Research Institute, Modum Bad, Norway.
Clin Psychol Psychother. 2010 Mar-Apr;17(2):87-99. doi: 10.1002/cpp.640.
We examined changes in avoidant and dependent personality disorder dimensions, and pre-treatment and in-treatment factors associated with such changes in 77 patients, randomized to medication-free residential cognitive (CT) or residential interpersonal therapy for social phobia. Personality disorders and personality dimensions according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) were assessed at pre-treatment and at one-year post-treatment. Both treatments were associated with a decrease in avoidant and dependent personality dimensions; dependent dimension decreased more in CT. Changes in cognitive factors predicted changes in both personality dimensions, whereas changes in symptoms or interpersonal factors did not. Change in the cognitive factor estimated cost was the most powerful predictor in the avoidant dimension, as it was the only predictor that remained significant in the forward regression analyses. Change in the cognitive factor estimated cost, and treatment were the most powerful predictors of change in the dependent dimension. Pre-treatment use of anxiolytics predicted larger changes in both PD dimensions.
我们研究了 77 名患者的回避型和依赖型人格障碍维度的变化，以及与这些变化相关的治疗前和治疗中因素，这些患者被随机分配到无药物的住院认知治疗（CT）或住院人际治疗治疗社交恐惧症。根据《精神障碍诊断与统计手册》第四版（DSM-IV）评估人格障碍和人格维度，在治疗前和治疗后一年进行评估。两种治疗方法均与回避型和依赖型人格维度的减少有关；CT 治疗中依赖维度的减少更为明显。认知因素的变化预测了两种人格维度的变化，而症状或人际因素的变化则没有。估计成本的认知因素的变化是回避维度中最有力的预测因素，因为它是向前回归分析中唯一仍然显著的预测因素。估计成本的认知因素的变化和治疗是依赖维度变化的最有力预测因素。治疗前使用抗焦虑药预测了这两种 PD 维度的更大变化。
