Existential dynamic therapy (“VITA”) for treatmentresistant depression with Cluster C disorder: Matched comparison to treatment as usual
Existential suffering may contribute to treatment-resistant depression. The ‘‘VITA’’ treatment model was designed for such patients with long-standing depression accompanied by existential and/or religious concerns. This naturalistic effectiveness study compared the VITA model (n50) with a ‘‘treatment as usual’’ comparison group (TAU; n50) of patients with treatment-resistant depression and Cluster C comorbidity. The TAU patients were matched on several characteristics with the VITA patients. The VITA model included existential, dynamic, narrative and affect-focused components. The VITA group had significantly greater improvement on symptom distress and relational problems during treatment and from pre-treatment to 1-year follow-up. Patients in the VITA, at follow-up, were more likely to be employed and less likely be using psychotropic medications.
Psychotherapy Research, 2012, 22 (5), 579-591