Purpose Short Term Psychodynamic Psychotherapy (STPP) has been demonstrated as an effective treatment for several mental health difficulties. However, its implementation in secondary mental health services in the National Health Service (NHS) is scarce. The aim of this study was to bridge the gap between controlled trials and practice-based evidence, by exploring an initial estimate of the therapeutic effects of this intervention as well as its safety in a secondary care NHS community mental health setting. Method: The study followed a quantitative case series design. Eight clients with complex, enduring mental health difficulties, supported by a community secondary mental health service received a course of STPP. They completed outcome measures at the start, at the end and eight-weeks following completion of therapy. Results: All participants but one completed the therapy and attendance rates were high (>75%). No adverse effects were reported. All participants but two reported improvement in the CORE-OM, BSI and the PHQ-9 and these were maintained at follow-up. Conclusions: The results suggested that STPP was a safe and acceptable intervention, that may have contributed to clinical and reliable improvement for 4 participants, non-reliable improvement for 2 and non-reliable deterioration for one participant who finished the treatment.

中文翻译：

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针对NHS精神卫生服务中遇到复杂持久问题的客户的短期心理动力心理治疗（STPP）：案例系列

目的短期心理动力心理治疗（STPP）已被证明是治疗多种心理健康困难的有效方法。但是，在国家卫生局（NHS）的二级精神卫生服务中很少实施该措施。这项研究的目的是通过探索对该干预措施的治疗效果及其在二级保健NHS社区精神健康环境中的安全性的初步估计，来弥合对照试验与基于实践的证据之间的差距。方法：该研究遵循定量病例系列设计。在社区二级精神卫生服务的支持下，八名患有复杂而持久的精神卫生困难的客户接受了STPP课程。他们在治疗完成的开始，结束和八周时完成了结果测量。结果：除一名参与者外，所有参与者均完成了治疗，出勤率很高（> 75％）。没有不良反应的报道。除两名参与者外，所有参与者均报告其CORE-OM，BSI和PHQ-9有所改善，并在随访中予以维持。结论：结果表明，STPP是一种安全且可接受的干预措施，可能对4名参与者的临床和可靠改善，对2名参与者的不可靠改善以及对完成治疗的一名参与者的不可靠恶化做出了贡献。