Comparison of brief dynamic and cognitive–behavioural therapies in avoidant personality disorder

There is a paucity of controlled trials examining the effectiveness of individual psychotherapy in personality disorders, especially in patients with cluster C disorders. To compare the effectiveness of brief dynamic therapy and cognitive-behavioural therapy as out-patient treatment for people with...

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Bibliographic Details
Published in:British journal of psychiatry 2006-07, Vol.189 (1), p.60-64
Main Authors: Emmelkamp, Paul M. G., Benner, Ank, Kuipers, Antoinette, Feiertag, Guus A., Koster, Harrie C., van Apeldoorn, Franske J.
Format: Article
Language:English
Subjects:
Adult
Anxiety
Assignment
Avoidant personality disorder
Avoidant personality disorders
Behavior modification
Brief therapy
Clinical trials
Cognitive ability
Cognitive behaviour therapy
Cognitive therapy
Cognitive Therapy - methods
Cognitive-behavioral factors
Control groups
Ethics
Female
Follow-Up Studies
Humans
Individual psychotherapy
Male
Mental health
Middle Aged
Patients
Personality
Personality disorders
Personality Disorders - therapy
Psychiatric disorders
Psychiatric Status Rating Scales
Psychiatry
Psychodynamics
Psychotherapy
Psychotherapy, Brief - methods
Therapists
Treatment Outcome
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Summary:There is a paucity of controlled trials examining the effectiveness of individual psychotherapy in personality disorders, especially in patients with cluster C disorders. To compare the effectiveness of brief dynamic therapy and cognitive-behavioural therapy as out-patient treatment for people with avoidant personality disorder. Patients who met the criteria for avoidant personality disorder (n=62) were randomly assigned to 20 weekly sessions of either brief dynamic therapy (n = 23) or cognitive-behavioural therapy (n=21), or they were assigned to the waiting-list control group (n = 18). After the waiting period, patients in the control group were randomly assigned to one of the two therapies. Patients who received cognitive-behavioural therapy showed significantly more improvements on a number of measures in comparison with those who had brief dynamic psychotherapy or were in the waiting-list control group. Results were maintained at follow-up. Cognitive-behavioural therapy is more effective than waiting-list control and brief dynamic therapy. Brief dynamic therapy was no better than the waiting-list control condition.
ISSN:0007-1250
1472-1465
DOI:10.1192/bjp.bp.105.012153