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http://hdl.handle.net/2445/114824
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DC Field | Value | Language |
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dc.contributor.author | Lana, Fernando | - |
dc.contributor.author | Sánchez Gil, Carmen | - |
dc.contributor.author | Adroher, Núria D. | - |
dc.contributor.author | Pérez, Víctor | - |
dc.contributor.author | Feixas i Viaplana, Guillem | - |
dc.contributor.author | Martí Bonany, Josep | - |
dc.contributor.author | Torrens, Marta | - |
dc.date.accessioned | 2017-08-31T09:55:43Z | - |
dc.date.available | 2017-08-31T09:55:43Z | - |
dc.date.issued | 2016 | - |
dc.identifier.issn | 1176-6328 | - |
dc.identifier.uri | http://hdl.handle.net/2445/114824 | - |
dc.description.abstract | Background: Concurrent personality disorder (PD) and substance use disorder (SUD) are common in clinical practice. However, SUD is the main criterion for study exclusion in most psychotherapeutic studies of PD. As a result, data on treatment outcomes in patients with concurrent PD/SUD are scarce. Methods: The study sample consisted of 51 patients diagnosed with severe PD and admitted for psychotherapeutic treatment as a part of routine mental health care. All patients were diagnosed with PD according to the Structured Clinical Interview for PD. Patients were further assessed (DSM-IV diagnostic criteria) to check for the presence of concurrent SUD, with 28 patients diagnosed with both disorders (PD-SUD). These 28 cases were then compared to the 23 patients without SUD (PD-nSUD) in terms of psychiatric hospitalizations and psychiatric emergency room (ER) visits before and during the 6-month therapeutic intervention and every 6 months thereafter for a total of 36 months. Results: The baseline clinical characteristics correspond to a sample of PD patients (78% met DSM-IV criteria for borderline PD) with poor general functioning and a high prevalence of suicide attempts and self-harm behaviors. Altogether, the five outcome variables - the proportion and the number of psychiatric inpatient admissions, the number of days hospitalized, and the proportion and the number of psychiatric ER visits - improved significantly during the treatment period, and this improvement was maintained throughout the follow-up period. Although PD-SUD patients had more psychiatric hospitalizations and ER visits than PD-nSUD patients during follow-up, the differences between these two groups remained stable over the study period indicating that the treatment was equally effective in both groups. Conclusion: Specialized psychotherapy for severe PD can be effectively applied in patients with concurrent PD-SUD under usual practice conditions. These findings suggest that exclusion of patients with dual disorders from specialized treatments is unjustified. | - |
dc.format.extent | -1389 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Dove Medical Press | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.2147/NDT.S106270 | - |
dc.relation.ispartof | Neuropsychiatric Disease And Treatment, 2016, num. 12, p. 1477-87 | - |
dc.relation.uri | https://doi.org/10.2147/NDT.S106270 | - |
dc.rights | cc-by-nc (c) Lana, Fernando et al., 2016 | - |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/3.0/es | - |
dc.source | Articles publicats en revistes (Psicologia Clínica i Psicobiologia) | - |
dc.subject.classification | Abús de substàncies | - |
dc.subject.classification | Trastorns de la personalitat | - |
dc.subject.classification | Psicoteràpia | - |
dc.subject.other | Substance abuse | - |
dc.subject.other | Personality disorders | - |
dc.subject.other | Psychotherapy | - |
dc.title | Comparison of treatment outcomes in severe personality disorder patients with or without substance use disorders: a 36-month prospective pragmatic follow-up study. | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 663642 | - |
dc.date.updated | 2017-08-31T09:55:43Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 27382290 | - |
Appears in Collections: | Articles publicats en revistes (Psicologia Clínica i Psicobiologia) |
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663642.pdf | 1.09 MB | Adobe PDF | View/Open |
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