PMID- 11598432
OWN - NLM
STAT- MEDLINE
DCOM- 20011204
LR  - 20171101
IS  - 0033-3190 (Print)
IS  - 0033-3190 (Linking)
VI  - 70
IP  - 6
DP  - 2001 Nov-Dec
TI  - Effects of client-centered psychotherapy for personality disorders alone and in 
      combination with psychopharmacological treatment. An empirical follow-up study.
PG  - 328-36
AB  - BACKGROUND: : 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. METHODS: 
      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). RESULTS: 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). CONCLUSIONS: The results are discussed with regard to 
      client-centered therapeutic concepts and to the further development of 
      differential combination strategies.
CI  - Copyright 2001 S. Karger AG, Basel
FAU - Teusch, L
AU  - Teusch L
AD  - Department of Psychiatry and Psychotherapy, Evangelisches Krankenhaus 
      Castrop-Rauxel, Germany.
FAU - Bohme, H
AU  - Bohme H
FAU - Finke, J
AU  - Finke J
FAU - Gastpar, M
AU  - Gastpar M
LA  - eng
PT  - Clinical Trial
PT  - Comparative Study
PT  - Journal Article
PL  - Switzerland
TA  - Psychother Psychosom
JT  - Psychotherapy and psychosomatics
JID - 0024046
RN  - 0 (Anti-Anxiety Agents)
RN  - 0 (Antidepressive Agents)
SB  - IM
MH  - Adult
MH  - Analysis of Variance
MH  - Anti-Anxiety Agents/therapeutic use
MH  - Antidepressive Agents/therapeutic use
MH  - Combined Modality Therapy
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Personality Disorders/drug therapy/psychology/*therapy
MH  - Psychiatric Status Rating Scales
MH  - Psychotherapy/*methods
MH  - Treatment Outcome
EDAT- 2001/10/13 10:00
MHDA- 2002/01/05 10:01
CRDT- 2001/10/13 10:00
PHST- 2001/10/13 10:00 [pubmed]
PHST- 2002/01/05 10:01 [medline]
PHST- 2001/10/13 10:00 [entrez]
AID - 56273 [pii]
AID - 10.1159/000056273 [doi]
PST - ppublish
SO  - Psychother Psychosom. 2001 Nov-Dec;70(6):328-36. doi: 10.1159/000056273.