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Short-term structured treatment for avoidant personality disorder.
Abstract
Forty-two men and 34 women (mean age 27.5 years) who met DSM-III criteria for avoidant personality disorder were randomly assigned to 1 of 3 treatment conditions or to a waiting-list control group. Treatment Ss who participated in a 10-week group treatment program displayed significantly greater improvement on a variety of self-report and behavioral measures than did untreated control subjects. The inclusion of skills-training procedures did not contribute to the effects of graduated exposure procedures alone. The gains made during treatment were maintained over the follow-up period, but few further improvements were made. Clinical significance was evaluated by both the subjective evaluation method and the social comparison method. These procedures indicated that although significant improvements had been made, these avoidant Ss were not functioning at the level of normative comparison samples at treatment termination.
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“we feel that prolonged GCBT can be considered as TAU based on Dutch guidelines [13] and earlier studies on SAD with comorbid APD [16] or APD with or without comorbid SAD [84–86].”
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“Cognitive restructuring Exposure Combination (Wait-list control) Alden (1989)”
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“, 2001a) and failure to reach normative levels of functioning (Alden, 1989; Eikenaes et al., 2006), but some have reported no effect on treatment outcome (Hope et al.”
BackgroundContemporary cognitive behavior therapy: A review of theory, history, and evidence
Thoma, N., Pilecki, B., & McKay, D. (2015) · Psychodynamic Psychiatry · doi:10.1521/pdps.2015.43.3.423 · Cited by 197
“Alden (1989) found CBT to be more effective in treating AvPD than a wait list control.”
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“In Alden (1989), the treatment condition “Intimacy focus” was excluded due to lack of representation in other studies.”
BackgroundComparison of brief dynamic and cognitive-behavioural therapies in avoidant personality disorder
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“Our study supports earlier studies that evaluated behavioural treatments in patients classified as having this disorder (Alden, 1989; Renneberg et al, 1990; Stravinsky et al, 1994).”
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“These clinical observations have been corroborated by several outcome studies examining the impact of various concomitant personality disorders on cognitive behavioral treatment for the anxiety disorders, including social phobia (Alden, 1989; Feske, Perry, Chambless, Renneberg, & Goldstein, 1996; Mersch, Jansen, & Arn…”
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“Also, effective cognitive-behavioral treatments for APD use procedures quite similar to those used for social phobia, albeit of greater intensity in some cases ( Alden, 1989; Renneberg, Goldstein, Phillips, & Chambless, 1990).”
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Self-citationAddicted Patients with Personality Disorders: Traits, Schemas, and Presenting Problems
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“Group behaviour psychotherapy as a stand-alone treatment has only been investigated in avoidant personality disorder (Alden, 1989; Renneberg, Goldstein, Phillips, & Chambles, 1990; Stravynski, Belisle, Marcouiller, Lavalée, & Elie, 1994; Stravynski, Marks, & Yule, 1982).”
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“However, a substantial number of these patients completed treatment at the lower end or below the normative range for social distress and avoidance (Alden, 1989; Barber et al., 1997; Renneberg et al., 1990).”
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“High internal consistency (a5 .91), test–retest reliability (r 5 .87; 8 weeks), and sufficient criterion-related validity have been reported [Alden, 1989; Jones et al., 1986].”
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“Alden (10) reported that the subjects failed to reach a normative level of functioning.”
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“However, similar to approaches that successfully target and ameliorate symptoms of persistent personality disorders (Shearin & Linehan, 1994; Alden 1989), the literature on interventions to modify specific traits is promising.”
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“Contact with others with similar problems, reducing the sense of isolation and feeling different, are positive effects (Alden, 1989).”
InfluentialCombined group and individual therapy for patients with avoidant personality disorder—A pilot study
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“Hallazgos principales de la literatura existente Hasta la fecha, disponemos únicamente de 3 ECA que examinan la eficacia de la psicoterapia exclusivamente en pacientes con TPE (Alden, 1989; Emmelkamp et al., 2006; Stravynski, Lesage, Marcouiller y Elie, 1989).”
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Metadata
- Authors
- Alden, L.
- Affiliations
- University of British Columbia (CA)
- Corresponding author
- Alden, Lynn
- ORCID
- Alden, Lynn
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 1989
- Volume
- 57
- Issue
- 6
- Pages
- 756-764
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2065405381
- Cited by
- 142
- References
- 0
- Citations by year
- 2024: 4 · 2023: 7 · 2022: 4 · 2021: 3 · 2020: 4 · 2019: 4 · 2018: 6 · 2017: 3 · 2016: 6 · 2015: 5 · 2014: 1 · 2013: 3 · 2012: 7
- FWCI
- 4.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (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 › Psychotherapy Techniques and Applications
- Keywords
- avoidant personality disorder, group therapy, graduated exposure, skills training, maintenance of treatment effects, clinical significance, social comparison, subjective evaluation, normative comparison
- MeSH terms
- Adolescent, Adult, Behavior Therapy, Female, Humans, Interpersonal Relations, Male, Personality Disorders, Psychotherapy, Brief, Psychotherapy, Group
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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