A recent study conducted at the University of Eastern Finland explored adverse effects associated with psychotherapy. The aim was to gather information on psychotherapy-associated adverse events, their content, scope and severity for the client. The researchers conducted a systematic literature review of previous reviews and meta-analyses on randomized controlled trials (RCTs) examining the effectiveness and negative effects of psychotherapy. Potential negative outcomes were mentioned only in a small proportion (30%) of the relevant studies, and 57 original studies were ultimately included in the review.
The researchers found that no significant negative outcomes emerged in the studies included in the review; however, the studies represent an extremely small proportion of all published RCTs on psychotherapy.
“However, we should use and develop standardised methods for assessing the adverse effects of psychotherapy. For example, establishing independent systems and systematically collecting data to monitor adverse events could be ways to gain more insight,” says Professor Kirsi Honkalampi of the University of Eastern Finland.
According to her, proper identification and management of adverse effects are indications of good clinical practice and could also help to enhance the quality of psychotherapy.
Kirsi Honkalampi, Henna-Riikka Urhonen & Marianna Virtanen: Negative effects in randomized controlled trials of psychotherapies and psychological interventions: A systematic review, Psychotherapy Research, DOI: 10.1080/10503307.2024.2301972 https://doi.org/10.1080/10503307.2024.2301972