Comparison of brief dynamic and cognitive–behavioural therapies in avoidant personality disorder
There is a paucity of controlled trials examining the effectiveness of individual psychotherapy in personality disorders, especially in patients with cluster C disorders. To compare the effectiveness of brief dynamic therapy and cognitive-behavioural therapy as out-patient treatment for people with...
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| Veröffentlicht in: | British journal of psychiatry 2006-07, Vol.189 (1), p.60-64 |
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| container_title | British journal of psychiatry |
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| creator | Emmelkamp, Paul M. G. Benner, Ank Kuipers, Antoinette Feiertag, Guus A. Koster, Harrie C. van Apeldoorn, Franske J. |
| description | There is a paucity of controlled trials examining the effectiveness of individual psychotherapy in personality disorders, especially in patients with cluster C disorders.
To compare the effectiveness of brief dynamic therapy and cognitive-behavioural therapy as out-patient treatment for people with avoidant personality disorder.
Patients who met the criteria for avoidant personality disorder (n=62) were randomly assigned to 20 weekly sessions of either brief dynamic therapy (n = 23) or cognitive-behavioural therapy (n=21), or they were assigned to the waiting-list control group (n = 18). After the waiting period, patients in the control group were randomly assigned to one of the two therapies.
Patients who received cognitive-behavioural therapy showed significantly more improvements on a number of measures in comparison with those who had brief dynamic psychotherapy or were in the waiting-list control group. Results were maintained at follow-up.
Cognitive-behavioural therapy is more effective than waiting-list control and brief dynamic therapy. Brief dynamic therapy was no better than the waiting-list control condition. |
| doi_str_mv | 10.1192/bjp.bp.105.012153 |
| format | Article |
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To compare the effectiveness of brief dynamic therapy and cognitive-behavioural therapy as out-patient treatment for people with avoidant personality disorder.
Patients who met the criteria for avoidant personality disorder (n=62) were randomly assigned to 20 weekly sessions of either brief dynamic therapy (n = 23) or cognitive-behavioural therapy (n=21), or they were assigned to the waiting-list control group (n = 18). After the waiting period, patients in the control group were randomly assigned to one of the two therapies.
Patients who received cognitive-behavioural therapy showed significantly more improvements on a number of measures in comparison with those who had brief dynamic psychotherapy or were in the waiting-list control group. Results were maintained at follow-up.
Cognitive-behavioural therapy is more effective than waiting-list control and brief dynamic therapy. Brief dynamic therapy was no better than the waiting-list control condition.</description><identifier>ISSN: 0007-1250</identifier><identifier>EISSN: 1472-1465</identifier><identifier>DOI: 10.1192/bjp.bp.105.012153</identifier><identifier>PMID: 16816307</identifier><identifier>CODEN: BJPYAJ</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adult ; Anxiety ; Assignment ; Avoidant personality disorder ; Avoidant personality disorders ; Behavior modification ; Brief therapy ; Clinical trials ; Cognitive ability ; Cognitive behaviour therapy ; Cognitive therapy ; Cognitive Therapy - methods ; Cognitive-behavioral factors ; Control groups ; Ethics ; Female ; Follow-Up Studies ; Humans ; Individual psychotherapy ; Male ; Mental health ; Middle Aged ; Patients ; Personality ; Personality disorders ; Personality Disorders - therapy ; Psychiatric disorders ; Psychiatric Status Rating Scales ; Psychiatry ; Psychodynamics ; Psychotherapy ; Psychotherapy, Brief - methods ; Therapists ; Treatment Outcome</subject><ispartof>British journal of psychiatry, 2006-07, Vol.189 (1), p.60-64</ispartof><rights>Copyright © Royal College of Psychiatrists, 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-aa28661f589794195321833c5d9d90d944953d9f04ea09fcdc3d9fd999ee20823</citedby><cites>FETCH-LOGICAL-c470t-aa28661f589794195321833c5d9d90d944953d9f04ea09fcdc3d9fd999ee20823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0007125000232261/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,780,784,12846,27924,27925,30999,31000,55628</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16816307$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Emmelkamp, Paul M. G.</creatorcontrib><creatorcontrib>Benner, Ank</creatorcontrib><creatorcontrib>Kuipers, Antoinette</creatorcontrib><creatorcontrib>Feiertag, Guus A.</creatorcontrib><creatorcontrib>Koster, Harrie C.</creatorcontrib><creatorcontrib>van Apeldoorn, Franske J.</creatorcontrib><title>Comparison of brief dynamic and cognitive–behavioural therapies in avoidant personality disorder</title><title>British journal of psychiatry</title><addtitle>Br J Psychiatry</addtitle><description>There is a paucity of controlled trials examining the effectiveness of individual psychotherapy in personality disorders, especially in patients with cluster C disorders.
To compare the effectiveness of brief dynamic therapy and cognitive-behavioural therapy as out-patient treatment for people with avoidant personality disorder.
Patients who met the criteria for avoidant personality disorder (n=62) were randomly assigned to 20 weekly sessions of either brief dynamic therapy (n = 23) or cognitive-behavioural therapy (n=21), or they were assigned to the waiting-list control group (n = 18). After the waiting period, patients in the control group were randomly assigned to one of the two therapies.
Patients who received cognitive-behavioural therapy showed significantly more improvements on a number of measures in comparison with those who had brief dynamic psychotherapy or were in the waiting-list control group. Results were maintained at follow-up.
