Effectiveness of Psychotherapy in Personality Disorders Not Otherwise Specified: A Comparison of Different Treatment Modalities

Horn, Eva K.; Bartak, Anna; Meerman, Anke; Rossum, Bert V.; Ziegler, Uli; Thunnissen, Moniek; Soons, Mirjam; Andrea, Helene; Hamers, Elisabeth F M; Emmelkamp, Paul M. G.; Stijnen, Theo; Busschbach, Jan; Verheul, Roel

doi:10.1002/cpp.1904

Cited by 17 publications

(14 citation statements)

References 58 publications

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“…Seven articles investigating the outcomes of psychotherapeutic interventions in adults with primary diagnosis of mixed features PDs were included in this review. One of them specifically focused on this diagnostic group, which corresponds to the study's whole sample 8 . Two other studies analysed the effectiveness of psychotherapeutic interventions in mixed features PDs, among other PDs types, yet drawing concrete conclusions for this specific patient subgroup 17,18 .…”

Section: Resultsmentioning

confidence: 99%

“…Horn et al 8 specifically focuses on PDNOS patients, a group that corresponded to the total studied sample. It was the first large-scale treatment study in patients with PDNOS, having investigated the effectiveness of different psychotherapy modalities in patients with PDNOS, i.e., short-term and long-term outpatient, day hospital and inpatient psychotherapy.…”

Section: Discussionmentioning

confidence: 99%

“…Subgroup analysis directed at "what works for whom" could give more valuable information for clinical practice about which treatments work best for which category of patients instead for which category of diagnosis. This is even more important in this patient group since various definitions of PDNOS are used in clinical practice and across studies, limiting the comparability and generalizability of study findings 5,7,8,28 .…”

Section: Discussionmentioning

confidence: 99%

“…Numerous studies suggest that PDNOS is one of the most prevalent mental disorders in clinical practice 8 . A meta-analysis on the prevalence and use of PDNOS diagnoses showed that 3%-6% of the general population and 8%-13% of clinical samples met the diagnostic criteria for a PDNOS diagnosis.…”

Section: Introductionmentioning

confidence: 99%

“…As is the case for patients with specific PD, the burden of disease of patients with PDNOS is high, and, in terms of quality of life, patients report a quality-of-life score on the EuroQol (EQ-5D) comparable to patients with haemodialysis, rheumatic disease, lung cancer, Parkinson's disease or diabetes type II. The diagnosis is associated with high costs for society 8 .…”

Section: Introductionmentioning

confidence: 99%

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The outcomes of psychotherapy in mixed features personality disorders: a systematic review

Silva¹,

Donato²,

Madeira³

2018

Arch. Clin. Psychiatry (São Paulo)

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Mixed features personality disorders (PDs) are highly prevalent and associated with significant burden of disease. Despite that, it has been an overlooked diagnostic category with respect to clinical research. This study aims to review empirical evidence about psychotherapy delivery available for these patients. We present a systematic review of clinical trials investigating the outcomes of psychotherapeutic interventions in adults with a primary diagnosis of mixed features PDs. Data were obtained from Medline/PubMed, Embase and PsycINFO. Seven studies met inclusion criteria; in one of them the whole sample was of this diagnostic group; two studies analysed psychotherapeutic intervention outcomes in this population, among other types of PDs, yet drawing specific conclusions on mixed features PDs patients; remaining studies addressed patient samples with different PDs types, mixed features included, where specific findings in this group of patients were not described-nonetheless, they included representative numbers of subjects with the diagnosis of interest. Available studies suggest that mixed features personality pathology per se does not seem to be an impediment to benefit from psychotherapeutic treatment, and improvement in different areas of life is possible for patients undergoing psychotherapy. The extant literature is marked by multiple challenges and inconsistencies across studies.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The outcomes of psychotherapy in mixed features personality disorders: a systematic review

Silva¹,

Donato²,

Madeira³

2018

Arch. Clin. Psychiatry (São Paulo)

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Improving social functioning and life satisfaction among patients with personality dysfunction: Connectedness and engagement in integrative group treatment

Kealy

Doorn

Ehrenthal

et al. 2020

Clin Psychology and Psychoth

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Reduced social impairment and improved life satisfaction are important objectives in group treatment for patients with personality dysfunction. Knowledge regarding patient characteristics and group treatment processes that contribute to these outcomes, however, remains limited. Dispositional connectedness, the valuing of interpersonal connections, may be an important patient factor that influences patients' experience of group treatment in ways that facilitate therapeutic benefits. The present study investigated the roles of dispositional connectedness and group engagement in contributing to improvement in social functioning and life satisfaction through integrative group treatment for personality dysfunction. Seventy-nine patients who completed an integrative group treatment programme were assessed for dispositional connectedness at baseline and social functioning and life satisfaction at pretreatment and posttreatment; each also provided ratings of group engagement during treatment. Regression analyses using bootstrap confidence intervals found significant indirect effects for dispositional connectedness regarding improvement in both social functioning and life satisfaction, through the mediating effect of group engagement. Thus, patients who entered treatment with tendencies towards interpersonal connectedness perceived a higher level of engagement in the group environment. Group engagement in turn contributed to greater improvement in social functioning and to greater improvement in life satisfaction following treatment. The findings indicate dispositional connectedness as a salient characteristic in selecting patients for group treatment and highlight the role of an engaged interpersonal climate in facilitating improvement in social functioning and life satisfaction. K E Y W O R D S connectedness, engagement, group treatment, life satisfaction, social functioning

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Outpatient psychodynamic group psychotherapy – outcomes related to personality disorder, severity, age and gender

Kvarstein

Nordviste

Dragland

et al. 2016

Personality & Mental Health

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Effectiveness of Psychotherapy in Personality Disorders Not Otherwise Specified: A Comparison of Different Treatment Modalities

Cited by 17 publications

References 58 publications

The outcomes of psychotherapy in mixed features personality disorders: a systematic review

The outcomes of psychotherapy in mixed features personality disorders: a systematic review

Improving social functioning and life satisfaction among patients with personality dysfunction: Connectedness and engagement in integrative group treatment

Outpatient psychodynamic group psychotherapy – outcomes related to personality disorder, severity, age and gender

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