Prediction of medium-term outcome in cluster B personality disorder following residential and outpatient psychosocial treatment.

Abstract:

BACKGROUND:There is a paucity of research concerning the identification of individual characteristics predictive of outcome in the treatment of personality disorders (PDs). METHODS:In this study, we carried out a predictor analysis of a sample of 73 hospitalized patients with a primary diagnosis of cluster B PD admitted to two different psychosocial programs for PD: (a) long-term inpatient treatment, and (b) a step-down program. RESULTS:Younger age, higher Global Assessment Scale intake scores, longer length of treatment, absence of self-mutilation and avoidant PDs were a significant predictor of outcome at 24-month follow-up. Self-harming patients allocated to the step-down program had higher rates of improvement compared with patients allocated to the long-term inpatient model. CONCLUSIONS:The findings may carry potential clinical implications concerning patient selection and treatment delivery for inpatient and outpatient psychosocial programs for cluster B PD. Limitations include a relatively low sample size for a regression analysis, and a larger sample of cluster B patients may be needed to ensure greater reliability of results.

journal_name

Psychother Psychosom

authors

Chiesa M,Fonagy P

doi

10.1159/000107562

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

347-53

issue

6

eissn

0033-3190

issn

1423-0348

pii

000107562

journal_volume

76

pub_type

杂志文章
  • Psychodynamic study of male potency disorders. An overview.

    abstract::The information on the psychodynamics of monosymptomatic functional sexual disorders in men obtained so far from individual psychoanalytical investigations were tested on a large body of patients. In 74 men with psychogenic monosymptomatic primary or secondary potency disorders, several psychoanalytical interviews and...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287887

    authors: Janssen PL

    更新日期:1985-01-01 00:00:00

  • Reflections on relevance: Psychotherapy and Psychosomatics in 2004.

    abstract::Relevance of an article is a highly desirable yet hardly predictable quality at the time of its publication. Article relevance is frequently measured by the impact factor of the journal where the article is published. Furthermore, impact factor, citation index and citation analysis are used as a measure of research pr...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000082020

    authors: Balon R

    更新日期:2005-01-01 00:00:00

  • A possible genetic contribution to the alexithymia trait.

    abstract::Alexithymic characteristics were studied in 15 monozygotic and 18 like-sex dizygotic healthy young twin pairs in a semistructured interview. Variance analysis showed larger within-pair variances in the dizygotic than in the monozygotic twins. With some reservations, these results point to a genetic influence on the et...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287301

    authors: Heiberg AN,Heiberg A

    更新日期:1978-01-01 00:00:00

  • Psychosocial aspects of disease and their management.

    abstract::The pathogenesis of psychosomatic distress is considered. This emphasises interest in aetiology of distress rather than solely of disease. The influence of psychological aspects is as important whether the disease is of known or unknown aetiology, and can be of greater importance in poorer socio-economic circumstances...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287824

    authors: Aitken C

    更新日期:1984-01-01 00:00:00

  • Effect of Transcranial Alternating Current Stimulation for the Treatment of Chronic Insomnia: A Randomized, Double-Blind, Parallel-Group, Placebo-Controlled Clinical Trial.

    abstract:BACKGROUND:Not all adults with chronic insomnia respond to the recommended therapeutic options of cognitive behavioral therapy and approved hypnotic drugs. Transcranial alternating current stimulation (tACS) may offer a novel potential treatment modality for insomnia. OBJECTIVES:This study aimed to examine the efficac...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000504609

    authors: Wang HX,Wang L,Zhang WR,Xue Q,Peng M,Sun ZC,Li LP,Wang K,Yang XT,Jia Y,Zhou QL,Xu ZX,Li N,Dong K,Zhang Q,Song HQ,Zhan SQ,Min BQ,Fan CQ,Zhou AH,Guo XH,Li HB,Liang LR,Yin L,Si TM,Huang J,Yan TY,Cosci F

    更新日期:2020-01-01 00:00:00

  • Cognitive-behavioural therapy for bulimia nervosa and binge eating disorder. A review.

