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Journal of Psychotherapy Practice and Research 5: 152-159, 1996
Copyright © 1996 American Psychiatric Association, Inc.

Factors in Outcomes of Short-Term Dynamic Psychotherapy for Chronic vs. Nonchronic Major Depression

LESTER LUBORSKY PH.D.1, LOUIS DIGUER PH.D.1, JOHN CACCIOLA PH.D.1, JACQUES P. BARBER PH.D.1, KARLA MORAS PH.D.1, KELLY SCHMIDT B.A.1, and ROBERT J. DERUBEIS PH.D.1

1 University of Pennsylvania, Philadelphia, Pennsylvania; Laval University, Quebec, Canada; and George Washington University, Washington, D.C.

Dr. Luborsky, 514 Spruce Street, Philadelphia, PA 19106.

The benefits, and variables influencing the benefits, of short-term dynamic psychotherapy for chronic major depression versus nonchronic major depression were examined for 49 patients. The two diagnostic groups started at the same level on the Beck Depression Inventory (BDI) and Global Assessment of Functioning Scale (GAF) and benefited similarly. The bases for the benefits were examined by linear models explaining 35% of termination BDI variance and 47% of termination GAF scores. By far the largest contributor to outcome was initial GAF, followed by presence of more than one comorbid Axis I diagnosis. Initial level of depression on the BDI was not a significant predictor of termination BDI. The chronic/ nonchronic distinction accounted for less than 1% of explained variance, and little was added by personality disorder, age, or gender.

Submitted on July 20, 1994
Revised on August 14, 1995
Accepted on September 20, 1995




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