DO PERSONALITY PROBLEMS IMPROVE DURING PSYCHODYNAMIC SUPPORTIVE-EXPRESSIVE PSYCHOTHERAPY? SECONDARY OUTCOME RESULTS FROM A RANDOMIZED CONTROLLED TRIAL FOR PSYCHIATRIC OUTPATIENTS WITH PERSONALITY DISORDERS

Psychotherapy

Volumn 46, Issue 3, 2009, Pages 362-375

  Vinnars, Bo ^a   Thormählen, Barbro ^a   Gallop, Robert ^b   Norén, Kristina ^a   Barber, Jacques P ^c  

^a KAROLINSKA INSTITUTE   (Sweden)

^b WEST CHESTER UNIVERSITY   (United States)

^c UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

personality disorder; personality problems; psychodynamic psychotherapy; psychotherapy outcome

Indexed keywords

ADULT; ARTICLE; CLINICAL EFFECTIVENESS; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; FEMALE; FOLLOW UP; HUMAN; MAJOR CLINICAL STUDY; MALE; NEUROSIS; OBJECT RELATION; OUTPATIENT; PERSONALITY DISORDER; PSYCHODYNAMICS; PSYCHOTHERAPY; RANDOMIZED CONTROLLED TRIAL; SYMPTOM; TREATMENT OUTCOME;

EID: 72049087998     PISSN: 00333204     EISSN: None     Source Type: Journal    
DOI: 10.1037/a0017002     Document Type: Article

References (70)