Cognitive-behavioural therapy is more effective than waiting-list control and brief dynamic therapy. Brief dynamic therapy was no better than the waiting-list control condition.</description><subject>Adult</subject><subject>Anxiety</subject><subject>Assignment</subject><subject>Avoidant personality disorder</subject><subject>Avoidant personality disorders</subject><subject>Behavior modification</subject><subject>Brief therapy</subject><subject>Clinical trials</subject><subject>Cognitive ability</subject><subject>Cognitive behaviour therapy</subject><subject>Cognitive therapy</subject><subject>Cognitive Therapy - methods</subject><subject>Cognitive-behavioral factors</subject><subject>Control groups</subject><subject>Ethics</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Individual psychotherapy</subject><subject>Male</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Personality</subject><subject>Personality disorders</subject><subject>Personality Disorders - therapy</subject><subject>Psychiatric disorders</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychiatry</subject><subject>Psychodynamics</subject><subject>Psychotherapy</subject><subject>Psychotherapy, Brief - methods</subject><subject>Therapists</subject><subject>Treatment Outcome</subject><issn>0007-1250</issn><issn>1472-1465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkc1qGzEUhUVpadwkD9BNERS6G0dXGmmkZTH9CQS6SddCI2k8MvOjSmMX7_IOfcM-SWVsCBRKV-KI755zLweht0DWAIretbu4buMaCF8ToMDZC7SCuqEV1IK_RCtCSFMB5eQKvcl5VySrafMaXYGQIBhpVqjdzGM0KeR5wnOH2xR8h91xMmOw2EwO23k7hSUc_O-nX63vzSHM-2QGvPQ-mRh8xmHC5jAHZ6YFR5-KkxnCcsSumCbn0w161Zkh-9vLe42-f_70uPlaPXz7cr_5-FDZuiFLZQyVQkDHpWpUDYozCpIxy51yijhV1-XLqY7U3hDVWWdPyimlvKdEUnaNPpx9Y5p_7H1e9Biy9cNgJj_vsxaSKyl581-QN4QT2bACvv8L3JXjy3lZUwZcAAhKCgVnyqY55-Q7HVMYTTpqIPrUky496TYWyfW5pzLz7uK8b0fvnicuxRQAn4E-bPufIXmdbMxH22uQSoMWp1x2yTVj6c1t_fN6_07-AwnKrB8</recordid><startdate>200607</startdate><enddate>200607</enddate><creator>Emmelkamp, Paul M. 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G.</creatorcontrib><creatorcontrib>Benner, Ank</creatorcontrib><creatorcontrib>Kuipers, Antoinette</creatorcontrib><creatorcontrib>Feiertag, Guus A.</creatorcontrib><creatorcontrib>Koster, Harrie C.</creatorcontrib><creatorcontrib>van Apeldoorn, Franske J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Emmelkamp, Paul M. G.</au><au>Benner, Ank</au><au>Kuipers, Antoinette</au><au>Feiertag, Guus A.</au><au>Koster, Harrie C.</au><au>van Apeldoorn, Franske J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of brief dynamic and cognitive–behavioural therapies in avoidant personality disorder</atitle><jtitle>British journal of psychiatry</jtitle><addtitle>Br J Psychiatry</addtitle><date>2006-07</date><risdate>2006</risdate><volume>189</volume><issue>1</issue><spage>60</spage><epage>64</epage><pages>60-64</pages><issn>0007-1250</issn><eissn>1472-1465</eissn><coden>BJPYAJ</coden><abstract>There is a paucity of controlled trials examining the effectiveness of individual psychotherapy in personality disorders, especially in patients with cluster C disorders.
To compare the effectiveness of brief dynamic therapy and cognitive-behavioural therapy as out-patient treatment for people with avoidant personality disorder.
Patients who met the criteria for avoidant personality disorder (n=62) were randomly assigned to 20 weekly sessions of either brief dynamic therapy (n = 23) or cognitive-behavioural therapy (n=21), or they were assigned to the waiting-list control group (n = 18). After the waiting period, patients in the control group were randomly assigned to one of the two therapies.
Patients who received cognitive-behavioural therapy showed significantly more improvements on a number of measures in comparison with those who had brief dynamic psychotherapy or were in the waiting-list control group. Results were maintained at follow-up.
Cognitive-behavioural therapy is more effective than waiting-list control and brief dynamic therapy. Brief dynamic therapy was no better than the waiting-list control condition.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>16816307</pmid><doi>10.1192/bjp.bp.105.012153</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Applied Social Sciences Index & Abstracts (ASSIA); Alma/SFX Local Collection; Cambridge University Press Journals Complete |
| subjects | Adult Anxiety Assignment Avoidant personality disorder Avoidant personality disorders Behavior modification Brief therapy Clinical trials Cognitive ability Cognitive behaviour therapy Cognitive therapy Cognitive Therapy - methods Cognitive-behavioral factors Control groups Ethics Female Follow-Up Studies Humans Individual psychotherapy Male Mental health Middle Aged Patients Personality Personality disorders Personality Disorders - therapy Psychiatric disorders Psychiatric Status Rating Scales Psychiatry Psychodynamics Psychotherapy Psychotherapy, Brief - methods Therapists Treatment Outcome |
| title | Comparison of brief dynamic and cognitive–behavioural therapies in avoidant personality disorder |
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