Impact of Cluster C Personality Disorders on Outcomes of Contrasting Brief Psychotherapies for Depression
Twenty-seven of 114 depressed clients, stratified for severity of depression, obtained a Diagnostic and Statistical Manual of Mental Disorders (3rd ed.; DSM-III ; American Psychiatric Association, 1980 ) diagnosis of Cluster C personality disorder-that is, avoidant, obsessive-compulsive or dependent...
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| Veröffentlicht in: | Journal of consulting and clinical psychology 1995-12, Vol.63 (6), p.997-1004 |
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| creator | Hardy, Gillian E Barkham, Michael Shapiro, David A Stiles, William B Rees, Anne Reynolds, Shirley |
| description | Twenty-seven of 114 depressed clients, stratified for severity of depression, obtained a
Diagnostic and Statistical Manual of Mental Disorders
(3rd ed.;
DSM-III
;
American Psychiatric Association, 1980
)
diagnosis of Cluster C personality disorder-that is, avoidant, obsessive-compulsive or dependent personality disorder (PD clients)-whereas the remaining 87 did not (non-personality-disorder [NPD] clients). All clients completed either 8 or 16 sessions of cognitive-behavioral (CB) or psychodynamic-interpersonal (PI) psychotherapy. On most measures, PD clients began with more severe symptomatology than NPD clients. Among those who received PI therapy, PD clients maintained this difference posttreatment and at 1-year follow-up. Among those who received CB therapy, posttreatment differences between PD and NPD groups were not significant. Treatment length did not influence outcome for PD clients. PD clients whose depression was also relatively severe showed significantly less improvement after treatment than either PD clients with less severe depression or NPD clients. |
| doi_str_mv | 10.1037/0022-006X.63.6.997 |
| format | Article |
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Diagnostic and Statistical Manual of Mental Disorders
(3rd ed.;
DSM-III
;
American Psychiatric Association, 1980
)
diagnosis of Cluster C personality disorder-that is, avoidant, obsessive-compulsive or dependent personality disorder (PD clients)-whereas the remaining 87 did not (non-personality-disorder [NPD] clients). All clients completed either 8 or 16 sessions of cognitive-behavioral (CB) or psychodynamic-interpersonal (PI) psychotherapy. On most measures, PD clients began with more severe symptomatology than NPD clients. Among those who received PI therapy, PD clients maintained this difference posttreatment and at 1-year follow-up. Among those who received CB therapy, posttreatment differences between PD and NPD groups were not significant. Treatment length did not influence outcome for PD clients. PD clients whose depression was also relatively severe showed significantly less improvement after treatment than either PD clients with less severe depression or NPD clients.</description><identifier>ISSN: 0022-006X</identifier><identifier>EISSN: 1939-2117</identifier><identifier>DOI: 10.1037/0022-006X.63.6.997</identifier><identifier>PMID: 8543722</identifier><identifier>CODEN: JCLPBC</identifier><language>eng</language><publisher>Washington, DC: American Psychological Association</publisher><subject>Adult ; Adults ; Anxiety ; Behavior therapy. Cognitive therapy ; Biological and medical sciences ; Cognitive Behavioral Therapy - methods ; Cognitive behaviour therapy ; Cognitive Therapy ; Comparison ; Coping ; Counseling ; Depression ; Depression (Psychology) ; Depressive Disorder - psychology ; Depressive Disorder - therapy ; Female ; Follow-Up Studies ; Human ; Humans ; Major Depression ; Male ; Medical sciences ; Mental depression ; Mental disorders ; Mental Health ; Middle Aged ; Patients ; Personality ; Personality Assessment ; Personality Disorders ; Personality Disorders - psychology ; Personality Disorders - therapy ; Personality Inventory ; Personality Measures ; Personality Problems ; Personality Studies ; Psychoanalytic Therapy - methods ; Psychodynamic therapy ; Psychology ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotherapy ; Psychotherapy, Brief - methods ; Treatment Outcome ; Treatment Outcomes ; Treatments</subject><ispartof>Journal of consulting and clinical psychology, 1995-12, Vol.63 (6), p.997-1004</ispartof><rights>1995 American Psychological Association</rights><rights>1996 INIST-CNRS</rights><rights>Copyright American Psychological Association Dec 1995</rights><rights>1995, American Psychological Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a490t-537e08e16b4a574007c14d01d334a0c5993e849f58cbd611a528694b94790fee3</citedby><orcidid>0000-0001-9975-2023</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27869,27924,27925,30999,31000</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ521185$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2916163$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8543722$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hardy, Gillian E</creatorcontrib><creatorcontrib>Barkham, Michael</creatorcontrib><creatorcontrib>Shapiro, David A</creatorcontrib><creatorcontrib>Stiles, William B</creatorcontrib><creatorcontrib>Rees, Anne</creatorcontrib><creatorcontrib>Reynolds, Shirley</creatorcontrib><title>Impact of Cluster C Personality Disorders on Outcomes of Contrasting Brief Psychotherapies for Depression</title><title>Journal of consulting and clinical psychology</title><addtitle>J Consult Clin Psychol</addtitle><description>Twenty-seven of 114 depressed clients, stratified for severity of depression, obtained a
Diagnostic and Statistical Manual of Mental Disorders
(3rd ed.;
DSM-III
;
American Psychiatric Association, 1980
