Treatment of personality disorder: skills-based therapies

Evershed, Sue

doi:10.1192/apt.bp.109.006973

Cited by 4 publications

(1 citation statement)

References 40 publications

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“…The fundamental principle of CBT for complex personality disorders, as explained by Evershed (2011), is the formation of a functional therapeutic alliance. Such process would be initiated at the beginning of therapy and should focus on the development of mutual understanding of reported difficulties (formulation), eventually leading to the establishment of trust and collaboration.…”

Section: Literature Reviewmentioning

confidence: 99%

Increasing Psychosocial Health with Cognitive Therapy in Schizoid Personality Disorder: A Single Subject Design

Mankiewicz¹,

Renton²

2019

AJHMS

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Schizoid personality disorder (SPD) has been characterised by a persistent detachment from, and indifference to, interpersonal relationships, alongside restricted range of expressed emotions, and limited rewards gained from social interactions, resulting in limited levels of socially healthy behaviour. Although the applicability of evidencebased psychological treatments, including cognitive therapy (CT), has been indicated, there is a noticeable scarcity of relevant academic literature that might inform clinical practice in mental health clinics. This rigorous single subject design study attempts to address such apparent gap in literature. Sixteen sessions of CT were undertaken with an individual diagnosed with SPD and comorbid mood disorder in a community-based mental healthcare setting. Formal standardised measurement, behaviour frequency sampling, and subjective data were utilised to systematically evaluate the outcomes, indicating a considerable improvement in psychosocial functioning. The paper highlights the pertinence of cognitive and behavioural strategies in helping schizoid individuals address their interpersonal difficulties, reduce emotional distress, acquire socially inclusive behaviour, and ultimately increase their psychosocial health, without the need for explicitly intervening with their underlying personality traits.

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Section: Literature Reviewmentioning

confidence: 99%

Increasing Psychosocial Health with Cognitive Therapy in Schizoid Personality Disorder: A Single Subject Design

Mankiewicz¹,

Renton²

2019

AJHMS

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Co-occurring psychiatric disorders and alcoholism

Martín

2014

Handbook of Clinical Neurology

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Systematic review and meta-analysis of combined cognitive-behavioral therapy and physical activity and exercise interventions for pediatric chronic disease

Black,

von Klinggraeff,

White

et al. 2024

Journal of Pediatric Psychology

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Objective Cognitive-behavioral (CBT) interventions combined with either a physical activity (CBT+PA) or exercise intervention (CBT+Ex) are becoming more common in pediatric populations. Considering the independent effects of PA and exercise on health and psychological outcomes, it is unclear whether CBT alone differs from CBT+PA or CBT+Ex in efficacy. The main objective of this systematic review and meta-analysis of randomized clinical trials (RCTs) was to assess the efficacy of CBT+PA and CBT+Ex interventions in pediatric chronic disease. Method This review included RCTs in children (≤18 years) with a chronic condition, a CBT+Ex or CBT+PA intervention, and an objective measure of PA&Ex. Seven databases were searched using MeSH terms and key terms and included studies published before July 1, 2023. Abstracts were reviewed for inclusion by two independent reviewers, data was extracted by three independent reviewers. Risk of bias (RoB 2) and study quality were coded. Random effect meta-analyses of differences in between-group change in PA&Ex were conducted. Results Eligible studies (k = 5) reported outcomes for a combined 446 children. A small, nonsignificant overall effect was found (d = 0.10, 95% CI −0.16, 0.35) indicating intervention groups (CBT+PA or CBT+Ex) increased engagement in PA&Ex more than comparator groups (CBT). Additional analyses were inconclusive due to the small number of eligible studies. Discussion Additional RCTs are needed with integrated PA&Ex interventions targeting pediatric chronic disease. Future trials should report more detailed PA&Ex data. The full protocol for this analysis was prospectively registered in Open Science Framework (project ID: osf.io/m4wtc).

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Treatment of personality disorder: skills-based therapies

Cited by 4 publications

References 40 publications

Increasing Psychosocial Health with Cognitive Therapy in Schizoid Personality Disorder: A Single Subject Design

Increasing Psychosocial Health with Cognitive Therapy in Schizoid Personality Disorder: A Single Subject Design

Co-occurring psychiatric disorders and alcoholism

Systematic review and meta-analysis of combined cognitive-behavioral therapy and physical activity and exercise interventions for pediatric chronic disease

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