PMID- 17217889
OWN - NLM
STAT- MEDLINE
DCOM- 20070119
LR  - 20070112
IS  - 1603-6824 (Electronic)
IS  - 0041-5782 (Linking)
VI  - 169
IP  - 1
DP  - 2007 Jan 1
TI  - [Psychotherapeutic day treatment of patients with severe personality disorders. 
      Results from the first two years].
PG  - 55-8
AB  - INTRODUCTION: A psychotherapeutic day treatment (DT) for patients with severe 
      personality disorders (PD) was established in January 2003, consisting of five 
      months of intensive psychodynamic based integrated therapy for 14 patients. This 
      paper presents results from the first two years. MATERIAL AND METHODS: 53 
      patients were included in a five month combined group psychotherapeutic DT, 
      including psychoeducation, cognitive, body, music/drawing and individual therapy. 
      Semi-structured interviews were used to assess diagnosis (PSE, SCID-II). 
      SCL-90-R, self-rating scales and GAF rating (s/f) were used before and after 
      therapy. The design was naturalistic. RESULTS: 40 patients (34 women) completed 
      the DT. Eight dropped out and five received another treatment. Before treatment: 
      Average age 27(SD 6,5), mean GAF= 43 corresponding with unemployment, singles and 
      social dysfunctions, high degree of self mutilation, suicide attempts, earlier 
      hospitalisations and substance abuse. The most frequent diagnosis was borderline 
      disorder 63%. There were co-morbidity with anxiety disorder 48% and depression 
      22%. Most importantly, we found a significant reduction in symptoms, significant 
      increase in the level of function, reduction in self destructive behaviour, a 
      pronounced reduction in hospitalisations and a relatively high degree of 
      satisfaction with the treatment programme. CONCLUSION: According to literature, 
      effective treatment of patients with severe PD has to be long term, integrated, 
      theoretical coherent and focused on compliance. Our study indicates that the 
      intensive DT is effective and a good introduction to long term psychotherapy.
FAU - Christensen, Nils Balle
AU  - Christensen NB
AD  - Aalborg Psykiatriske Sygehus, Psykoterapeutisk Afsnit S14, Aalborg. 
      nbc@psyk.nja.dk
FAU - Toft, John
AU  - Toft J
FAU - Petersen, Brian
AU  - Petersen B
FAU - Lien, Kjersti
AU  - Lien K
LA  - dan
PT  - English Abstract
PT  - Journal Article
TT  - Psykoterapeutisk dagbehandling af svaert personlighedsforstyrrede patienter. En 
      toarsopgorelse.
PL  - Denmark
TA  - Ugeskr Laeger
JT  - Ugeskrift for laeger
JID - 0141730
SB  - IM
MH  - Adult
MH  - Anxiety Disorders/complications
MH  - Borderline Personality Disorder/complications/diagnosis/*therapy
MH  - Depressive Disorder/complications
MH  - Female
MH  - Humans
MH  - Interview, Psychological
MH  - Male
MH  - Patient Compliance
MH  - Patient Satisfaction
MH  - Personality Disorders/complications/diagnosis/*therapy
MH  - *Psychotherapy/methods
MH  - Self Concept
MH  - Socioeconomic Factors
MH  - Treatment Outcome
EDAT- 2007/01/16 09:00
MHDA- 2007/01/20 09:00
CRDT- 2007/01/16 09:00
PHST- 2007/01/16 09:00 [pubmed]
PHST- 2007/01/20 09:00 [medline]
PHST- 2007/01/16 09:00 [entrez]
AID - VP48272 [pii]
PST - ppublish
SO  - Ugeskr Laeger. 2007 Jan 1;169(1):55-8.