title: Effectiveness of Short-Term Inpatient Psychotherapy Based on Transactional Analysis With Patients With Personality Disorders: A Matched Control Study Using Propensity Score.
abstract: Controlled studies on the effectiveness of inpatient psychotherapy with patients with personality disorders (PD) are rare. This study aims to compare 3-month short-term inpatient psychotherapy based on transactional analysis (STIP-TA) with other psychotherapies (OP) up to 36-month follow-up. PD patients treated with STIP-TA were matched with OP patients using the propensity score. The primary outcome measure was general psychiatric symptomatology; secondary outcomes were psychosocial functioning and quality of life. In 67 pairs of patients, both STIP-TA and OP showed large symptomatic and functional improvements. However, STIP-TA patients showed more symptomatic improvement at all time points compared to OP patients. At 36 months, 68% of STIP-TA patients were symptomatically recovered compared to 48% of OP patients. STIP-TA outperformed OP in terms of improvements in general psychiatric symptomatology and quality of life. Superiority of STIP-TA was most pronounced at 12-month follow-up, but remained intact over the course of the 3-year follow-up.
authors.forename: Eva K
authors.initials: EK
authors.lastname: Horn
authors.forename: Roel
authors.initials: R
authors.lastname: Verheul
authors.forename: Moniek
authors.initials: M
authors.lastname: Thunnissen
authors.affiliation: De Viersprong Netherlands Institute for Personality Disorders, Halsteren.
authors.forename: Jos
authors.initials: J
authors.lastname: Delimon
authors.affiliation: PuntP, Amsterdam.
authors.forename: Mirjam
authors.initials: M
authors.lastname: Soons
authors.affiliation: Centre of Psychotherapy Pro Persona, Lunteren.
authors.forename: Anke M M A
authors.initials: AM
authors.lastname: Meerman
authors.affiliation: Zaans Medical Centre, Zaandam.
authors.forename: Uli M
authors.initials: UM
authors.lastname: Ziegler
authors.affiliation: Altrecht, Zeist.
authors.forename: Bert V
authors.initials: BV
authors.lastname: Rossum
authors.forename: Helene
authors.initials: H
authors.lastname: Andrea
authors.affiliation: Department of Medical Statistics and Bioinformatics, Leiden University Medical Centre, Leiden.
authors.forename: Theo
authors.initials: T
authors.lastname: Stijnen
authors.forename: Paul M G
authors.initials: PM
authors.lastname: Emmelkamp
authors.forename: Jan J V
authors.initials: JJ
authors.lastname: Busschbach
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D010554:Personality Disorders / Q000523:psychology / Q000628:therapy*; D057216:Propensity Score; D011613:Psychotherapy; D011614:Psychotherapy, Brief; D011788:Quality of Life; D014152:Transactional Analysis; D016896:Treatment Outcome