title: Long-term outcome of inpatient psychotherapy for adolescents (IPA) with personality pathology.
abstract: Little is known about the effectiveness of treatment programs for adolescents with personality disorders (PDs). This descriptive study investigated long-term outcomes of inpatient psychotherapy for adolescents (IPA). In addition, predictors of long-term treatment effects were investigated. Seventy adolescents who completed their treatment were followed during and after their stay in IPA. Semistructured interviews were used to assess Axis I and Axis II disorders. Patients completed questionnaires to measure symptom severity and personality styles and functioning. Patients showed improvements (d ranging from .18 to .80). After leaving IPA, a small relapse rate was shown. Higher levels of dependency or more Cluster C PD traits significantly predicted positive long-term treatment outcome. Although IPA might be effective for a particular group of adolescents, mean long-term treatment effects were at best modest. Given the high costs of IPA, developing adjustments to IPA and their guidelines is warranted to ensure cost-effectiveness.
authors.forename: Dine J
authors.initials: DJ
authors.lastname: Feenstra
authors.forename: Elisabeth M P
authors.initials: EM
authors.lastname: Laurenssen
authors.forename: Reinier
authors.initials: R
authors.lastname: Timman
authors.forename: Roel
authors.initials: R
authors.lastname: Verheul
authors.forename: Jan J V
authors.initials: JJ
authors.lastname: Busschbach
authors.forename: Joost
authors.initials: J
authors.lastname: Hutsebaut
mesh_terms: D000293:Adolescent; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007297:Inpatients / Q000523:psychology* / Q000706:statistics & numerical data; D007406:Interview, Psychological; D008297:Male; D010554:Personality Disorders / Q000175:diagnosis / Q000628:therapy*; D011613:Psychotherapy; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult