PMID- 20810254 OWN - NLM STAT- MEDLINE DCOM- 20120214 LR - 20200109 IS - 1778-3585 (Electronic) IS - 0924-9338 (Linking) VI - 26 IP - 7 DP - 2011 Oct TI - Long-term effects of transference interpretation in dynamic psychotherapy of personality disorders. PG - 419-24 LID - 10.1016/j.eurpsy.2010.05.006 [doi] AB - BACKGROUND: Only a few treatment studies of personality disorders (PD) patients are on longer-term psychotherapy, general outcome measures are used, and follow-up periods are usually short. More studies of long-term therapies, using outcome measures of core psychopathology, are needed. METHOD: This study is a dismantling randomized controlled clinical trial, specifically designed to study long-term effects of transference interpretation. Forty-six patients with mainly cluster C personality disorders were randomly assigned to 1 year of dynamic psychotherapy with or without transference interpretations. The outcome measures were remission from PD, improvement in interpersonal functioning, and use of mental health resources in the 3-year period after treatment termination. RESULTS: After therapy with transference interpretation PD-patients improved significantly more in core psychopathology and interpersonal functioning, the drop-out rate was reduced to zero, and use of health services was reduced to 50%, compared to therapy without this ingredient. Three years after treatment termination, 73% no longer met diagnostic criteria for any PD in the transference group, compared to 44% in the comparison group. CONCLUSIONS: PD-patients with co-morbid disorders improved in both treatment arms in this study. However, transference interpretation improved outcome substantially more. Long-term psychotherapy that includes transference interpretation is an effective treatment for cluster C personality disorders and milder cluster B personality disorders. CI - Copyright (c) 2010 Elsevier Masson SAS. All rights reserved. FAU - Hoglend, P AU - Hoglend P AD - Department of psychiatry, University of Oslo, P.O. Box 85, Vinderen, 0319 Oslo, Norway. p.a.hoglend@medisin.uio.no FAU - Dahl, H-S AU - Dahl HS FAU - Hersoug, A G AU - Hersoug AG FAU - Lorentzen, S AU - Lorentzen S FAU - Perry, J C AU - Perry JC LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20100831 PL - England TA - Eur Psychiatry JT - European psychiatry : the journal of the Association of European Psychiatrists JID - 9111820 SB - IM MH - Health Resources/statistics & numerical data MH - Humans MH - Interpersonal Relations MH - Outcome Assessment, Health Care/methods MH - Patient Dropouts/psychology/statistics & numerical data MH - *Personality Assessment MH - Personality Disorders/diagnosis/*therapy MH - Psychiatric Status Rating Scales MH - Psychological Techniques MH - Psychotherapy/*methods MH - Remission Induction MH - Time MH - *Transference, Psychology EDAT- 2010/09/03 06:00 MHDA- 2012/02/15 06:00 CRDT- 2010/09/03 06:00 PHST- 2010/01/27 00:00 [received] PHST- 2010/04/15 00:00 [revised] PHST- 2010/05/27 00:00 [accepted] PHST- 2010/09/03 06:00 [entrez] PHST- 2010/09/03 06:00 [pubmed] PHST- 2012/02/15 06:00 [medline] AID - S0924-9338(10)00138-0 [pii] AID - 10.1016/j.eurpsy.2010.05.006 [doi] PST - ppublish SO - Eur Psychiatry. 2011 Oct;26(7):419-24. doi: 10.1016/j.eurpsy.2010.05.006. Epub 2010 Aug 31.