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Comparison of brief dynamic and cognitive-behavioural therapies in avoidant personality disorder.

机译:避免性人格障碍的简短动态和认知行为疗法的比较。

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BACKGROUND: There is a paucity of controlled trials examining the effectiveness of individual psychotherapy in personality disorders, especially in patients with cluster C disorders. AIMS: To compare the effectiveness of brief dynamic therapy and cognitive-behavioural therapy as out-patient treatment for people with avoidant personality disorder. METHOD: Patients who met the criteria for avoidant personality disorder (n=62) were randomly assigned to 20 weekly sessions of either brief dynamic therapy (n = 23) or cognitive-behavioural therapy (n=21), or they were assigned to the waiting-list control group (n = 18). After the waiting period, patients in the control group were randomly assigned to one of the two therapies. RESULTS: Patients who received cognitive-behavioural therapy showed significantly more improvements on a number of measures in comparison with those who had brief dynamic psychotherapy or were in the waiting-list control group. Results were maintained at follow-up. CONCLUSIONS: Cognitive-behavioural therapy is more effective than waiting-list control and brief dynamic therapy. Brief dynamic therapy was no better than the waiting-list control condition.
机译:背景:缺乏对照的试验来检查个人心理治疗在人格障碍中的有效性,特别是在患有C群疾病的患者中。目的:比较短暂动态疗法和认知行为疗法作为可避免性人格障碍患者的门诊治疗的有效性。方法:将符合回避型人格障碍标准(n = 62)的患者随机分配为每周进行20次短期动态治疗(n = 23)或认知行为治疗(n = 21),或分配给患者等待名单对照组(n = 18)。等待期过后,对照组中的患者被随机分配到两种疗法中的一种。结果:接受认知行为治疗的患者与接受短暂动态心理治疗的患者或在候补对照组的患者相比,在许多方面均表现出明显改善。随访结果保持不变。结论:认知行为疗法比等待清单控制和短暂动态疗法更有效。短暂的动态治疗并不比等待名单控制条件好。

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