Hutsebaut J, Bachrach N, Kindt K C M, van Dam L J H
Tijdschr Psychiatr. 2022;64(1):18-24.
The guideline-informed treatment for personality disorders (GIT-PD) was developed as an alternative to the specific treatments for personality disorders. Even though this form of treatment is widely used in health care and has been included in the Health Care Standard for Personality Disorders, its scientific evidence remains unclear.
To review the indirect evidence for GIT-PD and compare it with the evidence for specific treatments.
Literature review including reviews and meta-analyses in the field of personality disorders.
Although there is increasing evidence for specific treatments, the amount of studies remains limited and the quality of the evidence is rather low. There are indications that specific treatments are poorly implemented in clinical practice, which may detract from their efficacy. There is no clear evidence that specific treatments are on average no more effective than well-designed generic treatments that are similar to GIT-PD. There is considerable evidence for the role of the common factors on which GIT-PD is based.
There is indirect evidence for the efficacy of GIT-PD. Good care on a broad scale needs both specific and generic forms of treatment, whereby the most relevant question becomes how clients can be optimally allocated to both forms of treatment.
人格障碍的指南指导治疗（GIT-PD）是作为人格障碍特定治疗方法的替代方案而开发的。尽管这种治疗形式在医疗保健中广泛使用，并已被纳入人格障碍医疗保健标准，但其科学证据仍不明确。
回顾GIT-PD的间接证据，并将其与特定治疗方法的证据进行比较。
文献综述，包括人格障碍领域的综述和荟萃分析。
尽管特定治疗方法的证据越来越多，但研究数量仍然有限，证据质量相当低。有迹象表明，特定治疗方法在临床实践中实施不佳，这可能会降低其疗效。没有明确证据表明特定治疗方法平均而言并不比与GIT-PD类似的精心设计的通用治疗方法更有效。有大量证据表明GIT-PD所基于的共同因素的作用。
有间接证据表明GIT-PD有效。广泛的优质护理需要特定和通用的治疗形式，因此最相关的问题变成了如何将患者最佳地分配到这两种治疗形式中。
