Kikkert Martijn J, Driessen Ellen, Peen Jaap, Barber Jacques P, Bockting Claudi, Schalkwijk Frans, Dekker Jeff, Dekker Jack J M
Arkin Mental Health Care, Amsterdam, The Netherlands.
Arkin Mental Health Care, Amsterdam, The Netherlands; VU University Amsterdam, Department of Clinical Psychology, Amsterdam, The Netherlands; EMGO Institute for Health and Care Research, VU University and VU University Medical Center Amsterdam, The Netherlands.
J Affect Disord. 2016 Nov 15;205:400-405. doi: 10.1016/j.jad.2016.08.017. Epub 2016 Aug 24.
Barber and Muenz (1996) reported that cognitive behavior therapy (CBT) was more effective than interpersonal therapy (IPT) for depressed patients with elevated levels of avoidant personality disorder, while IPT was more effective than CBT in patients with elevated levels of obsessive-compulsive personality disorder. These findings may have important clinical implications, but have not yet been replicated.
We conducted a study using data from a randomized clinical trial comparing the efficacy of CBT and short-term psychodynamic supportive psychotherapy in the outpatient treatment of depression.
We found no evidence indicating that avoidant patients may benefit more from CBT compared to short-term psychodynamic supportive therapy (SPSP).
Our results indicate that treatment effect does not depend on the level of avoidance, or obsessive-compulsiveness personality disorders further examine the influence of personality disorders on the effectiveness of CBT or psychodynamic therapy in the treatment of depression.
巴伯和穆恩泽（1996年）报告称，对于回避型人格障碍水平较高的抑郁症患者，认知行为疗法（CBT）比人际治疗（IPT）更有效，而对于强迫型人格障碍水平较高的患者，IPT比CBT更有效。这些发现可能具有重要的临床意义，但尚未得到重复验证。
我们利用一项随机临床试验的数据进行了一项研究，比较了CBT和短期心理动力支持性心理治疗在门诊治疗抑郁症中的疗效。
我们没有发现证据表明，与短期心理动力支持性治疗（SPSP）相比，回避型患者可能从CBT中获益更多。
我们的结果表明，治疗效果不取决于回避水平或强迫型人格障碍，需要进一步研究人格障碍对CBT或心理动力疗法治疗抑郁症有效性的影响。