1. Alden L.E., Wiggins J.S., and Pincus A.L. Construction of circumplex scales for the Inventory of Interpersonal Problems. Journal of Personality Assessment 55 (1990) 521-536
2. Appelbaum S.S. Psychological-mindedness: Word, concept and essence. Journal of Psychoanalysis 54 (1973) 35-46
3. Barber J.P., and Crits-Christoph P. Development of a therapist adherence/competence rating scale for supportive-expressive dynamic psychotherapy: A preliminary report. Psychotherapy Research 6 (1996) 81-94
4. Barber J.P., and Crits-Christoph P. Dynamic therapies for psychiatric disorders (Axis I) (1995), Basic Books, New York
5. Barber J.P., Krakauer I., Calvo N., Badgio P.C., and Faude J. Measuring adherence and competence of dynamic therapists in the treatment of cocaine dependence. Journal of Psychotherapy Practice and Research 6 (1997) 12-24
6. Bateman A., and Fonagy P. Treatment of borderline personality disorder with psychoanalytically oriented parital hospitalization: An 18-month follow-up. American Journal of Psychiatry 158 (2001) 36-42
7. Bateman A., and Fonagy P. 8-Year follow-up of patients treated for borderline personality disorder: Mentalization-based treatment versus treatment as usual. American Journal of Psychiatry 165 (2008) 631-638
8. Beck A.T., and Steer R.A. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychological Review 8 (1988) 77-100
9. Bond M., and Perry J.C. Long-term changes in defense styles with psychodynamic psychotherapy for depressive, anxiety, and personality disorders. American Journal of Psychiatry 161 (2004) 1665-1671
10. Bornstein R.F. A process dissociation approach to objective-projective test score interrelationships. Journal of Personality Assessment 78 (2002) 47-68
11. Conte H.R., Ratto R., and Karasu T.B. The Psychological Mindedness Scale: Factor structure and relationship to outcome of psychotherapy. Journal of Psychotherapy Practice and Research 5 (1996) 250-259
12. Costa Jr. P.T., and Widiger T.A. Personality disorders and the five-factor model of personality. 2nd ed. (2002), American Psychological Association, Washington, DC
13. Crits-Christoph P., and Barber J.P. Psychological treatments for personality disorders. In: Nathan P.E., and Gorman J.M. (Eds). A guide to treatments that work. 2nd ed. (2002), Oxford University Press, New York 611-624
14. Crits-Christoph P., Connolly M.B., Azarian K., Crits-Christoph K., and Shappell S. An open trial of brief supportive-expressive psychotherapy in the treatment of generalized anxiety disorder. Psychotherapy: Theory, Research, Practice, Training 33 (1996) 418-430
15. Crits-Christoph P., Connolly M.B.G., Narducci J., and Schamberger M. Interpersonal problems and the outcome of interpersonally oriented psychodynamic treatment of GAD. Psychotherapy: Theory, Research, Practice, Training 42 (2005) 211-224
16. Derogatis L.R. SCL-90-R: Administration, scoring and procedures manual-II for the revised version (1997), Clinical Psychometric Research, Baltimore
17. First M.B., Spitzer R.L., and Gibbon M. User's guide for the Structured Clinical Interview for DSM-IV Personality Disorders (SCID-II) (1997), American Psychiatric Press, Washington, DC
18. Gustavsson J.P. Stability and validity of self-reported personality traits (1997), Karolinska Institutet, Stockholm
19. Gustavsson J.P., Weinryb R.M., Göransson S., Pedersen N.L., and Åsberg M. Stability and predictive ability of personality traits across nine years. Personality and Individual Differences 22 (1997) 783-791
20. Hardy G.E., Barkham M., Shapiro D.A., Stiles W.B., Rees A., and Reynolds S. Impact of Cluster C personality disorders on outcomes of contrasting brief psychotherapies for depression. Journal of Consulting and Clinical Psychology 63 (1995) 997-1004
21. Høglend P. Transference interpretations and long-term change after dynamic psychotherapy of brief to moderate length. American Journal of Psychotherapy 47 (1993) 494-507
22. Høglend P., and Piper W.E. Focal adherence in brief dynamic psychotherapy: A comparison of findings from two independent studies. Psychotherapy 32 (1995) 618-628
23. Høglend P., Sorlie T., Sorbye O., Heyerdahl O., and Amlo S. Long-term changes after brief dynamic psychotherapy: Symptomatic versus dynamic assessments. Acta Psychiatrica Scandinavica 86 (1992) 165-172
24. Horowitz L.M., Rosenberg S.E., Baer B.A., Ureno G., and Villaseñor V.S. Inventory of Interpersonal Problems: Psychometric properties and clinical applications. Journal of Consulting and Clinical Psychology 56 (1988) 885-892
25. Horowitz L.M., Rosenberg S.E., and Bartholomew K. Interpersonal problems, attachment styles, and outcome in brief dynamic psychotherapy. Journal of Consulting and Clinical Psychology 61 (1993) 549-560
