Pre‐treatment predictors and in‐treatment factors associated with change in avoidant and dependent personality disorder traits among patients with social phobia
Abstract
We examined changes in avoidant and dependent personality disorder dimensions, and pre‐treatment and in‐treatment factors associated with such changes in 77 patients, randomized to medication‐free residential cognitive (CT) or residential interpersonal therapy for social phobia. Personality disorders and personality dimensions according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM‐IV) were assessed at pre‐treatment and at one‐year post‐treatment. Both treatments were associated with a decrease in avoidant and dependent personality dimensions; dependent dimension decreased more in CT. Changes in cognitive factors predicted changes in both personality dimensions, whereas changes in symptoms or interpersonal factors did not. Change in the cognitive factor estimated cost was the most powerful predictor in the avoidant dimension, as it was the only predictor that remained significant in the forward regression analyses. Change in the cognitive factor estimated cost, and treatment were the most powerful predictors of change in the dependent dimension. Pre‐treatment use of anxiolytics predicted larger changes in both PD dimensions. Copyright © 2009 John Wiley & Sons, Ltd. Key Practitioner Message: • Improvement in symptoms and cognitions related to social phobia is associated with improvement in dependent and avoidant personality disorder traits.
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A small number of effectiveness studies have shown that cognitive behavioral therapy and pharmacological interventions are effective for patients with social anxiety disorder and comorbid avoidant personality disorder.
“A small number of effectiveness studies have shown that CBT and pharmacological interventions are effective for patients with SAD and comorbid APD [14, 15].”
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- Authors
- Borge, F., Hoffart, A., Sexton, H., Martinsen, E., Gude, T., Hedley, L. M., & Abrahamsen, G.
- Affiliations
- Modum Bad – Gordon Johnsens stiftelse (NO)
- University of Oslo (NO)
- Akershus University Hospital (NO)
- Corresponding author
- Borge, Finn‐Magnus
- Venue
- Clinical Psychology & Psychotherapy
- Publisher
- Wiley
- Published
- 2009-07-23
- Volume
- 17
- Issue
- 2
- Pages
- 87-99
- ISSN
- 1063-3995 (ISSN-L)
- 1099-0879
- OpenAlex
- W2086435716
- Cited by
- 20
- References
- 50
- Citations by year
- 2023: 2 · 2022: 2 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 3 · 2013: 4 · 2012: 2
- FWCI
- 2.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology & Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Keywords
- social anxiety disorder, avoidant personality disorder, dependent personality disorder, personality disorder traits, cognitive therapy, interpersonal psychotherapy, residential treatment, cost of living, anxiolytic use, personality factors
- MeSH terms
- Adult, Dependent Personality Disorder, Female, Follow-Up Studies, Hospitalization, Humans, Male, Middle Aged, Personality Assessment, Personality Disorders, Phobic Disorders, Premedication, Prognosis, Psychotherapy, Anti-Anxiety Agents, Comorbidity, Cognitive Behavioral Therapy
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