Integrative psychotherapy: Asystematic review of its development and clinical efficacy
DOI:
https://doi.org/10.5281/zenodo.17627121Keywords:
efficacy, clinical, psychotherapyAbstract
The use of traditional, monotheoretical approaches in psychotherapy has demonstrated low efficacy, leading to a high dropout rate among patients. In response to this limitation, integrative psychotherapy offers an innovative and flexible perspective, integrating diverse theories and techniques to provide more personalized treatment tailored to individual needs throughout the therapeutic process. Within this framework, the present study aimed to evaluate integrative psychotherapy, its evolution, and its effectiveness in clinical settings. To this end, a systematic review was conducted using the PRISMA method, applying rigorous inclusion and exclusion criteria to select high-quality studies. The main findings indicate that constructivism provides the theoretical foundation for this approach. Furthermore, the efficacy of integrative psychotherapy is reflected in the combined application of different theories and techniques for the treatment of various psychopathologies, such as depression, anxiety, substance abuse, post-traumatic stress disorder, borderline personality disorder, childhood sexual abuse, domestic violence, and relationship conflicts. In summary, this study validates the effectiveness of integrative psychotherapy in clinical practice, especially in situations of psychosocial vulnerability, providing a more comprehensive and adaptable approach.
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Aloi, M., de Filippis, R., Grosso Lavalle, F., Chiappetta, E., Viganò, C., Segura-Garcia, C., & De Fazio, P. (2020). Effectiveness of integrated psychological therapy on clinical, neuropsychological, emotional and functional outcome in schizophrenia: A RCT study. Journal of Mental Health, 29(5), 524–531. https://doi.org/10.1080/09638237.2018.1521948
Arratia Velarde, M. A., & González Ramírez, M. T. (2025). Intervención grupal para estrés en jugadores de disc golf con integración TCC/TBCS. Psicumex, 15, 1–33. https://doi.org/10.36793/psicumex.v15i1.615
Balarezo Chiriboga, L. A. (2015). Psicoterapia integrativa focalizada en la personalidad. REVISTA.
Bennett, S. D., Cross, J. H., Chowdhury, K., Ford, T., Heyman, I., Coughtrey, A. E., Dalrymple, E., Byford, S., Chorpita, B., Fonagy, P., Moss-Morris, R., Reilly, C., Smith, J. A., Stephenson, T., Varadkar, S., Blackstone, J., Quartly, H., Hughes, T., Lewins, A., … Shafran, R. (2024). Clinical effectiveness of the psychological therapy Mental Health Intervention for Children with Epilepsy in addition to usual care compared with assessment-enhanced usual care alone: A multicentre, randomised controlled clinical trial in the UK. The Lancet, 403(10433), 1254–1266. https://doi.org/10.1016/S0140-6736(23)02791-5
Castro, R. O., & Letelier, V. B. (s.f.). Historia del modelo integrativo en Chile. https://icpsi.cl/wp-content/uploads/2013/12/historia_modelo_integrativo.pdf
De Ponti, N., Matbouriahi, M., Franco, P., Harrer, M., Miguel, C., Papola, D., Sicimoğlu, A., Cuijpers, P., & Karyotaki, E. (2024). The efficacy of psychotherapy for social anxiety disorder: A systematic review and meta-analysis. Journal of Anxiety Disorders, 104, 102881. https://doi.org/10.1016/j.janxdis.2024.102881
Dollar, J., & Miller, N. (1981). Personalidad y psicoterapia (Original de 1950). Desclée de Brouwer.
Félix-Alcántara, M. P., Gutiérrez Arana, I., Sancho Salinas, A., Ruiz Velasco, E., Banzo Arguis, C., Villacañas Blázquez, M., Domínguez García, C., Hermosillo Torres, R., & Quintero, J. (2021). Actualización en psicoterapias para personas con obesidad. Revista de Psicoterapia, 32(118), 253–271. https://doi.org/10.33898/rdp.v32i118.442
Fernández Álvarez, H. (2020). La psicoterapia en su laberinto. Revista de Psicoterapia, 31(116), 5–27. https://doi.org/10.33898/rdp.v31i116.405
Gkintoni, E., Kourkoutas, E., Yotsidi, V., Stavrou, P. D., & Prinianaki, D. (2024). Clinical efficacy of psychotherapeutic interventions for post-traumatic stress disorder in children and adolescents: A systematic review and analysis. Children (Basel), 11(5), 579. https://doi.org/10.3390/children11050579
Grevenhaus, C. J., Flückiger, C., Theimer, L., & Benecke, C. (2024). Does technique matter? A multilevel meta-analysis on the association between psychotherapeutic techniques and outcome. Research in Psychotherapy: Psychopathology, Process and Outcome, 27(2). https://doi.org/10.4081/ripppo.2024.803
Horesh, D., & Lahav, Y. (2024). When one tool is not enough: An integrative psychotherapeutic approach to treating complex PTSD. Journal of Clinical Psychology, 80(7), 1689–1697. https://doi.org/10.1002/jclp.23688
Iruegas Herrera, M. F., & González Ramírez, M. T. (2023). Terapia integrativa para la reducción del estrés infantil durante la pandemia de COVID-19. Psicumex, 13, 1–30. https://doi.org/10.36793/psicumex.v13i1.509