    abstract::Cognitive-behavioural therapy (CBT) programmes for bulimia nervosa (BN) have been considerably refined during the last 2 decades, and such a treatment is now extensively used. The present paper describes the treatment rationale and structure, and reviews the available evidence on its efficacy. Compared to any other ps...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1159/000012410

    authors: Ricca V,Mannucci E,Zucchi T,Rotella CM,Faravelli C

    更新日期:2000-11-01 00:00:00

  • The Illness Attitude Scales. A clinimetric index for assessing hypochondriacal fears and beliefs.

    abstract:BACKGROUND:The Illness Attitude Scales (IAS) were developed by Robert Kellner as a clinimetric index for measuring hypochondriacal fears and beliefs (worry about illness, concerns about pain, health habits, hypochondriacal beliefs, thanatophobia, disease phobia, bodily preoccupations, treatment experience and effects o...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000151387

    authors: Sirri L,Grandi S,Fava GA

    更新日期:2008-01-01 00:00:00

  • Results of psychosocial adjustment to long-term colostomy.

    abstract::114 patients with permanent colostomy for carcinoma of the rectum were compared by questionnaire and interview with 110 cancer patients, having undergone colonic resection but not bearing a colostomy. The patients' own assessment of their health was for the colostomy group even better than for the controls. The emotio...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000286938

    authors: Wirsching M,Drüner HU,Herrmann G

    更新日期:1975-01-01 00:00:00

  • Long-Term Effectiveness of Cognitive Behavioral Therapy in Routine Outpatient Care: A 5- to 20-Year Follow-Up Study.

    abstract:OBJECTIVE:Long-term follow-ups several years after receiving cognitive behavioral therapy (CBT) are scarce and most of the existing literature describes follow-up data of randomized-controlled trials. Thus, very little is known about the long-term effects of CBT in routine care. METHODS:We investigated psychological f...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000500188

    authors: von Brachel R,Hirschfeld G,Berner A,Willutzki U,Teismann T,Cwik JC,Velten J,Schulte D,Margraf J

    更新日期:2019-01-01 00:00:00

  • Online Self-Help as an Add-On to Inpatient Psychotherapy: Efficacy of a New Blended Treatment Approach.

    abstract:BACKGROUND:Depression is one of the most frequent and costly mental disorders. While there is increasing evidence for the efficacy of online self-help to improve depression or prevent relapse, there is little evidence in blended care settings, especially combined with inpatient face-to-face psychotherapy. Therefore, we...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000481177

    authors: Zwerenz R,Becker J,Knickenberg RJ,Siepmann M,Hagen K,Beutel ME

    更新日期:2017-01-01 00:00:00

  • Social support and the persistence of complaints in chronic fatigue syndrome.

    abstract:BACKGROUND:Several studies suggested that the surroundings of chronic fatigue syndrome (CFS) patients are of importance in the persistence of complaints. Contrary to what was expected, participation in support groups has not led to clinical improvement. The purpose of the present study was to describe social support in...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1159/000076455

    authors: Prins JB,Bos E,Huibers MJ,Servaes P,van der Werf SP,van der Meer JW,Bleijenberg G

    更新日期:2004-05-01 00:00:00

  • Attachment representation and cortisol response to the adult attachment interview in idiopathic spasmodic torticollis.

    abstract:OBJECTIVE:The study investigates individual differences in the mental representation of attachment and their impact on the cortisol response to psychosocial stress in idiopathic spasmodic torticollis (IST). It was hypothesized (a) that in IST insecure attachment is more prevalent than in a non-clinical control group an...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000012384

    authors: Scheidt CE,Waller E,Malchow H,Ehlert U,Becker-Stoll F,Schulte-Mönting J,Lücking CH

    更新日期:2000-05-01 00:00:00

  • Patients' fantasies about physical illness.

    abstract::All patients with physical illness have an underlying fantasy concerning why they became sick. This fantasy can be elicited by the consulting psychiatrist and the treating physician. The meaning of the fantasy is consistent with the psychodynamic theory of human behavior. Also, once the fantasy is understood, it can b...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287738

    authors: Blumenfield M

    更新日期:1983-01-01 00:00:00

  • The psychiatrist's role at a local hospital in the northern part of Norway and his cooperation with the primary health service in the area.

