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首页> 外文期刊>The British journal of psychiatry : >Impact of personality status on the outcomes and cost of cognitive–behavioural therapy for health anxiety
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Impact of personality status on the outcomes and cost of cognitive–behavioural therapy for health anxiety

机译：人格状态对健康焦虑认知行为疗法的结果和费用的影响

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Background Health anxiety, hypochondriasis and personality disturbance commonly coexist. The impact of personality status was assessed in a secondary analysis of a randomised controlled trial (RCT). Aims To test the impact of personality status using ICD-11 criteria on the clinical and cost outcomes of treatment with cognitivea€“behavioural therapy for health anxiety (CBT-HA) and standard care over 2 years. Method Personality dysfunction was assessed at baseline in 444 patients before randomisation and independent assessment of costs and outcomes made on four occasions over 2 years. Results In total, 381 patients (86%) had some personality dysfunction with 184 (41%) satisfying the ICD criteria for personality disorder. Those with no personality dysfunction showed no treatment differences ( P = 0.90) and worse social function with CBT-HA compared with standard care ( P 0.03) whereas all other personality groups showed greater improvement with CBT-HA maintained over 2 years ( P 0.001). Less benefit was shown in those with more severe personality disorder ( P 0.05). Costs were less with CBT-HA except for non-significant greater differences in those with moderate or severe personality disorder. Conclusions The results contradict the hypothesis that personality disorder impairs response to CBT in health anxiety in both the short and medium term.
机译：背景健康焦虑，软骨病和人格障碍通常并存。在一项随机对照试验（RCT）的次要分析中评估了人格状态的影响。目的：使用ICD-11标准测试人格状况对认知行为，健康焦虑行为疗法（CBT-HA）和标准护理在两年内的临床和成本结果的影响。方法在444例患者中，在基线之前评估了人格功能障碍，并在2年内随机分4次评估了费用和结果，并进行了独立评估。结果共有381例（86％）的人格障碍患者，其中184例（41％）符合ICD的人格障碍标准。与标准护理相比，没有人格障碍的患者与标准护理相比，无治疗差异（P = 0.90），社交功能较差（P <0.03），而所有其他人格组在维持CBT-HA 2年以上时均表现出更大的改善（P < 0.001）。人格障碍较重者的获益较少（P <0.05）。 CBT-HA的费用较低，除了中度或重度人格障碍患者的差异无显着性差异外。结论结果与人格障碍在短期和中期损害健康焦虑对CBT反应的假设相矛盾。

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