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Changes in lifestyle for psychiatric patients three years after the start of short- and long-term psychodynamic psychotherapy and solution-focused therapy

Published online by Cambridge University Press:  16 April 2020

P. Knekt ,
M.A. Laaksonen ,
R. Raitasalo ,
P. Haaramo  and
O. Lindfors
P. Knekt*
Affiliation:
Social Insurance Institution, P.O. Box 450, 00101Helsinki, Finland National Institute for Health and Welfare (THL), Mannerheimintie 166, P.O. Box 30, 00271Helsinki, Finland
M.A. Laaksonen
Affiliation:
National Institute for Health and Welfare (THL), Mannerheimintie 166, P.O. Box 30, 00271Helsinki, Finland
R. Raitasalo
Affiliation:
Social Insurance Institution, P.O. Box 450, 00101Helsinki, Finland
P. Haaramo
Affiliation:
Biomedicum Helsinki, Helsinki, Finland
O. Lindfors
Affiliation:
Biomedicum Helsinki, Helsinki, Finland
*
*Corresponding author. Tel.: +358 20 610 8774; fax: +358 020 610 8760. E-mail address: paul.knekt@thl.fi (P. Knekt).
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Abstract

Objectives

Lifestyle 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).

Methods

A 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.

Results

During 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.

Discussion

Small 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.

Keywords

Unipolar depressionAnxiety disorderPsychotherapyLifestyleRandomizationTrial
Type
Original articles
Information
European Psychiatry , Volume 25 , Issue 1 , January 2010 , pp. 1 - 7
Copyright
Copyright © Elsevier Masson SAS 2010

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