title: Crisis intervention in depressed patients with and without DSM-III-R personality disorders.
abstract: We compared the relationships between response to a crisis intervention program and long-term outcome in 31 depressed outpatients with and without DSM-III-R personality disorders (PD). The presence of PD predicted a poorer 2-year outcome. PD subjects with better working alliance and increased insight at termination of crisis intervention had increased compliance with long-term psychiatric treatment (p < .005) and better 2-year outcome (p < .005). Increased compliance with long-term psychiatric treatment predicted better long-term outcome in PD patients (p < .005). None of these significant relationships was observed in the comparison group without PD, suggesting that establishing an effective treatment process may be especially important for outcome in PD patients.
authors.affiliation: Clinique de Psychiatrie I, Geneva University Psychiatric Center (IUPG), Switzerland.
authors.forename: A
authors.initials: A
authors.lastname: Andreoli
authors.forename: A
authors.initials: A
authors.lastname: Frances
authors.forename: M
authors.initials: M
authors.lastname: Gex-Fabry
authors.forename: N
authors.initials: N
authors.lastname: Aapro
authors.forename: P
authors.initials: P
authors.lastname: Gerin
authors.forename: A
authors.initials: A
authors.lastname: Dazord
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000553:Ambulatory Care; D003419:Crisis Intervention; D003866:Depressive Disorder / Q000150:complications / Q000523:psychology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010554:Personality Disorders / Q000150:complications* / Q000523:psychology / Q000628:therapy; D011336:Probability; D017064:Process Assessment, Health Care; D011569:Psychiatric Status Rating Scales; D011613:Psychotherapy; D012720:Severity of Illness Index; D016896:Treatment Outcome