Cognitive Therapy vs. Short‐Term Dynamic Psychotherapy in a Community Mental Health Setting: A Preliminary Analysis of Effects in Several Severity Domains

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Main Authors: Mary Beth Connolly Gibbons, Nic Kodkany, Yaz Liow, Paul Crits‐Christoph
Format: Artículo Open Access
Published: Wiley 2026
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author Mary Beth Connolly Gibbons
Nic Kodkany
Yaz Liow
Paul Crits‐Christoph
author_facet Mary Beth Connolly Gibbons
Nic Kodkany
Yaz Liow
Paul Crits‐Christoph
Mary Beth Connolly Gibbons
Nic Kodkany
Yaz Liow
Paul Crits‐Christoph
collection Wiley Open Access
contents Cognitive Therapy vs. Short‐Term Dynamic Psychotherapy in a Community Mental Health Setting: A Preliminary Analysis of Effects in Several Severity Domains Mary Beth Connolly Gibbons Nic Kodkany Yaz Liow Paul Crits‐Christoph Clinical Psychology & Psychotherapy ABSTRACT Objective To investigate the effectiveness of cognitive therapy (CT) and short‐term dynamic psychotherapy (STDP) among patients with greater severity, defined in several ways, in a community mental health setting. Method Using data from a randomized noninferiority trial, we examined five baseline severity variables as potential moderators of treatment effects: depressive symptoms, interpersonal problems, mental functioning, physical functioning and quality of life. The outcome was a change in depressive symptoms over the course of up to 5 months of treatment. Linear mixed‐effects models were implemented to compare slopes of change over time. We hypothesized that CT would be superior to STDP for those with severe depressive symptoms, severe mental and physical functioning and severely impaired quality of life, but STDP would be superior to CT for those with severe interpersonal problems. Results There was no evidence of superiority within any of the five severity domains. Conclusions Findings inform the comparative effectiveness of CT and STDP among patients with greater severity and extend prior work by incorporating interpersonal, functioning and quality of life severity indicators. 10.1002/cpp.70254 http://creativecommons.org/licenses/by/4.0/
doi_str_mv 10.1002/cpp.70254
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institution Wiley Open Access
license_str_mv http://creativecommons.org/licenses/by/4.0/
publishDate 2026
publisher Wiley
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spellingShingle Cognitive Therapy vs. Short‐Term Dynamic Psychotherapy in a Community Mental Health Setting: A Preliminary Analysis of Effects in Several Severity Domains
Mary Beth Connolly Gibbons
Nic Kodkany
Yaz Liow
Paul Crits‐Christoph
Clinical Psychology & Psychotherapy
Cognitive Therapy vs. Short‐Term Dynamic Psychotherapy in a Community Mental Health Setting: A Preliminary Analysis of Effects in Several Severity Domains Mary Beth Connolly Gibbons Nic Kodkany Yaz Liow Paul Crits‐Christoph Clinical Psychology & Psychotherapy ABSTRACT Objective To investigate the effectiveness of cognitive therapy (CT) and short‐term dynamic psychotherapy (STDP) among patients with greater severity, defined in several ways, in a community mental health setting. Method Using data from a randomized noninferiority trial, we examined five baseline severity variables as potential moderators of treatment effects: depressive symptoms, interpersonal problems, mental functioning, physical functioning and quality of life. The outcome was a change in depressive symptoms over the course of up to 5 months of treatment. Linear mixed‐effects models were implemented to compare slopes of change over time. We hypothesized that CT would be superior to STDP for those with severe depressive symptoms, severe mental and physical functioning and severely impaired quality of life, but STDP would be superior to CT for those with severe interpersonal problems. Results There was no evidence of superiority within any of the five severity domains. Conclusions Findings inform the comparative effectiveness of CT and STDP among patients with greater severity and extend prior work by incorporating interpersonal, functioning and quality of life severity indicators. 10.1002/cpp.70254 http://creativecommons.org/licenses/by/4.0/
title Cognitive Therapy vs. Short‐Term Dynamic Psychotherapy in a Community Mental Health Setting: A Preliminary Analysis of Effects in Several Severity Domains
topic Clinical Psychology & Psychotherapy
url https://onlinelibrary.wiley.com/doi/10.1002/cpp.70254