Effectiveness of an integrated treatment for severe personality disorders. A 36-month pragmatic follow-up [Efectividad de un programa terapéutico integrado para trastornos graves de la personalidad. Seguimiento pragmático de 36 meses]
Lana F.,Autonomous University of Barcelona |
Sanchez-Gil C.,Autonomous University of Barcelona |
Lopez-Paton N.,Hospital Sant Joan Of De |
Litvan L.,Autonomous University of Barcelona |
And 5 more authors.
Revista de Psiquiatria y Salud Mental | Year: 2015
Introduction Over the past 25 years, several studies have shown the efficacy of a number of psychological interventions for severe personality disorders. However, the generalizability of these positive results from long traditional research settings to more ordinary ones has been questioned, requiring a need for replication in pragmatic studies. Methods This pragmatic study compares hospitalizations and Emergency Room visits before and during a 6-month therapeutic program for severe personality disorders, and at 36 months after starting it. The therapeutic program, which integrates several specific interventions within a coherent framework, was carried out in an ordinary clinical setting. Fifty-one patients, evaluated according DSM-IV criteria by using the Spanish version of the Structured Clinical Interview for Personality Disorders (SCID-II), were included. Results The clinical characteristics showed a group of severely disturbed patients, of which 78.4% met criteria for borderline personality disorder. The percentage of patients hospitalized and visiting the Emergency Room, as well as the number of days of hospitalization and Emergency Room visits was significantly reduced during the treatment, and this improvement was maintained throughout. Conclusions An integrated treatment for severe personality disorders could be effective in preventing reliance on readmissions, or prolonged hospital stays, when it is implemented by clinicians in ordinary clinical settings. © 2014 SEP y SEPB.