcohol Depend 77:177-84
Siqueland, Lynne; Crits-Christoph, Paul; Gallop, Bob et al. (2002) Who starts treatment: engagement in the NIDA collaborative cocaine treatment study. Am J Addict 11:10-23
Siqueland, Lynne; Crits-Christoph, Paul; Gallop, Robert et al. (2002) Retention in psychosocial treatment of cocaine dependence: predictors and impact on outcome. Am J Addict 11:24-40
Siqueland, L; Crits-Christoph, P; Barber, J P et al. (2000) The role of therapist characteristics in training effects in cognitive, supportive-expressive, and drug counseling therapies for cocaine dependence. J Psychother Pract Res 9:123-30
Crits-Christoph, P; Connolly, M B (1999) Alliance and technique in short-term dynamic therapy. Clin Psychol Rev 19:687-704
Gladis, M M; Gosch, E A; Dishuk, N M et al. (1999) Quality of life: expanding the scope of clinical significance. J Consult Clin Psychol 67:320-31
DeRubeis, R J; Crits-Christoph, P (1998) Empirically supported individual and group psychological treatments for adult mental disorders. J Consult Clin Psychol 66:37-52

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