Predictors of treatment outcome of Inpatient Psychotherapy for Adolescents with personality pathology
ABSTRACT Little is known about the effectiveness of treatment programmes for personality disordered adolescents. This study investigates the treatment outcome of Inpatient Psychotherapy for Adolescents (IPA), i.e. an intensive programme for treatment refractory adolescents with personality pathology...
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| Veröffentlicht in: | Personality and mental health 2014-05, Vol.8 (2), p.102-114 |
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| container_title | Personality and mental health |
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| creator | Feenstra, Dine J. Laurenssen, Elisabeth M. P. Hutsebaut, Joost Verheul, Roel Busschbach, Jan J. V. |
| description | ABSTRACT
Little is known about the effectiveness of treatment programmes for personality disordered adolescents. This study investigates the treatment outcome of Inpatient Psychotherapy for Adolescents (IPA), i.e. an intensive programme for treatment refractory adolescents with personality pathology. In addition, this study examines predictors of treatment outcome. One hundred and nine adolescents admitted for treatment of their personality problems were followed up during their stay in IPA. Axis I and Axis II disorders were measured using semi‐structured interviews, and the adolescents completed several questionnaires to measure symptom severity (global indices of distress), personality styles and functioning, and quality of life at both start and 12 months after start of treatment. Patients showed improvement in level of symptom severity, personality functioning and quality of life (d ranging from 0.49 to 0.97). As for level of symptom severity, 29% of the adolescents moved into a normative range of symptom severity. Higher levels of self‐criticism significantly predicted poorer outcome in terms of symptom severity. Type of personality disorder did not predict treatment outcome. IPA is a potentially effective treatment programme for (a subgroup of) treatment refractory adolescents with personality pathology. Copyright © 2013 John Wiley & Sons, Ltd. |
| doi_str_mv | 10.1002/pmh.1246 |
| format | Article |
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Little is known about the effectiveness of treatment programmes for personality disordered adolescents. This study investigates the treatment outcome of Inpatient Psychotherapy for Adolescents (IPA), i.e. an intensive programme for treatment refractory adolescents with personality pathology. In addition, this study examines predictors of treatment outcome. One hundred and nine adolescents admitted for treatment of their personality problems were followed up during their stay in IPA. Axis I and Axis II disorders were measured using semi‐structured interviews, and the adolescents completed several questionnaires to measure symptom severity (global indices of distress), personality styles and functioning, and quality of life at both start and 12 months after start of treatment. Patients showed improvement in level of symptom severity, personality functioning and quality of life (d ranging from 0.49 to 0.97). As for level of symptom severity, 29% of the adolescents moved into a normative range of symptom severity. Higher levels of self‐criticism significantly predicted poorer outcome in terms of symptom severity. Type of personality disorder did not predict treatment outcome. IPA is a potentially effective treatment programme for (a subgroup of) treatment refractory adolescents with personality pathology. Copyright © 2013 John Wiley & Sons, Ltd.</description><identifier>ISSN: 1932-8621</identifier><identifier>EISSN: 1932-863X</identifier><identifier>DOI: 10.1002/pmh.1246</identifier><identifier>PMID: 24700734</identifier><language>eng</language><publisher>Chichester: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adolescents ; Adult and adolescent clinical studies ; Biological and medical sciences ; Clinical outcomes ; Humans ; Inpatients - psychology ; Male ; Medical sciences ; Pathology ; Personality ; Personality disorders ; Personality Disorders - therapy ; Psychology, Adolescent - methods ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotherapy - methods ; Severity ; Surveys and Questionnaires ; Symptoms ; Treatment Outcome ; Young Adult</subject><ispartof>Personality and mental health, 2014-05, Vol.8 (2), p.102-114</ispartof><rights>Copyright © 2013 John Wiley & Sons, Ltd.</rights><rights>2015 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5626-cfc4b42c72567b1ddb06bebdd898e065b1904c5eba4b2d85c8d0238b77d1ab593</citedby><cites>FETCH-LOGICAL-c5626-cfc4b42c72567b1ddb06bebdd898e065b1904c5eba4b2d85c8d0238b77d1ab593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpmh.1246$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpmh.1246$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30977,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28355994$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24700734$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Feenstra, Dine J.</creatorcontrib><creatorcontrib>Laurenssen, Elisabeth M. P.</creatorcontrib><creatorcontrib>Hutsebaut, Joost</creatorcontrib><creatorcontrib>Verheul, Roel</creatorcontrib><creatorcontrib>Busschbach, Jan J. V.</creatorcontrib><title>Predictors of treatment outcome of Inpatient Psychotherapy for Adolescents with personality pathology</title><title>Personality and mental health</title><addtitle>Personal Ment Health</addtitle><description>ABSTRACT
