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Effects of client-centered psychotherapy for personality disorders alone and in combination with psychopharmacological treatment. An empirical follow-up study
- Source :
- Psychotherapy and psychosomatics. 70(6)
- Publication Year :
- 2001
-
Abstract
- There is an increasing interest concerning the treatment of patients with personality disorders (PD) in data on the efficacy of psychotherapeutic strategies especially when combined with medication.The efficacy of an inpatient client-centered treatment program (CCT) was studied prospectively in 142 patients with PD and additional depressive, anxiety or eating disorders (ICD-10).Significant improvements in depression, self-esteem and social adjustment were achieved up to discharge, which remained stable at the 1-year follow-up. The efficacy with regard to individual variables or the total result could not be further enhanced by a combination with psychopharmacological treatment (CCT + MED), consisting mainly of antidepressants. Within the subgroups of patients with socially deviant (F60.0-2), emotionally unstable/borderline (F60.3) and histrionic/narcissistic PD (F60.4, F60.8), CCT was significantly superior to CCT + MED in the reduction of depression (Bech-Rafaelsen Melancholia Scale ratings), whereas the response was enhanced by medication in the subgroup of patients with socially dependent 'cluster C' PD (F60.5-7).The results are discussed with regard to client-centered therapeutic concepts and to the further development of differential combination strategies.
Details
- ISSN :
- 00333190
- Volume :
- 70
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Psychotherapy and psychosomatics
- Accession number :
- edsair.pmid..........17413d0d7392fe7981680851d5459d4b