Personality Disorders
Conditions
Keywords
Personality disorders,, Day treatment,, Group psychotherapy,, Combined psychotherapy,, Outcome,, Attachment pattern
Brief summary
Ullevål PersonalityProject is a ranomized controlled trial of treatment of patients with personality disorder. It's main purpose is to test the effect of a long-term combined treatment program compared with eclectic individual therapy for patients with personality disorders. The main study hypothesis is that long-term combined treatment is superior to eclectic individual therapy with respect to improvement in personality functioning, psychosocial functioning, symptoms, interpersonal problems, and self destructive behavior for poorly functioning patients with personality disorders.
Detailed description
Ullevål PersonalityProject is a ranomized controlled trial of treatment of patients with personality disorder. It's main purpose is to test the effect of a long-term combined treatment program compared with eclectic individual therapy for poorly functioning patients with personality disorders. The experiment treatment is guided by written treatment guidelines and comprises: 1. 18 weeks intensive day treatment 2. followed by long-term outpatient combined group psychotherapy and individual therapy for 4 and 2,5 years respectively. The control treatment comprises: 1\. eclectic psychotherapy, here understood as psychotherapy according to the preference and regular practice of the therapist. 120 patients with personality disorders admitted to Department of personality psychiatry, Psychiatric division, Ullevål University Hospital are randomized to either experiment or control condition. The patients are evaluated at baseline and after 8, 18, 36, 72 months. The evaluations comprise a large battery of psychological tests and structured interviews.
Interventions
BEHAVIORALCombined psychotherapy
18 weeks day hospital treatment followed by long-term outpatient combined group-and individual psychotherapy
BEHAVIORALOutpatient individual psychotherapy
Eclectic individual psychotherapy in private practice
Sponsors
South-Eastern Norway Regional Health Authority
Oslo University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Patients with personality disorders admitted to Department for personality psychiatry, Psychiatric division, Ullevål University Hospital
Exclusion criteria
* Schizotypal personality disorder, antisocial personaliy disorder, current alcohol or drug dependence, developmental disorders (e.g. Asperger), symptoms due to organic conditions, and lack of a permanent residence.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| health care utilization after | after 8, 18, 36 and 72 months |
| personality pathology, | after 36 and 72 months |
| quality of life, | after 8, 18, 36 and 72 months |
| Psychosocial functioning | The outcomes will be assessed after 8, 18, 36, and 72 months: |
| symptom distress | after 8, 18, 36 and 72 months |
| self esteem | after 8, 18, 36 and 72 months |
| interpersonal problems, | after 8, 18, 36 and 72 months |
| self destructive behavior, | after 8, 18, 36 and 72 months |
Secondary
| Measure | Time frame |
|---|---|
| reflective functioning | after 36 months |
| affect consciousness | after 36 months |
Countries
Norway
Outcome results
None listed