Department of Mental Health, Servicio Riojano de Salud, Logroño, Spain.
Department of Educational Sciences, University of La Rioja, Logroño, Spain.
J Clin Psychol. 2022 Aug;78(8):1579-1589. doi: 10.1002/jclp.23356. Epub 2022 Mar 31.
Early intervention studies for adolescents and early adults are required to explore the acceptability and effectiveness of psychological therapies across the full range of personality disorders (PDs) beyond just borderline PD. The main aim of the current paper was to describe a Metacognitive Interpersonal Therapy group adaptation for adolescents (MIT-GA) presenting with PDs featuring overcontrol and social inhibition, and in particular Avoidant PD characteristics.
We report findings from a single case of a female adolescent diagnosed with Avoidant PD providing preliminary data on feasibility and the possible effectiveness of MIT-GA.
Evidence of acceptability and meaningful clinical gains are described.
Results suggest that MIT-GA could be a powerful treatment option in patients with generalized social avoidance who do not currently receive gold-standard psychotherapeutic treatments. This intervention also appears to be effective and cost-effective in initiating significant clinical changes in profiles of young patients with non-borderline PD symptoms.
需要对青少年和早期成年人进行早期干预研究，以探索心理治疗在各种人格障碍（PD）中的可接受性和有效性，而不仅仅是边缘型 PD。目前论文的主要目的是描述一种针对存在过控和社交抑制、特别是回避型 PD 特征的 PD 青少年的元认知人际治疗团体适应（MIT-GA）。
我们报告了一名被诊断为回避型 PD 的女性青少年的单一案例研究结果，提供了关于 MIT-GA 的可行性和可能有效性的初步数据。
描述了可接受性和有意义的临床获益的证据。
结果表明，对于那些目前未接受黄金标准心理治疗的广泛性社交回避患者，MIT-GA 可能是一种强大的治疗选择。这种干预似乎也能有效地和具有成本效益地在非边缘型 PD 症状的年轻患者的特征中引发显著的临床变化。
