Effectiveness of Outpatient, Day Hospital, and Inpatient Psychotherapeutic Treatment for Patients with Cluster B Personality Disorders

Bartak, Anna; Andrea, Helene; Spreeuwenberg, Marieke; Ziegler, Uli; Dekker, Jack; Rossum, Bert V.; Hamers, Elisabeth F M; Scholte, Wubbo; Aerts, J. E. M.; Busschbach, Jan J. V.; Verheul, Roel; Stijnen, Theo; Emmelkamp, P.M.G.

doi:10.1159/000321999

Cited by 57 publications

(52 citation statements)

References 133 publications

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“…96,[119][120][121][122][123][124][125][126][127][128] Six studies looked at the EQ-5D, 120,[124][125][126][127][128] two at the SF-36 119,121 and two at the SF-12 (corresponding to three articles). 96,122,123 No studies were found investigating the validity or responsiveness of the SF-6D in this patient group.…”

Section: Bipolar Disordermentioning

confidence: 99%

“…Studies were undertaken in four countries. Nine 96,[119][120][121][122][123][124][125][126][127][128] of the 10 studies presented data for different personality disorders together. One study looked exclusively at individuals with borderline personality disorder.…”

Section: Bipolar Disordermentioning

confidence: 99%

“…The mean age of participants with personality disorders, reported in 9 of the 10 studies, ranged between 29.4 and 45 years. 96,[119][120][121][124][125][126][127][128] Two studies 120,127 investigated the known-group validity of the EQ-5D, one study 127 investigated the convergent validity of the EQ-5D and four studies [124][125][126]128 investigated the responsiveness of the EQ-5D. Two studies 119,121 investigated the known-group validity of the SF-36 and two studies 96,122,123 investigated this property in the SF-12.…”

Section: Bipolar Disordermentioning

confidence: 99%

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A systematic review, psychometric analysis and qualitative assessment of generic preference-based measures of health in mental health populations and the estimation of mapping functions from widely used specific measures

Brazier

Connell

Papaioannou

et al. 2014

Health Technology Assessment

210

187

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This report should be referenced as follows:Brazier J, Connell J, Papaioannou D, Mukuria C, Mulhern B, Peasgood T, et al. A systematic review, psychometric analysis and qualitative assessment of generic preference-based measures of health in mental health populations and the estimation of mapping functions from widely used specific measures. Health Technol Assess 2014;18(34). This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/). Health Technology Assessment is indexed and abstracted inEditorial contact: nihredit@southampton.ac.ukThe full HTA archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hta. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Technology Assessment journalReports are published in Health Technology Assessment (HTA) if (1) they have resulted from work for the HTA programme or, commissioned/managed through the Methodology research programme (MRP), and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors.Reviews in Health Technology Assessment are termed 'systematic' when the account of the search appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others. HTA programmeThe HTA programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care.The journal is indexed in NHS Evidence via its abstracts included in MEDLINE and its Technology Assessment Reports inform National Institute for Health and Care Excellence (NICE) guidance. HTA research is also an important source of evidence for National Screening Committee (NSC) policy decisions. To strengthen the evidence base for health research, the MRP oversees and implements the evolving strategy for high quality methodological research. In addition to the MRC and NIHR funding partners, the MRP takes into account the needs of other stakeholders including the devolved administrations, industry R&D, and regulatory/advisory agencies and other public bodies. The MRP funds investigator-led and needsled research proposals from across the UK. In addition to the standard MRC and RCUK terms and conditions, projects commissioned/managed by the MRP are expected to provide a detailed report on the research findings and may publish the findings in the HTA journal, if supported by NIHR funds.The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HTA editors and publisher have tried to ensure the accuracy o...