)
diagnosis of Cluster C personality disorder-that is, avoidant, obsessive-compulsive or dependent personality disorder (PD clients)-whereas the remaining 87 did not (non-personality-disorder [NPD] clients). All clients completed either 8 or 16 sessions of cognitive-behavioral (CB) or psychodynamic-interpersonal (PI) psychotherapy. On most measures, PD clients began with more severe symptomatology than NPD clients. Among those who received PI therapy, PD clients maintained this difference posttreatment and at 1-year follow-up. Among those who received CB therapy, posttreatment differences between PD and NPD groups were not significant. Treatment length did not influence outcome for PD clients. PD clients whose depression was also relatively severe showed significantly less improvement after treatment than either PD clients with less severe depression or NPD clients.</description><subject>Adult</subject><subject>Adults</subject><subject>Anxiety</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Biological and medical sciences</subject><subject>Cognitive Behavioral Therapy - methods</subject><subject>Cognitive behaviour therapy</subject><subject>Cognitive Therapy</subject><subject>Comparison</subject><subject>Coping</subject><subject>Counseling</subject><subject>Depression</subject><subject>Depression (Psychology)</subject><subject>Depressive Disorder - psychology</subject><subject>Depressive Disorder - therapy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Human</subject><subject>Humans</subject><subject>Major Depression</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental Health</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Personality</subject><subject>Personality Assessment</subject><subject>Personality Disorders</subject><subject>Personality Disorders - psychology</subject><subject>Personality Disorders - therapy</subject><subject>Personality Inventory</subject><subject>Personality Measures</subject><subject>Personality Problems</subject><subject>Personality Studies</subject><subject>Psychoanalytic Therapy - methods</subject><subject>Psychodynamic therapy</subject><subject>Psychology</subject><subject>Psychology. 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Academic</collection><jtitle>Journal of consulting and clinical psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hardy, Gillian E</au><au>Barkham, Michael</au><au>Shapiro, David A</au><au>Stiles, William B</au><au>Rees, Anne</au><au>Reynolds, Shirley</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ521185</ericid><atitle>Impact of Cluster C Personality Disorders on Outcomes of Contrasting Brief Psychotherapies for Depression</atitle><jtitle>Journal of consulting and clinical psychology</jtitle><addtitle>J Consult Clin Psychol</addtitle><date>1995-12-01</date><risdate>1995</risdate><volume>63</volume><issue>6</issue><spage>997</spage><epage>1004</epage><pages>997-1004</pages><issn>0022-006X</issn><eissn>1939-2117</eissn><coden>JCLPBC</coden><abstract>Twenty-seven of 114 depressed clients, stratified for severity of depression, obtained a
Diagnostic and Statistical Manual of Mental Disorders
(3rd ed.;
DSM-III
;
American Psychiatric Association, 1980
)
diagnosis of Cluster C personality disorder-that is, avoidant, obsessive-compulsive or dependent personality disorder (PD clients)-whereas the remaining 87 did not (non-personality-disorder [NPD] clients). All clients completed either 8 or 16 sessions of cognitive-behavioral (CB) or psychodynamic-interpersonal (PI) psychotherapy. On most measures, PD clients began with more severe symptomatology than NPD clients. Among those who received PI therapy, PD clients maintained this difference posttreatment and at 1-year follow-up. Among those who received CB therapy, posttreatment differences between PD and NPD groups were not significant. Treatment length did not influence outcome for PD clients. PD clients whose depression was also relatively severe showed significantly less improvement after treatment than either PD clients with less severe depression or NPD clients.</abstract><cop>Washington, DC</cop><pub>American Psychological Association</pub><pmid>8543722</pmid><doi>10.1037/0022-006X.63.6.997</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-9975-2023</orcidid></addata></record> |
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| ispartof | Journal of consulting and clinical psychology, 1995-12, Vol.63 (6), p.997-1004 |
| issn | 0022-006X 1939-2117 |
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| source | MEDLINE; EBSCOhost APA PsycARTICLES; Periodicals Index Online; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adult Adults Anxiety Behavior therapy. Cognitive therapy Biological and medical sciences Cognitive Behavioral Therapy - methods Cognitive behaviour therapy Cognitive Therapy Comparison Coping Counseling Depression Depression (Psychology) Depressive Disorder - psychology Depressive Disorder - therapy Female Follow-Up Studies Human Humans Major Depression Male Medical sciences Mental depression Mental disorders Mental Health Middle Aged Patients Personality Personality Assessment Personality Disorders Personality Disorders - psychology Personality Disorders - therapy Personality Inventory Personality Measures Personality Problems Personality Studies Psychoanalytic Therapy - methods Psychodynamic therapy Psychology Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapy Psychotherapy, Brief - methods Treatment Outcome Treatment Outcomes Treatments |
| title | Impact of Cluster C Personality Disorders on Outcomes of Contrasting Brief Psychotherapies for Depression |
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