| Autor: |
Pearce, Steve, Scott, Lisle, Attwood, Gillian, Saunders, Kate, Dean, Madeleine, De Ridder, Ritz, Galea, David, Konstantinidou, Haroula, Crawford, Mike |
| Předmět: |
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| Zdroj: |
British Journal of Psychiatry; Dec2016, Vol. 209 Issue 6, pN.PAG-N.PAG, 1p |
| Abstrakt: |
Background: Democratic therapeutic community (DTC) treatment has been used for many years in an effort to help people with personality disorder. High-quality evidence from randomised controlled trials (RCTs) is absent.Aims: To test whether DTC treatment reduces use of in-patient services and improves the mental health of people with personality disorder.Method: An RCT of 70 people meeting DSM-IV criteria for personality disorder (trial registration: ISRCTN57363317). The intervention was DTC and the control condition was crisis planning plus treatment as usual (TAU). The primary outcome was days of in-patient psychiatric treatment. Secondary outcomes were social function, mental health status, self-harm and aggression, attendance at emergency departments and primary care, and satisfaction with care. All outcomes were measured at 12 and 24 months after randomisation.Results: Number of in-patient days at follow-up was low among all participants and there was no difference between groups. At 24 months, self- and other directed aggression and satisfaction with care were significantly improved in the DTC compared with the TAU group.Conclusions: DTC is more effective than TAU in improving outcomes in personality disorder. Further studies are required to confirm this conclusion. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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