Lazarus, A., & Messer, S. B. (1992). ¿Prevalece el caos? Reflexiones sobre el eclecticismo técnico y la integración asimilativa. Revista de Psicoterapia, 3(10/11), 129–144. https://doi.org/10.33898/rdp.v10i10.939
Lins, M., & Falcke, D. (2024). Terapia comportamental integrativa para casal: análise de mudança clínica confiável. Revista Brasileira de Terapias Cognitivas, 20. https://doi.org/10.5935/1808-5687.20240470
Mills, K., Winter, V., Cobham, V., Peach, N., Arunogiri, S., Chatterton, M. L., Bendall, S., Back, S. E., Perrin, S., & Brady, K. (2025). Randomised controlled trial to compare the efficacy of integrated cognitive-behavioural therapy (COPE-A) for substance use and traumatic stress among adolescents and young adults delivered via telehealth versus in person: Trial protocol. BMJ Open, 15(6), e102710. https://doi.org/10.1136/bmjopen-2025-102710
Moreno Proaño, G. M. (2022). La violencia doméstica: Psicoterapia integrativa y cultura indígena. Revista de Psicoterapia, 33(123), 205–216. https://doi.org/10.33898/rdp.v33i123.34781
Nuñez Jiménez, E., & Sánchez-Sandoval, Y. (2024). Revisión sistemática sobre tratamientos psicológicos con personas adultas víctimas de abuso sexual infantil. Revista de Psicoterapia, 35(128), 33–41. https://doi.org/10.5944/rdp.v35i128.40528
Orvati Aziz, M., Mehrinejad, S. A., Hashemian, K., & Paivastegar, M. (2020). Integrative therapy (short-term psychodynamic psychotherapy & cognitive-behavioral therapy) and cognitive-behavioral therapy in the treatment of generalized anxiety disorder: A randomized controlled trial. Complementary Therapies in Clinical Practice, 39, 101122. https://doi.org/10.1016/j.ctcp.2020.101122
Padilla Mosteirin, A., & Gimeno-Bayón Cobos, A. (2023). El queso agujereado: Un caso clínico tratado desde la psicoterapia integradora humanista. Revista de Psicoterapia, 34(124), 215–230. https://doi.org/10.5944/rdp.v34i124.35664
Pérez Burgos, Á. (2021). La psicoterapia integrativa en el ámbito de intervención social: conceptos y métodos de intervención. Revista de Psicoterapia, 32(118), 149–162. https://doi.org/10.33898/rdp.v32i118.490
Reddick Rodriguez, S. I. (2025). El efecto de la terapia integrativa para la reducción del estrés percibido en psicólogos al iniciar su práctica clínica. Psicumex, 15, 1–20. https://doi.org/10.36793/psicumex.v15i1.739
Santangelo, P. R., Conde, K., & Mattiello, M. E. (2022). Terminación prematura en psicoterapia y características de los pacientes: un estudio empírico. Revista de Psicoterapia, 33(123), 191–203. https://doi.org/10.33898/rdp.v33i123.35623
Saur, R., Fourel, E., Dos Santos, S., Kosinski, T., Tapia, G., Besche-Richard, C., Carré, A., Courtois, R., Bortolon, C., Baeyens, C., Marteau-Chasserieau, F., Romo, L., Morvan, Y., & Vancappel, A. (2025). Integrative models of psychopathology and psychotherapy: A PRISMA-based scoping review. L’Encéphale. https://doi.org/10.1016/j.encep.2025.03.001
Schwambach, L. B., & Queiroz, L. C. (2023). Use of integrative and complementary practices in the treatment of depression. Physis, 33. https://doi.org/10.1590/S0103-7331202333077
Snoek, A., Beekman, A. T. F., Dekker, J., Aarts, I., Van Grootheest, G., Blankers, M., Vriend, C., Van Den Heuvel, O., & Thomaes, K. (2020). A randomized controlled trial comparing the clinical efficacy and cost-effectiveness of eye movement desensitization and reprocessing (EMDR) and integrated EMDR-Dialectical Behavioural Therapy (DBT) in the treatment of patients with post-traumatic stress disorder and comorbid (Sub)clinical borderline personality disorder: Study design. BMC Psychiatry, 20(1), 396. https://doi.org/10.1186/s12888-020-02713-x
Tamara Manubens, R., Buongiorno, E., & Gómez Penedo, J. M. (2024). Personalización en psicoterapia: estado actual y desafíos para su implementación en Latinoamérica. Revista de Psicoterapia, 35(127), 17–24. https://doi.org/10.5944/rdp.v35i127.39808
Tirinnanzi, P., & Bianchi, A. (2020). The application of integrative psychotherapy during COVID-19 pandemic. Journal of Psychology and Psychotherapy Research, 7(1), 85-97. https://www.sciencegate.app/document/10.12974/2313-1047.2020.07.8
Valdiviezo-Oña, J., Unda-López, A., Montesano, A., Evans, C., & Paz, C. (2025). Routine outcome monitoring from psychotherapists’ perspectives: a framework analysis study of expected benefits and difficulties. Administration and Policy in Mental Health and Mental Health Services Research, 52(1), 194–209. https://doi.org/10.1007/s10488-024-01350-w
Van Rijn, B. (2024). Case study research in humanistic and integrative psychotherapy: case study research. Revista de Psicoterapia, 35(129), 79–84. https://doi.org/10.5944/rdp.v35i129.41501
Zarandona de Juan, E. (2021). Aportaciones de la psicoterapia integrativa al estudio y comprensión del desarrollo humano. Revista de Psicoterapia, 32(118), 7–24. https://doi.org/10.33898/rdp.v32i118.482
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