Investigating the Effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) on Quality of Life and Mental Health in Depressed Women
Keywords:
Intensive Short-Term Dynamic Psychotherapy, Quality of Life, Mental Health, Depressed WomenAbstract
Depression is one of the most common mental disorders, often associated with decreased quality of life and deteriorated mental health, particularly among women, who exhibit a higher prevalence rate compared to men. Given the prominent emotional and interpersonal components of depression, employing therapies that target unconscious conflicts and repressed emotions is of great significance. The present study aimed to investigate the effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) on the quality of life and mental health of women with depression. This study was a quasi-experimental design with a pretest-posttest and control group structure. A sample of 30 women with mild to moderate depression was selected through convenience sampling and randomly assigned to experimental and control groups (15 participants in each group). The research instruments included the WHOQOL-BREF Quality of Life Questionnaire and the GHQ-28 General Health Questionnaire. The experimental group received twelve 90-minute sessions of ISTDP. Data were analyzed using analysis of covariance (ANCOVA), controlling for pretest scores. The results indicated that the post-test mean scores of quality of life in the experimental group were significantly higher than those of the control group (p = 0.001), while the mental health scores significantly decreased (p = 0.002). The effect sizes for both variables were reported as high (Eta² > 0.30). Intensive Short-Term Dynamic Psychotherapy can be considered an effective approach for improving quality of life and enhancing mental health in women with depression. The findings of this study underscore the necessity of expanding the use of in-depth, emotion-focused approaches in mental health services.
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References
Abbass, A., Town, J. M., & Driessen, E. (2012). Intensive short-term dynamic psychotherapy: a systematic review and meta-analysis of outcome research. Harvard Review of Psychiatry, 20(2), 97-108. https://doi.org/10.3109/10673229.2012.677347
Abbass, A., Town, J. M., & Driessen, E. (2023). Intensive short-term dynamic psychotherapy for depression: a systematic review and meta-analysis. Harvard Review of Psychiatry, 31(1), 15-29.
Alavinia, M., Tahmasbi, S., & Heydarizadeh, R. (2022). Comparing the Effectiveness of Intensive Short-Term Dynamic Psychotherapy and Cognitive Behavioral Therapy on Reducing Depression and Improving Quality of Life. Clinical Psychology Research, 12(2), 35-49.
Collaborators, G. B. D. M. D. (2022). Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990-2019: a systematic analysis. Lancet Psychiatry, 9(2), 137-150. https://doi.org/10.1016/S2215-0366(21)00395-3
Cuijpers, P., Karyotaki, E., Weitz, E., Andersson, G., Hollon, S. D., & van Straten, A. (2021). The effects of psychotherapies for major depression in adults on remission, recovery and improvement: a meta-analysis. Journal of affective disorders, 281, 156-165. https://pubmed.ncbi.nlm.nih.gov/24679399/
Hajrezaei, M. R., Sazesh Rahbarjou, S. S., & Shamsaldini, A. (2024). Effectiveness of Short-term Intensive Dynamic Psychotherapy on the Severity of Gastrointestinal Symptoms and Depression in Patients with the Diarrhea Subtype of Irritable Bowel Syndrome. Journal of Assessment and Research in Applied Counseling (JARAC), 6(2), 56-63. https://doi.org/10.61838/kman.jarac.6.2.7
IsHak, W. W., Balayan, K., & Bresee, C. (2021). A descriptive analysis of quality of life using patient-reported measures in major depressive disorder in community psychiatry. Journal of affective disorders, 294, 75-82.
Jafari, S., Kazemian Moghadam, K., & Gholavand, F. (2024). The Effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) on Depression, Health Anxiety, and Physical Symptoms in Patients with Coronary Artery Bypass. Research in Clinical Psychology and Counseling, 14(1), 223-242. https://tpccp.um.ac.ir/article_45804.html
Mendlowicz, M. V., & Stein, M. B. (2021). Quality of life in individuals with anxiety disorders. American Journal of Psychiatry, 178(3), 189-198. https://pubmed.ncbi.nlm.nih.gov/10784456/
Nejat, S., Montazeri, A., Holakouie Naieni, K., Mohammad, K., & Majdzadeh, S. R. (2006). The World Health Organization quality of life (WHOQOL-BREF) questionnaire: Translation and validation study of the Iranian version. Payesh, 5(1), 13-20. https://www.researchgate.net/publication/289676132_The_World_Health_Organization_quality_of_Life_WHOQOL-BREF_questionnaire_Translation_and_validation_study_of_the_Iranian_version
Salk, R. H., Hyde, J. S., & Abramson, L. Y. (2017). Gender differences in depression in representative national samples: Meta-analyses of diagnoses and symptoms. Psychological bulletin, 143(8), 783-822. https://doi.org/10.1037/bul0000102
Sarlaki, A., Farokhzad, M., Khanzadeh, F., Younesi Sinaki, M., Razavi Mahdian, S. Z., & Tayyar Parvin, M. (2024). Effectiveness of Intensive Short-Term Dynamic Psychotherapy on Object Relations, Anger, and Guilt in Women with Major Depressive Disorder. Psychological Achievements, 30(1), 89-102. https://psychac.scu.ac.ir/article_18967.html
Taghavi, M. R. (2002). Validity and reliability of the General Health Questionnaire (GHQ-28) in Iranian population. Journal of Psychology, 5(4), 381-398. https://sid.ir/paper/54489/en
Town, J. M., Abbass, A., Stride, C., & Bernier, D. (2017). A randomised controlled trial of intensive short-term dynamic psychotherapy for treatment resistant depression: the Halifax Depression Study. Journal of affective disorders, 214, 15-25. https://doi.org/10.1016/j.jad.2017.02.035
World Health, O. (2017). Depression and Other Common Mental Disorders: Global Health Estimates. WHO. https://www.who.int/publications/i/item/depression-global-health-estimates
Ziapour, A., Hajiazizi, A., Ahmadi, M., & Dehghan, F. (2023). Effect of short-term dynamic psychotherapy on sexual function and marital satisfaction in women with depression: clinical trial study. Health Science Reports, 6, e1370. https://doi.org/10.1002/hsr2.1370
Ziapour, A., Hajiazizi, A., Ahmadi, M., & Dehghan, F. (2023). Effect of short-term dynamic psychotherapy on sexual function and marital satisfaction in women with depression: Clinical trial study. Health Science Reports, 6(6), e1370. https://doi.org/10.1002/hsr2.1370
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Copyright (c) 2025 Amin Allah Bayat Mokhtari (Author); Farshad Samadi (Corresponding Author); Mandana Moayedi (Author)
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