Changes in lifestyle for psychiatric patients three years after the start of short- and long-term psychodynamic psychotherapy and solution-focused therapy |
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| Authors: | P. Knekt M.A. Laaksonen R. Raitasalo P. Haaramo O. Lindfors |
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| Affiliation: | 1. University of California, San Francisco, Treatment Research Center, Department of Psychiatry, 401 Parnassus Avenue, San Francisco, CA 94143-0984, USA;2. Palo Alto University, Institute for International Internet Interventions for Health, Clinical Psychology, 1791 Arastradero Road, Palo Alto, CA 94304, USA;3. Stanford University, The Stanford Prevention Research Center, Medical School Office Building, 1265 Welch Road, Mail Code 6411, Stanford, CA 94305-5411, USA;1. Health Promotion Research Center, Department of Health Services, University of Washington, 1107 NE 45th St., Ste. 200, Seattle, WA 98015, United States;2. Department of Biostatistics, University of Washington, Box 357232, Seattle, WA 98195-7232, United States;3. American Cancer Society, Inc., 2120 First Ave N, Seattle, WA 98109, United States;4. School of Public Health, University of Washington, F358B, Seattle, WA 98196-7230, United States;5. Veterans Affairs Puget Sound Health Services, R&D 1660 S. Columbian Way (S-152), Seattle, WA 98108, United States;1. Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, United States;2. Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, MA, United States;3. Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, United States;4. Center for Education & Research in Family and Community Medicine, Division of General Medical Disciplines, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA, United States;5. Division of General Internal Medicine, Department of Medicine, Georgetown University Hospital, United States;6. Department of Clinical and Diagnostics Sciences/UAB Lung Health Center, University of Alabama at Birmingham, Birmingham, AL, United States;7. Division of Pulmonary, Allergy and Critical Care Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States;8. Wistar Institute, Philadelphia, PA, United States |
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| Abstract: | ObjectivesLifestyle is less favourable among individuals suffering from psychiatric disorders. We studied whether psychotherapy brings along changes in lifestyle and whether these changes differ between short-term and long-term psychodynamic psychotherapy (SPP and LPP) and solution-focused therapy (SFT).MethodsA total of 326 outpatients, 20–46 years of age, with mood or anxiety disorder were randomly assigned to LPP, SPP and SFT. The lifestyle variables considered were alcohol consumption, smoking, body mass index (BMI), leisure time exercise and serum cholesterol. The patients were monitored for three years from the start of treatment.ResultsDuring the three-year follow-up, BMI and serum cholesterol rose statistically significantly although no statistically significant trends were shown for alcohol consumption, smoking or exercise. SPP showed a disadvantage of increased alcohol consumption and serum cholesterol level when compared with LPP. SFT showed an advantage of reduced smoking in comparison with SPP.DiscussionSmall therapy-specific changes in lifestyle may be a result from psychotherapy treatment. These lifestyle changes are apparently more common in short-term therapy. More studies are needed to verify these findings. |
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