Huband Nick, McMurran Mary, Evans Chris, Duggan Conor
Nottinghamshire Healthcare NHS Trust, Duncan Macmillan House, Porchester Road, Nottingham NG3 6AA, UK.
Br J Psychiatry. 2007 Apr;190:307-13. doi: 10.1192/bjp.bp.106.023341.
Social problem-solving therapy may be relevant in the treatment of personality disorder, although assessments of its effectiveness are uncommon.
To determine the effectiveness of a problem-solving intervention for adults with personality disorder in the community under conditions resembling routine clinical practice.
Participants were randomly allocated to brief psychoeducation plus 16 problem-solving group sessions (n=87) or to waiting-list control (n=89). Primary outcome was comparison of scores on the Social Problem Solving Inventory and the Social Functioning Questionnaire between intervention and control arms at the conclusion of treatment, on average at 24 weeks after randomisation.
In intention-to-treat analysis, those allocated to intervention showed significantly better problem-solving skills (P<0.001), higher overall social functioning (P=0.031) and lower anger expression (P=0.039) compared with controls. No significant differences were found on use of services during the intervention period.
Problem-solving plus psychoeducation has potential as a preliminary intervention for adults with personality disorder.
社会问题解决疗法可能与人格障碍的治疗相关，尽管对其有效性的评估并不常见。
在类似常规临床实践的条件下，确定针对社区中患有人格障碍的成年人的问题解决干预措施的有效性。
参与者被随机分配到简短心理教育加16次问题解决小组会议组（n = 87）或等待名单对照组（n = 89）。主要结局是在治疗结束时，平均随机分组后24周，比较干预组和对照组在社会问题解决量表和社会功能问卷上的得分。
在意向性分析中，与对照组相比，分配到干预组的人表现出明显更好的问题解决能力（P < 0.001）、更高的整体社会功能（P = 0.031）和更低的愤怒表达（P = 0.039）。在干预期内，服务使用方面未发现显著差异。
问题解决加心理教育有潜力作为对患有人格障碍的成年人的初步干预措施。
