Craigie Mark A, Saulsman Lisa M, Lampard Amy M
Centre for Clinical Interventions, Northbridge, WA, Australia.
J Clin Psychol. 2007 Dec;63(12):1153-70. doi: 10.1002/jclp.20406.
This study investigated the association of personality disorder complexity to treatment outcome for depression following time-limited group-based cognitive-behavioral therapy. One hundred fifteen outpatients with a primary diagnosis of depression participated in the study. In this study, personality disorder complexity was determined by the degree of personality disorder comorbidity identified by the Millon Clinical Multiaxial Inventory-III (T. Millon, 1994). As predicted, analyses revealed that increasing personality disorder complexity was related to increasing baseline symptom severity and slightly poorer end-state functioning at posttreatment. However, results regarding clinically significant improvement and mean improvement in depression symptoms were less supportive of an association between personality disorder complexity and poorer treatment outcome. The implications of these findings for treatment planning are discussed.
本研究调查了在限时团体认知行为疗法治疗抑郁症后，人格障碍复杂性与治疗结果之间的关联。115名初诊为抑郁症的门诊患者参与了该研究。在本研究中，人格障碍复杂性由米隆临床多轴问卷第三版（T. 米隆，1994年）所确定的人格障碍共病程度来判定。正如预期的那样，分析显示人格障碍复杂性增加与基线症状严重程度增加以及治疗后稍差的最终状态功能有关。然而，关于临床显著改善和抑郁症状平均改善的结果，不太支持人格障碍复杂性与较差治疗结果之间的关联。讨论了这些发现对治疗计划的意义。