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Section: Bipolar Disordermentioning

confidence: 99%

Section: Bipolar Disordermentioning

confidence: 99%

Section: Bipolar Disordermentioning

confidence: 99%

See 1 more Smart Citation

A systematic review, psychometric analysis and qualitative assessment of generic preference-based measures of health in mental health populations and the estimation of mapping functions from widely used specific measures

Brazier

Connell

Papaioannou

et al. 2014

Health Technology Assessment

210

187

View full text Add to dashboard Cite

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“…It is a highly structured but flexible multi-component, 12-week residential programme that is based on the principles and methods of the established and successfully evaluated standard DBT residential programme [41], and integrates trauma-focused cognitive and exposure-based interventions as described by Foa et al [30] andEhlers and Clark [42]. Preliminary data suggest that more intensive forms and settings may be valuable for patients with either personality disorders [43,44,45,46] or PTSD [47,48]. The residential setting and the modular approach in DBT-PTSD permits the inclusion of patients who are still exhibiting suicidal ideation, ongoing frequent self-harm, and/or severe dissociative features.…”

Section: Introductionmentioning

confidence: 99%

Dialectical Behaviour Therapy for Post-traumatic Stress Disorder after Childhood Sexual Abuse in Patients with and without Borderline Personality Disorder: A Randomised Controlled Trial

Bohus

Dyer²,

Priebe³

et al. 2013

Psychother Psychosom

288

250

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Background: Post-traumatic stress disorder (PTSD) with co-occurring severe psychopathology such as borderline personality disorder (BPD) is a frequent sequel of childhood sexual abuse (CSA). CSA-related PTSD has been effectively treated through cognitive-behavioural treatments, but it remains unclear whether success can be achieved in patients with co-occurring BPD. The aim of the present study was to determine the efficacy of a newly developed modular treatment programme (DBT-PTSD) that combines principles of dialectical behaviour therapy (DBT) and trauma-focused interventions. Methods: Female patients (n = 74) with CSA-related PTSD were randomised to either a 12-week residential DBT-PTSD programme or a treatment-as-usual wait list. About half of the participants met the criteria for co-occurring BPD. Individuals with ongoing self-harm were not excluded. The primary outcomes were reduction of PTSD symptoms as assessed by the Clinician-Administered PTSD Scale (CAPS) and by the Posttraumatic Stress Diagnostic Scale (PDS). Hierarchical linear models were used to compare improvements across treatment groups. Assessments were carried out by blinded raters at admission, at end of treatment, and at 6 and 12 weeks post-treatment. Results: Under DBT-PTSD the mean change was significantly greater than in the control group on both the CAPS (33.16 vs. 2.08) and the PDS (0.70 vs. 0.14). Between-group effect sizes were large and highly significant. Neither a diagnosis of BPD nor the severity or the number of BPD symptoms was significantly related to treatment outcome. Safety analyses indicated no increase in dysfunctional behaviours during the trial. Conclusion: DBT-PTSD is an efficacious treatment of CSA-related PTSD, even in the presence of severe co-occurring psychopathology such as BPD.

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“…Day treatment for patients with PD is a viable treatment option. 50,51 Future work to identify factors that contribute to remaining and benefiting from this type of treatment will help to make it more efficient and effective.…”

Section: Resultsmentioning

confidence: 99%

Predicting Response to Day Treatment for Personality Disorder

et al. 2011

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Efforts to improve the effectiveness of day treatment should attend to factors that influence treatment response. Our prospective study identified predictors of response to day treatment for personality disorder (PD). Method: Patients with a PD, consecutively admitted to a day treatment program, were assessed with self-report and interview measures. Predictors included personality characteristic, demographic, initial disturbance, and PD variables. Patients' overall response to treatment was classified as better, same, or worse, based on change in multiple outcome measures. A comprehensive approach to multivariate modelling was used. Results: The likelihood of being classified as better significantly increased if the patient was more psychologically minded, used avoidance-oriented coping strategies, and had a high level of baseline symptom severity. Probability of being classified as better decreased if the patient had a substance use disorder and a history of high service use. Conclusions: Identifying factors that affect response to day treatment can help clinicians make better selection decisions or take measures to modify treatment.

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Effectiveness of Outpatient, Day Hospital, and Inpatient Psychotherapeutic Treatment for Patients with Cluster B Personality Disorders

Cited by 57 publications

References 133 publications

A systematic review, psychometric analysis and qualitative assessment of generic preference-based measures of health in mental health populations and the estimation of mapping functions from widely used specific measures

A systematic review, psychometric analysis and qualitative assessment of generic preference-based measures of health in mental health populations and the estimation of mapping functions from widely used specific measures

Dialectical Behaviour Therapy for Post-traumatic Stress Disorder after Childhood Sexual Abuse in Patients with and without Borderline Personality Disorder: A Randomised Controlled Trial

Predicting Response to Day Treatment for Personality Disorder

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