26. Huber D., Henrich G., and Klug G. The scales of psychological capacities: Measuring change in psychic structure. Psychotherapy Research 15 (2005) 445-456
27. Huber D., Henrich G., and Klug G. The Inventory of Interpersonal Problems (IIP): Sensitivity to change. Psychotherapy Research 17 (2007) 474-481
28. Jacobson N.S., and Truax P. Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology 59 (1991) 12-19
29. Kampe T., Edman G., and Hannerz H. Ten-year follow-up study of personality traits in adults with intact and restored dentitions. Journal of Oral Rehabilitation 23 (1996) 443-449
30. Knekt P., Lindfors O., Harkanen T., Valikoski M., Virtala E., Laaksonen M.A., et al. Randomized trial on the effectiveness of long- and short-term psychodynamic psychotherapy and solution-focused therapy on psychiatric symptoms during a 3-year follow-up. Psychological Medicine 38 (2008) 689-703
31. Kopta S.M., Howard K.I., Lowry J.L., and Beutler L.E. Patterns of symptomatic recovery in psychotherapy. Journal of Consulting and Clinical Psychology 62 (1994) 1009-1016
32. Laird N.M., and Ware J.H. Random effect model for longitudinal data. Biometrics 38 (1982) 963-974
33. Leichsenring F., Biskup J., Kreische R., and Staats H. The Gottingen study of psychoanalytic therapy: First results. International Journal of Psycho-Analysis 86 (2005) 433-455
34. Leichsenring F., and Leibing E. The effectiveness of psychodynamic therapy and cognitive behavior therapy in the treatment of personality disorders: A meta-analysis. American Journal of Psychiatry 160 (2003) 1223-1232
35. Levy K.N., Meehan K.B., Kelly K.M., Reynoso J.S., Weber M., Clarkin J.F., et al. Change in attachment patterns and reflective function in a randomized control trial of transference-focused psychotherapy for borderline personality disorder. Journal of Consulting and Clinical Psychology 74 (2006) 1027-1040
36. Lindgren, A., Norén, K., Thormählen, B., Vinnars, B., Wilczek, A., Busch, M., et al. (2006). The Karolinska Psychodynamic Profile, its factor structure and differential patterns for patients with personality disorder. Manuscript in preparation.
37. Livesley W.J. Diagnostic dilemmas in classifying personality disorder. In: Phillips K.A., First M.B., and Pincus H.A. (Eds). Advancing DSM: Dilemmas in psychiatric diagnosis (2002), American Psychiatric Association, Washington DC 153-190
38. Lorentzen S., Bogwald K.P., and Høglend P. Change during and after long-term analytic group psychotherapy. International Journal of Group Psychotherapy 52 (2002) 419-429
39. Luborsky L. Principles of psychoanalytic psychotherapy: A manual for supportive/expressive treatment (1984), Basic Books, New York
40. Luborsky L., and Crits-Christoph P. Understanding transference. The core conflictual relationship theme method. 2nd ed. (1998), American Psychological Association, Washington, DC
41. McCallum M., Piper W.E., Ogrodniczuk J.S., and Joyce A.S. Relationships among psychological mindedness, alexithymia and outcome in four forms of short-term psychotherapy. Psychology and Psychotherapy 76 (2003) 133-144
42. Miller J.D., Pilkonis P.A., and Mulvey E.P. Treatment utilization and satisfaction: Examining the contributions of Axis II psychopathology and the five-factor model of personality. Journal of Personality Disorders 20 (2006) 369-387
43. Morey L.C., Hopwood C.J., Gunderson J.G., Skodol A.E., Shea M.T., Yen S., et al. Comparison of alternative models for personality disorders. Psychological Medicine 37 (2007) 983-994
44. Muran J.C., Safran J.D., Samstag L.W., and Winston A. Evaluating an alliance-focused treatment for personality disorders. Psychotherapy: Theory, Research, Practice, Training 42 (2005) 532-545
45. O'Leary D., and Costello F. Personality and outcome in depression: An 18-month prospective follow-up study. Journal of Affective Disorders 63 (2001) 67-78
46. Pincus A.L. A contemporary integrative interpersonal theory of personality disorders. In: Lenzenweger M.L., and Clarkin J.F. (Eds). Major theories of personality disorders. 2nd ed. (2005), Guilford Press, New York 282-291
47. Piper W.E., Joyce A.S., McCallum M., and Azim H.F. Interpretive and supportive forms of psychotherapy and patient personality variables. Journal of Consulting and Clinical Psychology 66 (1998) 558-567
48. Piper W.E., Ogrodniczuk J.S., and Joyce A.S. Quality of object relations as a moderator of the relationship between pattern of alliance and outcome in short-term individual psychotherapy. Journal of Personality Assessment 83 (2004) 345-356
