PMID- 10506302
OWN - NLM
STAT- MEDLINE
DCOM- 19991230
LR  - 20181201
IS  - 1075-2730 (Print)
IS  - 1075-2730 (Linking)
VI  - 50
IP  - 10
DP  - 1999 Oct
TI  - One-year follow-up of day treatment for poorly functioning patients with 
      personality disorders.
PG  - 1326-30
AB  - OBJECTIVE: The study evaluated the effectiveness of day treatment for poorly 
      functioning patients with personality disorders who participated in day treatment 
      consisting of analytically oriented and cognitive-behavioral therapy groups as 
      part of a comprehensive group therapy program. METHODS: At admission, discharge, 
      and one year after discharge, patients completed the Global Severity Index (GSI) 
      of the Symptom Check List 90-R and the circumplex version of the Inventory of 
      Interpersonal Problems (IIP-C) and were assessed using the Global Assessment of 
      Functioning (GAF) scale. At one-year follow-up, patients also completed a 
      questionnaire covering social adaptation and clinical information and 
      participated in a telephone interview with a clinician. The clinician used the 
      completed instruments and results of the interview to assign patients follow-up 
      GAF scores. RESULTS: Follow-up data were available for 96 patients who completed 
      the study, or 53 percent of the patients who were admitted to the study. 
      Improvements in GAF, GSI, and IIP-C scores during day treatment were maintained 
      at follow-up. Seventy-four percent of the treatment completers improved 
      clinically from program admission to follow-up, as indicated by change in GAF 
      scores, and 64 percent of the treatment completers continued in the outpatient 
      group program. For the 26 percent of patients whose change in GAF score did not 
      indicate clinical improvement, lack of improvement was most strongly predicted by 
      the expression of suicidal thoughts during treatment. No patients committed 
      suicide. CONCLUSIONS: The day treatment program appears to be effective in 
      improving the symptoms and functioning of poorly functioning patients with 
      personality disorders and in encouraging patients to continue in longer-term 
      outpatient therapy.
FAU - Wilberg, T
AU  - Wilberg T
AD  - Division of Psychiatry at Ulleval University Hospital, Oslo, Norway. 
      theresa.willberg@psykiatri.uio.no
FAU - Urnes, O
AU  - Urnes O
FAU - Friis, S
AU  - Friis S
FAU - Irion, T
AU  - Irion T
FAU - Pedersen, G
AU  - Pedersen G
FAU - Karterud, S
AU  - Karterud S
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Psychiatr Serv
JT  - Psychiatric services (Washington, D.C.)
JID - 9502838
SB  - IM
MH  - Adult
MH  - Ambulatory Care
MH  - Cognitive Behavioral Therapy/methods
MH  - Evaluation Studies as Topic
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Mental Health Services/*standards
MH  - Norway
MH  - Personality Disorders/diagnosis/*psychology/*therapy
MH  - Psychiatric Status Rating Scales
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - Surveys and Questionnaires
MH  - Time Factors
EDAT- 1999/10/03 00:00
MHDA- 1999/10/03 00:01
CRDT- 1999/10/03 00:00
PHST- 1999/10/03 00:00 [pubmed]
PHST- 1999/10/03 00:01 [medline]
PHST- 1999/10/03 00:00 [entrez]
AID - 10.1176/ps.50.10.1326 [doi]
PST - ppublish
SO  - Psychiatr Serv. 1999 Oct;50(10):1326-30. doi: 10.1176/ps.50.10.1326.