PMID- 31804128
OWN - NLM
STAT- MEDLINE
DCOM- 20210208
LR  - 20210208
IS  - 1949-2723 (Electronic)
IS  - 1949-2723 (Linking)
VI  - 11
IP  - 3
DP  - 2020 May
TI  - A meta-analysis of psychodynamic treatments for borderline and cluster C 
      personality disorders.
PG  - 157-169
LID - 10.1037/per0000382 [doi]
AB  - Personality disorders (PD) carry high psychosocial dysfunction and are associated 
      with treatment resistance in nonspecialized care. Psychodynamic therapies (PDT) 
      are often used to treat PDs, but there has never been a systematic meta-analysis 
      of PDT trials for PD. To evaluate the evidence base for PDTs for PDs across 
      multiple outcome domain, a systematic search for PDT for PD trials was conducted 
      through PubMed and PsycINFO. Sixteen trials were identified, comprising 19 
      dynamic, 8 active, and 9 control groups predominantly reflecting treatment of 
      borderline and mixed Cluster C PDs, and a random effects meta-analysis was 
      undertaken. PDTs were superior to controls in improving core PD symptoms (g = 
      -0.63; 95% confidence interval [CI; -0.87, -0.41]), suicidality (g = -0.79, p = 
      .02; 95% CI [-1.38, -0.20]), general psychiatric symptoms (g = -0.47; 95% CI 
      [-0.69, -0.25]), and functioning (g = -0.66; 95% CI [-1.01, -0.32]), but not for 
      interpersonal problems due to heterogeneity (g = -1.25; 95% CI [-3.22, 0.71]). 
      Outcomes for PDTs were not different from other active treatments in core PD (g = 
      0.05; 95% CI [-0.25, 0.35]) or other symptoms. This pattern continued into 
      posttreatment follow-up (average 14 months). Study quality was generally rated as 
      adequate and was unrelated to outcomes. Compared with other treatments, PDTs do 
      not have different acute effects and are superior to controls, although only 
      trials treating BPD employed active controls and non-BPD trials were of lower 
      quality. Underresearched areas include narcissistic PD, specific Cluster C 
      disorders, and personality pathology as a continuous construct. (PsycInfo 
      Database Record (c) 2020 APA, all rights reserved).
FAU - Keefe, John R
AU  - Keefe JR
AUID- ORCID: 0000-0001-7250-8960
AD  - Department of Psychiatry.
FAU - McMain, Shelley F
AU  - McMain SF
AD  - Department of Psychiatry.
FAU - McCarthy, Kevin S
AU  - McCarthy KS
AD  - Department of Psychology.
FAU - Zilcha-Mano, Sigal
AU  - Zilcha-Mano S
AUID- ORCID: 0000-0002-5645-4429
AD  - Department of Psychology.
FAU - Dinger, Ulrike
AU  - Dinger U
AD  - Center for Psychosocial Medicine.
FAU - Sahin, Zeynep
AU  - Sahin Z
AUID- ORCID: 0000-0003-2010-4416
AD  - Gordon F. Derner School of Psychology.
FAU - Graham, Kathryn
AU  - Graham K
AD  - Gordon F. Derner School of Psychology.
FAU - Barber, Jacques P
AU  - Barber JP
AUID- ORCID: 0000-0002-8762-2595
AD  - Gordon F. Derner School of Psychology.
LA  - eng
GR  - TR/NCATS NIH HHS/United States
GR  - TL1 TR002386/TR/NCATS NIH HHS/United States
PT  - Journal Article
PT  - Meta-Analysis
PT  - Research Support, N.I.H., Extramural
PT  - Systematic Review
DEP - 20191205
PL  - United States
TA  - Personal Disord
JT  - Personality disorders
JID - 101517071
SB  - IM
MH  - Borderline Personality Disorder/therapy
MH  - Clinical Trials as Topic
MH  - Humans
MH  - Personality Disorders/*therapy
MH  - *Psychotherapy, Psychodynamic
EDAT- 2019/12/06 06:00
MHDA- 2021/02/09 06:00
CRDT- 2019/12/06 06:00
PHST- 2019/12/06 06:00 [pubmed]
PHST- 2021/02/09 06:00 [medline]
PHST- 2019/12/06 06:00 [entrez]
AID - 2019-73147-001 [pii]
AID - 10.1037/per0000382 [doi]
PST - ppublish
SO  - Personal Disord. 2020 May;11(3):157-169. doi: 10.1037/per0000382. Epub 2019 Dec 
      5.