Outpatient group psychotherapy following day treatment for patients with personality disorders.
This prospective, naturalistic study evaluated the practice and effectiveness of an outpatient group therapy program following day treatment for patients with personality disorders (PDs). One hundred and eighty-seven patients (86% patients with PDs and 14% with no PDs), were treated in outpatient psychodynamic group therapy. Outcome was assessed by Global Assessment of Functioning, Symptom Check List 90-R, and Inventory of Interpersonal Problems-Circumplex, short version, at admission and discharge from day treatment, and at the end of outpatient group therapy. Average length of outpatient therapy was 24 months. Forty-three percent terminated in an irregular manner. Outcome of the continuation therapy was satisfactory for patients without PDs. For PD patients, the improvement from the day treatment was maintained during outpatient therapy, but further improvements were modest for symptoms and interpersonal distress, somewhat better for global functioning. Implications for further treatment development are discussed.
Wilberg
Theresa
T
Department for Personality Disorders, Drug Addiction, and Liaison Psychiatry, Psychiatric Division, Ullevål University Hospital, 0407 Oslo, Norway. theresa.wilberg@psykiatri.uio.no
Karterud
Sigmund
S
Pedersen
Geir
G
Urnes
Oyvind
O
Irion
Torill
T
Brabrand
Jørgen
J
Haavaldsen
Grete
G
Leirvåg
Harald
H
Johnsen
Kjell
K
Andreasen
Hanne
H
Hedmark
Helene
H
Stubbhaug
Bjarte
B
D000328:Adult; D000359:Aftercare / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D009664:Norway; D010554:Personality Disorders / Q000628:therapy*; D015397:Program Evaluation; D011446:Prospective Studies; D011615:Psychotherapy, Group / Q000379:methods*; D016896:Treatment Outcome