Psychotherapy for personality disorders: short-term day hospital psychotherapy versus outpatient individual therapy - a randomized controlled study.
This article describes the results of an eight-month follow-up investigation from a randomized controlled trial of day hospital psychotherapy (DHP) compared with outpatient individual psychotherapy (OIP) for patients with personality disorders (N=114). The patients were randomly assigned to either 18 weeks of day hospital treatment followed by long-term conjoint group and individual therapy (DHP), or outpatient individual psychotherapy (OIP). The main outcome measures were attrition rate, suicide attempts, suicidal thoughts, self-injury, psychosocial functioning, symptom distress, and interpersonal and personality problems. The study showed a low dropout rate and a moderate improvement on a broad range of clinical measures for both treatments. However, there was no indication of the superiority of one treatment over the other. Neither was there any indication that day hospital treatment was better for the most poorly functioning patients. Further studies will follow this group of patients for the next few years, the results of which may have implications for resource allocation and the organization of mental health services for patients with personality disorders.
Arnevik
Espen
E
Department for Personality Psychiatry, Ullevål University Hospital, 0407 Oslo, Norway. espenarn@ulrik.uio.no
Wilberg
Theresa
T
Urnes
Oyvind
O
Johansen
Merete
M
Monsen
Jon T
JT
Karterud
Sigmund
S
D000328:Adult; D000553:Ambulatory Care / Q000379:methods / Q000706:statistics & numerical data*; D003631:Day Care, Medical / Q000379:methods / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D006785:Hospitals, University / Q000706:statistics & numerical data*; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data; D008875:Middle Aged; D009664:Norway / Q000453:epidemiology; D010045:Outpatients / Q000706:statistics & numerical data; D010352:Patient Dropouts / Q000706:statistics & numerical data; D010554:Personality Disorders / Q000453:epidemiology / Q000628:therapy*; D011613:Psychotherapy / Q000379:methods / Q000706:statistics & numerical data*; D011615:Psychotherapy, Group / Q000379:methods / Q000706:statistics & numerical data*; D016728:Self-Injurious Behavior / Q000453:epidemiology / Q000517:prevention & control; D013406:Suicide, Attempted / Q000706:statistics & numerical data; D016896:Treatment Outcome