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首页> 外文期刊>Psychotherapy and psychosomatics >Psychoanalytic-Interactional Therapy versus Psychodynamic Therapy by Experts for Personality Disorders: A Randomized Controlled Efficacy-Effectiveness Study in Cluster B Personality Disorders
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Psychoanalytic-Interactional Therapy versus Psychodynamic Therapy by Experts for Personality Disorders: A Randomized Controlled Efficacy-Effectiveness Study in Cluster B Personality Disorders

机译：心理分析-互动疗法与心理动力疗法的关系研究：人格障碍专家：B组人格障碍的随机对照疗效研究

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Background: With regard to cluster B personality disorders, most psychotherapeutic treatments focus on borderline personality disorder. Evidence-based treatments for patients with other cluster B personality disorders are not yet available. Psychoanalytic-interactional therapy (PIT) represents a transdiagnostic treatment for severe personality disorders. PIT has been applied in clinical practice for many years and has proven effective in open studies. In a randomized controlled trial, we compared manual-guided PIT to nonmanualized pychodynamic therapy by experts in personality disorders (E-PDT) in patients with cluster B personality disorders. Methods: In an inpatient setting, patients with cluster B personality disorders were randomly assigned to manual-guided PIT (n = 64) or nonmanualized E-PDT (n = 58). In addition, a quasi-experimental control condition was used (n = 46) including both patients receiving treatment as usual and patients waiting for treatment. Primary outcomes were level of personality organization and overall psychological distress. As secondary outcomes, depression, anxiety and interpersonal problems were examined. Results: No significant improvements were found in the control patients. Both PIT and E-PDT achieved significant improvements in all outcome measures and were superior to the control condition. No differences were found between PIT and E-PDT in any outcome measure at the end of treatment. The type of cluster B personality disorder had no impact on the results. Conclusions: In an inpatient setting, both PIT and E-PDT proved to be superior to a control condition in cluster B personality disorders. In a head-to-head comparison, both treatments appeared to be equally effective. Further research on the treatment of cluster B personality disorders is required. (C) 2016 S. Karger AG, Basel
机译：背景：关于B群人格障碍，大多数心理治疗方法都集中在边缘性人格障碍上。尚无针对其他B型人格障碍患者的循证治疗。精神分析互动疗法（PIT）代表严重人格障碍的经转诊治疗。 PIT已在临床实践中应用了很多年，并已在公开研究中证明是有效的。在一项随机对照试验中，我们比较了B群人格障碍患者的人格障碍专家（E-PDT）的手动引导PIT与非手法化的精神动力学治疗。方法：在住院情况下，将B型人格障碍患者随机分配为手动引导PIT（n = 64）或非手动E-PDT（n = 58）。另外，使用准实验控制条件（n = 46），包括照常接受治疗的患者和等待治疗的患者。主要结果是人格组织水平和整体心理困扰。作为次要结果，检查了抑郁症，焦虑症和人际关系问题。结果：对照组患者无明显改善。 PIT和E-PDT在所有结局指标上均取得了显着改善，并且优于对照条件。在治疗结束时，在任何结局指标中，PIT和E-PDT之间均未发现差异。 B类人格障碍的类型对结果没有影响。结论：在住院环境中，PIT和E-PDT在B群人格障碍中均优于对照。在面对面的比较中，两种治疗方法似乎同样有效。需要对B型人格障碍的治疗进行进一步研究。 （C）2016 S.Karger AG，巴塞尔

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