Crisis intervention in depressed patients with and without DSM-III-R personality disorders.
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.
Andreoli
A
A
Clinique de Psychiatrie I, Geneva University Psychiatric Center (IUPG), Switzerland.
Frances
A
A
Gex-Fabry
M
M
Aapro
N
N
Gerin
P
P
Dazord
A
A
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