■回避性人格障碍(AvPD)是精神卫生服务机构中的一种常见障碍,与显著的心理社会损害有关。该疾病在研究中被忽略。目前没有针对AvPD的循证治疗方法,并且需要特别关注这种形式的人格病理学的治疗研究。本研究是对AvPD患者进行联合组和个体治疗的初步研究,基于心理化和元认知人际治疗。目的是研究治疗方案的可行性以及治疗和1年随访期间症状和人格功能的过程。
■该研究包括28名患者。基线时的临床评估包括结构化诊断访谈和患者症状自我报告,社会心理功能,人际关系问题,人格功能,述情障碍,自尊,附件样式,治疗联盟,和客户满意度。在治疗结束和1年随访时重复患者的自我报告。
■脱落率为14%。22名治疗完成者的平均治疗时间为17个月。治疗联盟的平均水平和客户满意度令人满意。对于全球症状困扰,效应大小很大,抑郁症,焦虑,和心理社会适应,在人格功能方面处于中等范围内。然而,结果显示患者的结局范围很广.
■这项初步研究显示了对中度至重度损伤的AvPD患者进行分组和个体联合治疗的有希望的结果。应进行更大规模的研究,以增加基于经验的知识,以指导适应患者不同水平的AvPD严重程度和人格障碍的发展。
UNASSIGNED: Avoidant personality disorder (AvPD) is a common disorder within mental health services, associated with significant psychosocial impairment. The disorder has been neglected in research. There are currently no evidence-based treatments for AvPD, and there is a need for treatment studies focusing particularly on this form of personality pathology. The present study was a pilot study of combined group and individual therapy for patients with AvPD, based on mentalization-based and metacognitive interpersonal therapy. The aim was to investigate the feasibility of the treatment program and the course of symptoms and personality functioning during treatment and 1-year follow-up.
UNASSIGNED: The study included 28 patients. Clinical evaluation at baseline comprised structured diagnostic interviews and patients\' self-report of symptoms, psychosocial function, interpersonal problems, personality functioning, alexithymia, self-esteem, attachment style, therapeutic alliance, and client satisfaction. Patients\' self-report were repeated at the end of treatment and 1-year follow-up.
UNASSIGNED: The drop-out rate was 14%. Average treatment length among the 22 treatment completers was 17 months. Mean levels of therapeutic alliance and client satisfaction were satisfactory. Effect sizes were large for global symptom distress, depression, anxiety, and psychosocial adjustment, and in the moderate range for aspects of personality functioning. Yet, the results showed a wide range of outcomes among the patients.
UNASSIGNED: This pilot study shows promising results for combined group- and individual therapy for AvPD patients with moderate to severe impairment. Larger scale studies should be conducted to increase empirically based knowledge to guide development of differentiated treatments adapted to patients\' various levels of AvPD severity and profiles of personality dysfunction.