49. Samstag L.W., Batchelder S.T., Muran J.C., Safran J.D., and Winston A. Early identification of treatment failures in short-term psychotherapy: An assessment of therapeutic alliance and interpersonal behavior. Journal of Psychotherapy Practice and Research 7 (1998) 126-143
50. Samuels J., Eaton W.W., Bienvenu III O.J., Brown C.H., Costa Jr. P.T., and Nestadt G. Prevalence and correlates of personality disorders in a community sample. British Journal of Psychiatry 180 (2002) 536-542
51. Sandell R., Blomberg J., and Lazar A. Time matters: On temporal interactions in long-term follow-up of long-term psychotherapies. Psychotherapy Research 12 (2002) 36-58
52. Saulsman L.M., and Page A.C. The five-factor model and personality disorder empirical literature: A meta-analytic review. Clinical Psychology Review 23 (2004) 1055-1085
53. Schalling D., Edman G., and Åsberg M. Impulsive cognitive style and inability to tolerate boredom: Psychological studies of temperamental vulnerability. In: Zuckerman M. (Ed). Biological bases of sensation seeking, impulsivity, and anxiety (1983), Erlbaum, Hillsdale, NJ 123-145
54. Schauenburg H., Kuda M., Sammet I., and Strack M. The influence of interpersonal problems and symptom severity on the duration and outcome of short-term psychodynamic psychotherapy. Psychotherapy Research 10 (2000) 133-146
55. Schwarz C.J. The mixed-model ANOVA: The truth, the computer packages, the books. The American Statistician 47 (1993) 48-59
56. Shill E.A., and Lymley M.A. The Psychological Mindedness Scale: Factor structure, convergent validity and gender in a non-psychiatric sample. Psychology and Psychotherapy: Theory, Research and Practice 75 (2002) 131-150
57. Skodol A.W., Johnson J.G., Cohen P., Sneed J.R., and Crawford T.N. Personality disorder and impaired functioning from adolescence to adulthood. British Journal of Psychiatry 190 (2007) 415-420
58. Steenbarger B.N. Duration and outcome in psychotherapy: An integrative review. Professional Psychology: Research and Practice 25 (1994) 111-119
59. Stiles W.B., Barkham M., Connell J., and Mellor-Clark J. Responsive regulation of treatment duration in routine practice in United Kingdom primary care settings: Replication in a larger sample. Journal of Consulting and Clinical Psychology 76 (2008) 298-305
60. Svartberg M., Stiles T.C., and Seltzer M.H. Randomized, controlled trial of the effectiveness of short-term dynamic psychotherapy and cognitive therapy for Cluster C personality disorders. American Journal of Psychiatry 161 (2004) 810-817
61. Vinnars B., Barber J.P., Norén K., Gallop R., and Weinryb R.M. Manualized supportive expressive psychotherapy vs. non-manualized community delivered psychodynamic therapy for patients with personality disorders: Bridging efficacy and effectiveness. American Journal of Psychiatry 162 (2005) 1933-1940
62. Vinnars B., Norén K., Thormählen B., Gallop R., Lindgren A., and Barber J.P. Who can benefit from time-limited dynamic psychotherapy? A study of psychiatric outpatients with personality disorders. Clinical Psychology and Psychotherapy 14 (2007) 198-210
63. Vittengl J.R., Clark L.A., and Jarrett R.B. Improvement in social-interpersonal functioning after cognitive therapy for recurrent depression. Psychological Medicine 34 (2004) 643-658
64. Weinryb R.M., Gustavsson J.P., Hellström C., Andersson E., Broberg A., and Rylander G. Interpersonal problems and personality characteristics: Psychometric studies of the Swedish version of the IIP. Personality and Individual Differences 20 (1996) 13-23
65. Weinryb R.M., Gustavsson P.J., and Barber J.P. Personality traits predicting long-term adjustment after surgery for ulcerative colitis. Journal of Clinical Psychology 59 (2003) 1015-1029
66. Weinryb R.M., and Rössel R.J. Karolinska Psychodynamic Profile-KAPP. Acta Psychiatrica Scandinavica 85 (1991) 153-162
67. Weinryb R.M., Rössel R.J., Gustavsson J., Åsberg M., and Barber J.P. The Karolinska Psychodynamic Profile (KAPP): Studies of character and well-being. Psychoanalytic Psychology 14 (1997) 495-515
68. Widiger T.A., and Simonsen E. Alternative dimensional models of personality disorder: Finding a common ground. Journal of Personality Disorders 19 (2005) 110-130
69. Wilczek A., Weinryb R.M., Barber J.P., Gustavsson J., and Åsberg M. Change in the core conflictual relationship theme after long-term dynamic psychotherapy. Psychotherapy Research 14 (2004) 107-125
70. Zinbarg R.E., Barlow D.H., Liebowitz M., Street L., Broadhead E., Katon W., et al. The DSM-IV field trial for mixed anxiety-depression. American Journal of Psychiatry 151 (1994) 1153-1162