Personality abnormality in severe mental illness and its influence on outcome of intensive and standard case management: a randomised controlled trial
Abstract
Summary: One hundred fifty-five (77%) of 201 participants recruited in a trial of intensive vs standard case management of patients with recurrent psychotic illness had their personality status measured before treatment and were followed up for two years. The primary outcome was the total number of days spent in psychiatric hospitalisation in the two years following randomisation. Thirty-three (21%) of the patients had a personality disorder and their duration of hospital stay (105 days) was greater than in those without personality disorder (56 days). There was weak evidence that intensive case management more effective in reducing the duration of care in those with personality disorder than in those without personality disorder.
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Personality disorder in psychotic patients is associated with violence, crime, and hospital readmission.
“personality disorder in this group often shows itself in terms of violence (15), crime (16), and hospital re admission (17)”
From Personality disorder: a new global perspective (2010) · cites this paper as [17]
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Personality disorder: a new global perspective
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- Authors
- Tyrer, P., Manley, C., Van Horn, E., Leddy, D., & Ukoumunne, O. C.
- Affiliations
- Imperial College London (GB)
- Corresponding author
- Tyrer, P.
- Venue
- European Psychiatry
- Publisher
- Cambridge University Press (CUP)
- Published
- 2000-06
- Volume
- 15
- Issue
- S1
- Pages
- 7-10
- ISSN
- 0924-9338 (ISSN-L)
- 1778-3585
- OpenAlex
- W1974005671
- Cited by
- 23
- References
- 20
- Citations by year
- 2017: 3 · 2016: 2 · 2015: 2 · 2012: 3
- FWCI
- 0.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- personality disorders, severe mental illness, recurrent psychosis, intensive case management, psychiatric hospitalization, length of hospital stay, treatment outcomes
- MeSH terms
- Adult, Cost-Benefit Analysis, Female, Humans, Length of Stay, Male, Middle Aged, Outcome and Process Assessment, Health Care, Personality Disorders, Psychiatric Status Rating Scales, Psychotic Disorders, Schizophrenia, Schizophrenic Psychology, Case Management
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