Impact of personality status on the outcomes and cost of cognitive–behavioural therapy for health anxiety
| Autor: | Peter Tyrer, Rahil Sanatinia, Sylvia Cooper, Gemma Loebenberg, Mike J. Crawford, Helen Tyrer, Duolao Wang, Barbara Barrett |
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| Přispěvatelé: | Department of Health |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male 050103 clinical psychology medicine.medical_specialty Adolescent media_common.quotation_subject medicine.medical_treatment Comorbidity Personality Disorders law.invention 17 Psychology And Cognitive Sciences 03 medical and health sciences Young Adult 0302 clinical medicine Randomized controlled trial law medicine Personality Humans 0501 psychology and cognitive sciences Young adult Psychiatry media_common Aged Cognitive Behavioral Therapy 05 social sciences Cognition 11 Medical And Health Sciences Health Care Costs Middle Aged medicine.disease Personality disorders 030227 psychiatry Hypochondriasis Psychiatry and Mental health England Papers Cognitive therapy Anxiety Female medicine.symptom Psychology Clinical psychology |
| Zdroj: | The British Journal of Psychiatry Sanatinia, R, Wang, D, Tyrer, P, Tyrer, H, Crawford, M J, Cooper, S, Gemma, L & Barrett, B M 2016, ' Impact of personality status on the outcomes and cost of cognitive–behavioural therapy for health anxiety ', British Journal of Psychiatry, vol. 209, no. 1 . https://doi.org/10.1192/bjp.bp.115.173526 |
| ISSN: | 1472-1465 0007-1250 |
| DOI: | 10.1192/bjp.bp.115.173526 |
| Popis: | BackgroundHealth anxiety, hypochondriasis and personality disturbance commonly coexist. The impact of personality status was assessed in a secondary analysis of a randomised controlled trial (RCT).AimsTo test the impact of personality status using ICD-11 criteria on the clinical and cost outcomes of treatment with cognitive–behavioural therapy for health anxiety (CBT-HA) and standard care over 2 years.MethodPersonality dysfunction was assessed at baseline in 444 patients before randomisation and independent assessment of costs and outcomes made on four occasions over 2 years.ResultsIn total, 381 patients (86%) had some personality dysfunction with 184 (41%) satisfying the ICD criteria for personality disorder. Those with no personality dysfunction showed no treatment differences (P= 0.90) and worse social function with CBT-HA compared with standard care (PPPConclusionsThe results contradict the hypothesis that personality disorder impairs response to CBT in health anxiety in both the short and medium term. |
| Databáze: | OpenAIRE |
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