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This Month in Archives of General Psychiatry
December 2004

This Month in Archives of General Psychiatry

Arch Gen Psychiatry. 2004;61(12):1186. doi:10.1001/archpsyc.61.12.1186

Interviewing 3084 tribal members, Beals et al Article and the American Indian Service Utilization, PsychiatricEpidemiology, Risk and Protective Factors Project (AI-SUPERPFP) estimatedthe mental health burden and associated help-seeking in 2 reservation communities.Alcohol disorders and posttraumatic stress disorder were more common in theseAmerican Indian populations than for other populations using comparable methods.Substantial comorbidity between depressive, anxiety, and substance disorderssuggests the need for greater coordination of treatment for comorbid disorders.

Leichsenring et al Article performeda meta-analysis to assess the efficacy of short-term psychodynamic psychotherapy(STPP). Only randomized controlled trials fulfilling rigorous criteria wereincluded. The STPP yielded significant and large effect sizes for target problems,general psychiatric symptoms, and social functioning, which tended to increaseat follow-up. The effect sizes of STPP significantly exceeded those of waiting-listcontrols and treatments as usual. No differences were found between STPP andother forms of psychotherapy.