Open Door Review

patient perspective (parent: d =.37; patient: d =.80). When comparing the first therapy interval with the (minimal treatment) wait-list control group, both groups improved significantly with small effect sizes and no significant group differences. 69% of the patients could be rated as recovered or improved (Weitkamp, K., Daniels, J. K., Baumeister-Duru, A., Wulf, A., Romer, G., & Wiegand-Grefe, S., in prep.). Disruptive group On average, the 65 intervention patients received 94.8 sessions (range: 19-300). Both, parents and patients in the intervention group reported moderate improvement of disruptive pathology at the end of therapy (parent: d =.69; patient: d =.63), which are stable at the 1-year follow- up (parent: d =.77; patient: d =.68). When comparing the first therapy interval with the (minimal treatment) wait-list control group, both groups improved significantly in the parent view on disruptive pathology with no significant group differences. The patients noted no significant differences neither in the first therapy interval nor the wait-list group (Weitkamp, K., Daniels, J. K., Daubmann, A., Romer, G., & Wiegand-Grefe, S., in prep.). @)15-1.*$#! The results suggest that psychoanalytic therapy is successful in alleviating different kinds of pathology and improving quality of life for children and adolescents. These effects remain stable across one year follow-up. This naturalistic study is high on external validity with some limitations attached: the control interval had a much shorter duration than most therapies and these wait-list patientes received more often than not some supporting sessions. The therapy duration showed large variance. Lastly, the three symptom groups were not mutually exclusive, in a number of cases patients reported comorbid pathology. G$#.1/.\!!

Prof. Dr. Silke Wiegand-Grefe: silke.wiegand-grefe@medicalschool-hamburg.de Prof. Dr. Georg Romer: georg.romer@ukmuenster.de

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