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JAMA. 2009;301(9):930. doi: 10.1001/jama.2009.177

Analyzing Effectiveness of Long-term Psychodynamic Psychotherapy

  1. Brett D. Thombs, PhD brett.thombs@mcgill.ca;
  2. Marielle Bassel, BA;
  3. Lisa R. Jewett, BADepartment of PsychiatryMcGill UniversityMontreal, Quebec, Canada

Since this article does not have an abstract, we have provided the first 150 words of the full text.

To the Editor: Drs Leichsenring and Rabung1 reported that long-term psychodynamic psychotherapy (LTPP) is more effective than shorter forms of psychotherapy for complex mental disorders based on a between-group effect size of 1.8 from 7 comparative trials that they meta-analyzed. The authors did not indicate that they were concerned about this and other surprisingly large effect sizes they reported.

Between-group effect sizes can be presented as group differences in terms of standard deviations or as point biserial correlations between group (eg, LTPP vs shorter-term therapies) and treatment effect. They are equivalent and convertible using a formula or tables.2 The authors, however, apparently erroneously calculated within-group pre-post effect sizes and point biserial correlations between group and within-group effect sizes, which is altogether different. It seems that they converted these correlations between group and within-group pre-post effect sizes to produce deviation-based effect sizes that do not appear reasonable.

As a …

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