Effects of client-centered psychotherapy for personality disorders alone and in combination with psychopharmacological treatment - An empirical follow-up study
L. Teusch et al., Effects of client-centered psychotherapy for personality disorders alone and in combination with psychopharmacological treatment - An empirical follow-up study, PSYCHOTH PS, 70(6), 2001, pp. 328-336
There is an increasing interest concerning the treatment of patients with p
ersonality disorders (PD) in data on the efficacy of psychotherapeutic stra
tegies especially when combined with medication. Methods: The efficacy of a
n inpatient client-centered treatment program (CCT) was studied prospective
ly in 142 patients with PD and additional depressive, anxiety or eating dis
orders (ICD-10). Results: Significant improvements in depression, self-este
em and social adjustment were achieved up to discharge, which remained stab
le at the 1-year follow-up. The efficacy with regard to individual variable
s or the total result could not be further enhanced by a combination with p
sychopharmacological treatment (CCT + MED), consisting mainly of antidepres
sants. Within the subgroups of patients with socially deviant (F60.0-2), em
otionally unstable/borderline (F60.3) and histrionic/narcissistic PD (F60.4
, F60.8), CCT was significantly superior to CCT + MED in the reduction of d
epression (Bech-Rafaelsen Melancholia Scale ratings), whereas the response
was enhanced by medication in the subgroup of patients with socially depend
ent 'cluster C' PD (F60.5-7). Conclusions: The results are discussed with r
egard to client-centered therapeutic concepts and to the further developmen
t of differential combination strategies.
Copyright (C) 2001