A1 Journal article (refereed)
Ego Impairment Index (EII‐2) as a predictor of outcome in short‐ and long‐term psychotherapy during a 5‐year follow‐up (2022)
Stenius, J., Heinonen, E., Lindfors, O., Holma, J., & Knekt, P. (2022). Ego Impairment Index (EII‐2) as a predictor of outcome in short‐ and long‐term psychotherapy during a 5‐year follow‐up. Journal of Clinical Psychology, 78(9), 1739-1751. https://doi.org/10.1002/jclp.23332
JYU authors or editors
Publication details
All authors or editors: Stenius, Jaakko; Heinonen, Erkki; Lindfors, Olavi; Holma, Juha; Knekt, Paul
Journal or series: Journal of Clinical Psychology
ISSN: 0021-9762
eISSN: 1097-4679
Publication year: 2022
Publication date: 28/02/2022
Volume: 78
Issue number: 9
Pages range: 1739-1751
Publisher: Wiley
Publication country: United States
Publication language: English
DOI: https://doi.org/10.1002/jclp.23332
Publication open access: Openly available
Publication channel open access: Partially open access channel
Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/80024
Abstract
This study examined the predictive ability of the Rorschach-based Ego Impairment Index (EII-2) on outcome of psychotherapy in different types and durations of therapy.
Method
A total of 326 outpatients suffering from depressive or anxiety disorders were randomized into receiving solution-focused (n = 97), short-term psychodynamic (n = 101), or long-term psychodynamic psychotherapy (n = 128). Psychotherapy outcome assessments during the 5-year follow-up period covered psychiatric symptoms, social functioning, and work ability.
Results
Lower EII-2 values, which indicate less problematic ego functioning, were found to predict faster improvement in both short-term therapies as compared to long-term psychotherapy.
Conclusion
The results provide preliminary support for the utility of EII-2 as a complementary measure to interview-based methods for selecting between short- and long-term therapies.
Keywords: mental disorders; depression (mental disorders); anxiety disorders; treatment methods; patient care relationship; psychotherapy; psychodynamic psychotherapy; psychiatric patients; I
Free keywords: ego functioning; Ego Impairment Index; psychotherapy; Rorschach; treatment planning
Contributing organizations
Ministry reporting: Yes
Reporting Year: 2022
JUFO rating: 1