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首页> 外文期刊>Psychotherapy and psychosomatics >Effectiveness of outpatient, day hospital, and inpatient psychotherapeutic treatment for patients with cluster B personality disorders.
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Effectiveness of outpatient, day hospital, and inpatient psychotherapeutic treatment for patients with cluster B personality disorders.

机译：门诊，日间医院和住院心理治疗对B型人格障碍患者的有效性。

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BACKGROUND: For patients with cluster B personality disorders there is no consensus regarding the optimal treatment setting. The aim of this study was to compare the effectiveness of different psychotherapeutic settings for patients with cluster B personality disorders, i.e. outpatient, day hospital, and inpatient treatment. METHODS: The study was conducted between March 2003 and June 2008 in 6 mental health care centres in the Netherlands, with a sample of 207 patients with a DSM-IV-TR axis II cluster B diagnosis. Patients were assigned to 3 different settings of psychotherapeutic treatment and effectiveness was assessed at 18 months after baseline. An intention-to-treat analysis was conducted for psychiatric symptoms (Brief Symptom Inventory), psychosocial functioning (Outcome Questionnaire-45), and quality of life (EQ-5D), using multilevel statistical modelling. As the study was non-randomised, the propensity score method was used to control for initial differences. RESULTS: Patients in all 3 settings improved significantly in terms of psychiatric symptoms, social and interpersonal functioning, and quality of life 18 months after baseline. The inpatient group showed the largest improvements. The comparison of outpatient and inpatient treatment regarding psychiatric symptoms showed a marginally significant result (p = 0.057) in favour of inpatient treatment. CONCLUSIONS: Patients with cluster B personality disorders improved in all investigated treatment settings, with a trend towards larger improvements of psychiatric symptoms in the inpatient setting compared to the outpatient setting. Specialised inpatient treatment should be considered as a valuable treatment option for cluster B personality disorders, both in research and in clinical practice.
机译：背景：对于伴有B型人格障碍的患者，关于最佳治疗设置尚无共识。这项研究的目的是比较不同的心理治疗设置对B群人格障碍患者（即门诊，日间医院和住院治疗）的有效性。方法：该研究于2003年3月至2008年6月在荷兰的6个精神卫生保健中心进行，样本包括207例DSM-IV-TR轴II簇B诊断的患者。为患者分配了3种不同的心理治疗设置，并在基线后18个月评估了疗效。使用多层次统计模型对精神症状（简短症状清单），社会心理功能（结果问卷-45）和生活质量（EQ-5D）进行了意向性分析。由于研究是非随机的，因此倾向得分法用于控制初始差异。结果：所有三种情况下的患者在基线后18个月的精神症状，社交和人际功能以及生活质量方面均有明显改善。住院组表现出最大的改善。门诊和住院治疗在精神症状方面的比较显示，偏重于住院治疗的显着性结果（p = 0.057）。结论：在所有调查的治疗环境中，伴有B型人格障碍的患者均得到改善，与住院患者相比，住院患者的精神症状有较大改善的趋势。无论是在研究还是在临床实践中，都应考虑对住院患者进行专门的治疗，将其作为B类人格障碍的宝贵治疗选择。

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