    abstract::This paper describes a practical working situation for a psychiatrist situated in the northern part of Norway. The psychiatrist is attached to the local hospital on a part time basis and takes care of the psychiatric cases in the medical ward together with somatic cases. In addition, he works in a polyclinical setting...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287374

    authors: Hartviksen I

    更新日期:1979-01-01 00:00:00

  • Psychosomatic assessment of skin diseases in clinical practice.

    abstract:BACKGROUND:Psychiatric disorders are frequent in dermatology patients, and many studies pointed out complex, mutual relationships between psyche and skin. Our aim was to provide a systematic psychosocial evaluation of a large and heterogeneous population of patients with skin diseases, including assessments of quality ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000086323

    authors: Picardi A,Pasquini P,Abeni D,Fassone G,Mazzotti E,Fava GA

    更新日期:2005-01-01 00:00:00

  • In-patient and ward psychosomatic psychotherapy: concepts, effectiveness and curative factors.

    abstract::Based on the situation in the Federal Republic of Germany, this article reviews the development, organization and theoretical framework of in-patient and ward psychosomatic psychotherapy. Indications for treating psychosomatic patients in hospital, the effects of treatment and some results on the process of in-patient...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1159/000288658

    authors: Strauss B,Burgmeier-Lohse M

    更新日期:1993-01-01 00:00:00

  • Hypnosis with specific relation to biofeedback and behavior therapy. Theoretical and clinical considerations.

    abstract::Hypnosis as an intrapsychological and interpersonal experience is used as an integrative and amplifying procedure in relation to biofeedback mechanism and behavior therapy. The hypnotic capacity for linking cognitive to affective reactions within a feedback loop of sensory and motor imagery is presented as a dynamic a...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287343

    authors: Kline MV

    更新日期:1979-01-01 00:00:00

  • Lifestyle Interventions for Weight Management in People with Serious Mental Illness: A Systematic Review with Meta-Analysis, Trial Sequential Analysis, and Meta-Regression Analysis Exploring the Mediators and Moderators of Treatment Effects.

    abstract:BACKGROUND:Serious mental illness (SMI) reduces life expectancy, primarily due to somatic comorbidity linked to obesity. Meta-analyses have found beneficial effects of lifestyle interventions in people with SMI and recommended their implementation to manage obesity. OBJECTIVE:The objective of this systematic review wa...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,meta分析

    doi:10.1159/000502293

    authors: Speyer H,Jakobsen AS,Westergaard C,Nørgaard HCB,Jørgensen KB,Pisinger C,Krogh J,Hjorthøj C,Nordentoft M,Gluud C,Correll CU

    更新日期:2019-01-01 00:00:00

  • Borderlines: problems of self and object separation.

    abstract::The borderline has deficiencies in the capacity to maintain stable self and object representations and in establishing 'emotional separateness' from others. In order to create and maintain a 'propitious treatment situation' and a 'therapeutic alliance' the therapist must work with unusual sensitivity and repetitivenes...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287017

    authors: Leibovich MA

    更新日期:1976-01-01 00:00:00

  • Sleep and dreams in eating disorders.

    abstract::The results of several studies on sleep EEG and dreams in patients with eating disorders are presented and compared with the data obtained in patients with a major depression. The sleep pattern, which is characteristic of depression, could not be found in the eating disorder group. Regarding the cholinergic REM induct...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000288048

    authors: Dippel B,Lauer C,Riemann D,Majer-Trendel K,Krieg JC,Berger M

    更新日期:1987-01-01 00:00:00

  • Mentality and neurosis: evolutionary thinking in cognitive therapy.

    abstract::Cognitive therapy includes a variety of methods. There are two main schools, a currently predominant American one, and an earlier European one. They give different emphasis to the concept of the evolution of human cognition. There is agreement on the particular significance of surmounting absolutist thinking. ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000288357

    authors: Becker R

    更新日期:1990-01-01 00:00:00

  • Application of Osgood's Semantic Differential to the study of psychotherapeutic treatments.

    abstract::Osgood's Semantic Differential was applied to a group of 35 neurotic patients at initial and final stage of individual psychoanalytical psychotherapy. When compared to 'normal' subjects who had not undergone treatment but were examined under the same conditions, neurotic subjects showed, between test and retest, more ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000288099

    authors: Bovet J,Gilliéron E,Spagnoli J,Meylan D

    更新日期:1988-01-01 00:00:00

  • Job strains and job satisfaction of dialysis nurses.

