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Effectiveness of psychotherapeutic treatment of personality disorder

机译：心理治疗对人格障碍的疗效

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Background Psychiatrists have been criticised for failing to develop adequate treatment for personality disorder. Psychotherapeutic treatments are promising, but their effectiveness is uncertain. Aims To investigate the evidence for effectiveness of psychotherapeutic treatment for personality disorder. Method Systematic literature review. Results There is evidence for the effectiveness of psychotherapy for personality disorder. Problems of case identification, comorbidity, randomisation, specificity of treatment and outcome measurement are inadequately addressed. Authors mainly relied on cohort studies. Evidence neither suggests superiority of one type of therapy over another nor indicates which subgroups of patients should be offered psychotherapy as in-patient, day patient, or out-patient. Conclusions New research strategies are needed to show that personality change is both measurable and clinically meaningful. Effectiveness studies using randomised controlled designs are required. The literature suggests that effective treatment should be long-term, integrated, theoretically coherent and focused on compliance.
机译：背景技术精神病医生因未能为人格障碍开发适当的治疗方法而受到批评。心理治疗方法很有前途，但其效果尚不确定。目的探讨人格障碍心理治疗的有效性证据。方法系统文献综述。结果有证据表明心理治疗对人格障碍有效。病例识别，合并症，随机化，治疗特异性和结果测量等问题未得到充分解决。作者主要依靠队列研究。既没有证据表明一种疗法优于另一种疗法，也没有表明应为住院，日间住院或门诊患者提供心理治疗。结论需要新的研究策略来证明人格改变既可衡量又具有临床意义。需要使用随机对照设计进行有效性研究。文献表明，有效的治疗应是长期的，综合的，理论上连贯的，并应侧重于依从性。

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