Little is known about the effectiveness of treatment programmes for personality disordered adolescents. This study investigates the treatment outcome of Inpatient Psychotherapy for Adolescents (IPA), i.e. an intensive programme for treatment refractory adolescents with personality pathology. In addition, this study examines predictors of treatment outcome. One hundred and nine adolescents admitted for treatment of their personality problems were followed up during their stay in IPA. Axis I and Axis II disorders were measured using semi‐structured interviews, and the adolescents completed several questionnaires to measure symptom severity (global indices of distress), personality styles and functioning, and quality of life at both start and 12 months after start of treatment. Patients showed improvement in level of symptom severity, personality functioning and quality of life (d ranging from 0.49 to 0.97). As for level of symptom severity, 29% of the adolescents moved into a normative range of symptom severity. Higher levels of self‐criticism significantly predicted poorer outcome in terms of symptom severity. Type of personality disorder did not predict treatment outcome. IPA is a potentially effective treatment programme for (a subgroup of) treatment refractory adolescents with personality pathology. Copyright © 2013 John Wiley & Sons, Ltd.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Adult and adolescent clinical studies</subject><subject>Biological and medical sciences</subject><subject>Clinical outcomes</subject><subject>Humans</subject><subject>Inpatients - psychology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pathology</subject><subject>Personality</subject><subject>Personality disorders</subject><subject>Personality Disorders - therapy</subject><subject>Psychology, Adolescent - methods</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapy - methods</subject><subject>Severity</subject><subject>Surveys and Questionnaires</subject><subject>Symptoms</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1932-8621</issn><issn>1932-863X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqF0Mtu1DAUBmALgWgpSDwBygaJTYqvsbMsFbSVhjISVNOd5VuIIYlT26OStydRw3SFurJ1_J1zrB-AtwieIgjxx7FvTxGm1TNwjGqCS1GR2-eHO0ZH4FVKvyBkAiP0EhxhyiHkhB4Dt43OepNDTEVoihydyr0bchH22YTeLcWrYVTZL8VtmkwbcuuiGqeiCbE4s6FzycyPqbj3uS1GF1MYVOfzVMxtbejCz-k1eNGoLrk363kCbr58_nF-WW6-XVydn21KwypclaYxVFNsOGYV18haDSvttLWiFg5WTKMaUsOcVlRjK5gRFmIiNOcWKc1qcgI-PMwdY7jbu5Rl7-fPdZ0aXNgniRhFNRd07nqaIgIZw4Q_UhNDStE1coy-V3GSCMolfznnL5f8Z_punbrXvbMH-C_wGbxfgUpGdU1Ug_Hp0QnCWF0vrnxw975z038Xyu3Xy3Xx6n3K7s_Bq_hbVpxwJnfXF_IT-b7bULKTW_IXnuesuA</recordid><startdate>201405</startdate><enddate>201405</enddate><creator>Feenstra, Dine J.</creator><creator>Laurenssen, Elisabeth M. 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Psychiatry</topic><topic>Psychotherapy - methods</topic><topic>Severity</topic><topic>Surveys and Questionnaires</topic><topic>Symptoms</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>online_resources</toplevel><creatorcontrib>Feenstra, Dine J.</creatorcontrib><creatorcontrib>Laurenssen, Elisabeth M. P.</creatorcontrib><creatorcontrib>Hutsebaut, Joost</creatorcontrib><creatorcontrib>Verheul, Roel</creatorcontrib><creatorcontrib>Busschbach, Jan J. 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Little is known about the effectiveness of treatment programmes for personality disordered adolescents. This study investigates the treatment outcome of Inpatient Psychotherapy for Adolescents (IPA), i.e. an intensive programme for treatment refractory adolescents with personality pathology. In addition, this study examines predictors of treatment outcome. One hundred and nine adolescents admitted for treatment of their personality problems were followed up during their stay in IPA. Axis I and Axis II disorders were measured using semi‐structured interviews, and the adolescents completed several questionnaires to measure symptom severity (global indices of distress), personality styles and functioning, and quality of life at both start and 12 months after start of treatment. Patients showed improvement in level of symptom severity, personality functioning and quality of life (d ranging from 0.49 to 0.97). As for level of symptom severity, 29% of the adolescents moved into a normative range of symptom severity. Higher levels of self‐criticism significantly predicted poorer outcome in terms of symptom severity. Type of personality disorder did not predict treatment outcome. IPA is a potentially effective treatment programme for (a subgroup of) treatment refractory adolescents with personality pathology. Copyright © 2013 John Wiley & Sons, Ltd.</abstract><cop>Chichester</cop><pub>Blackwell Publishing Ltd</pub><pmid>24700734</pmid><doi>10.1002/pmh.1246</doi><tpages>13</tpages></addata></record> |
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| subjects | Adolescent Adolescents Adult and adolescent clinical studies Biological and medical sciences Clinical outcomes Humans Inpatients - psychology Male Medical sciences Pathology Personality Personality disorders Personality Disorders - therapy Psychology, Adolescent - methods Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapy - methods Severity Surveys and Questionnaires Symptoms Treatment Outcome Young Adult |
| title | Predictors of treatment outcome of Inpatient Psychotherapy for Adolescents with personality pathology |
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