    abstract::Results are reported from an investigation on job strains in dialysis nurses and needs for psychosocial staff training. 174 dialysis nurses in the Federal Republic of Germany answered the clinical questionnaire, which was distributed in cooperation with the German section of the EDTNA. Although the majority emphasized...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000288149

    authors: Muthny FA

    更新日期:1989-01-01 00:00:00

  • Combined inpatient and outpatient group psychotherapy: a therapeutic model for psychosomatics.

    abstract::A special strategy of psychotherapeutic approach to psychosomatic patients is described including a 3-month period of inpatient and a 2-year period of outpatient group psychotherapy. Additional therapeutic procedures applied during the time of hospitalization are a special kind of sensitivity training ('sensual awaren...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000286935

    authors: von Rad M,Rüppell A

    更新日期:1975-01-01 00:00:00

  • A blind randomized controlled trial of cognitive versus behavioral versus cognitive-behavioral therapy for patients with rheumatoid arthritis.

    abstract:BACKGROUND:Despite evidence that cognitive-behavioral therapy (CBT) is effective for rheumatoid arthritis (RA), little is known about which components of therapy are most efficacious. The present study compared the efficacy of CBT with cognitive therapy (CT) and behavioral therapy (BT) for patients with RA. We hypothes...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000332334

    authors: Sharpe L,Schrieber L

    更新日期:2012-01-01 00:00:00

  • Traumatic war experiences affect outcome in a case of Tourette's syndrome.

    abstract:BACKGROUND:Stress has been associated with the course of Tourette's syndrome (TS). METHODS:The case report presented aims to emphasize the effect a severe traumatic experience has on the expression of TS. RESULTS:Following an intense traumatic experience, combat-related, a relatively mild case of TS became intractabl...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000289057

    authors: Witzum E,Bar-On R,Dolberg OT,Kotler M

    更新日期:1996-03-01 00:00:00

  • Brief dynamic psychotherapy for less well-adjusted patients. Pilot study.

    abstract::A twelve-session therapy model ad modum James Mann is described. Selection criteria are outlined. The therapies and systematic follow-up data of 4 well-adjusted and 4 less well-adjusted patients are described and compared. Some modifications of technique for the less well-adjusted patients are proposed. ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000288084

    authors: Høglend P

    更新日期:1988-01-01 00:00:00

  • Personality traits and metabolic control: a study in insulin-dependent diabetes mellitus patients.

    abstract:BACKGROUND:In the present study the authors evaluated the relationship between personality traits (according to DSM-III-R) and poor metabolic control in an adult onset insulin-dependent diabetes mellitus sample (n = 77). METHODS:Personality traits were assessed with the Personality Diagnostic Questionnaire--Revised. M...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000289153

    authors: Orlandini A,Pastore MR,Fossati A,Clerici S,Sergi A,Balini A,Maffei C,Secchi A,Pozza G

    更新日期:1997-01-01 00:00:00

  • Short-term dynamic psychotherapy. I. The Oslo group's form to score outcome, the reliability testing of this form and observer characteristics.

    abstract::The aim of short-term dynamic psychotherapy is, through working with a central conflict and transference reactions, to obtain lasting changes based on cognitive and emotional understanding of the main dynamics of the central conflict, called insight. The aim of the present study was to construct a follow-up form that ...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章

    doi:10.1159/000287850

    authors: Husby R,Dahl AA,Dahl CI,Heiberg AN,Olafsen OM,Weisaeth L

    更新日期:1985-01-01 00:00:00

  • Psychoneuroendocrinology of stress and emotions: issues for future research.

    abstract::It is stated that much psychoneuroendocrinological research is carried out that lacks a theoretical framework and therefore adds little to our current knowledge. Therefore, five research issues have been presented which need further exploration: (1) the temporal relation between subjective and biological stress respon...

    journal_title:Psychotherapy and psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1159/000288411

    authors: Vingerhoets AJ,Assies J

    更新日期:1991-01-01 00:00:00