Day Treatment of Patients With Personality Disorders: Experiences From a Norwegian Treatment Research Network
Abstract
This study sought to investigate the following research questions: Are time-limited day treatment programs for patients with personality disorder (PD) effective outside resourceful university settings, and what are the overall treatment results when the program is implemented on a larger scale? Do all categories and subtypes of PDs respond favorably to such treatment? How intensive should such day treatment programs be? All patients (n = 1,244) were consecutively admitted to eight different treatment programs in the Norwegian Network of Psychotherapeutic Day Hospitals from 1993 to 2000. Altogether, 1,010 patients were diagnosed with PD. Avoidant, borderline, not otherwise specified (NOS), and paranoid PD were the most common conditions. SCID-II and MINI were used as diagnostic instruments. Outcome measures included GAF Global Assessment of Functioning, (GAF; American Psychiatric Association, 1994), SCL-90R, CIP, Quality of Life, work functioning and parasuicidal behavior, measured at admittance, discharge and 1-year follow up. The attrition rate was 24%. The number of dropouts did not improve over time. As a group, completers with PD improved significantly on all outcome variables from admittance to discharge and improvement was maintained or increased at follow up. Treatment results were best for borderline PD, cluster C patients, PD NOS and No PD, and poorer for cluster A patients. Units with a high treatment dosage did not experience better outcomes than those with a low treatment dosage (10 hours per week). Results from the University unit were not better than those from units at local hospitals or mental health centers.
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The validity of the SCL and corresponding DSM-IV disorders in terms of response to therapy or stability over time has not been analysed by Pedersen and Karterud, neither in their present report nor in their results released elsewhere.
“The validity of the SCL and the corresponding DSM-IV disorders in terms of response to therapy or stability over time has not been analysed by Pedersen and Karterud, neither in their present report (1) nor in their results released elsewhere (11).”
From The impact of the SCL-90 on the validity of the DSM-IV neurotic or stress-related disorders (2004) · cites this paper as [11]
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Self-citationHolman, P. A., Ruud, T., & Grepperud, S. (2012) · BMC Health Services Research · doi:10.1186/1472-6963-12-162 · Cited by 17 · see citing works
Saarinen, A. I. L., Rosenström, T. H., Hintsanen, M., Hakulinen, C. A., Pulkki-Råbäck, L., Lehtimäki, T. J., Raitakari, O. T., Cloninger, C. R., & Keltikangas‐Järvinen, L. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.12.044 · Cited by 17 · see citing works
Gude, T., Karterud, S., Pedersen, G., & Falkum, E. (2006) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2006.02.007 · Cited by 17 · see citing works
Self-citationConstructing and Mentalizing the Matrix
Karterud, S. (2011) · Group Analysis · doi:10.1177/0533316411417941 · Cited by 20 · see citing works
Self-citationCost implications of treatment non‐completion in a forensic personality disorder service
Sampson, C., James, M., Huband, N., Geelan, S., & McMurran, M. (2013) · Criminal Behaviour and Mental Health · doi:10.1002/cbm.1866 · Cited by 16 · see citing works
Karterud, S., Arefjord, N., Andresen, N. E., & Pedersen, G. (2009) · Nordic Journal of Psychiatry · doi:10.1080/08039480802298705 · Cited by 16 · see citing works
Self-citationSaarinen, A. I. L., Hintsanen, M., Hakulinen, C. A., Pulkki-Råbäck, L., Lehtimäki, T. J., Raitakari, O. T., & Keltikangas‐Järvinen, L. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.12.045 · Cited by 16 · see citing works
Wilberg, T., Karterud, S., Pedersen, G., Urnes, Ø., & Costa, P. T. (2009) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e3181923fa0 · Cited by 16 · see citing works
Self-citationThe impact of the SCL-90 on the validity of the DSM-IV neurotic or stress-related disorders
Bech, P. (2004) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2004.00382.x · Cited by 15 · see citing works
Routine outcome measures in Norway: Only partly implemented
Ruud, T. (2015) · International Review of Psychiatry · doi:10.3109/09540261.2015.1054268 · Cited by 15 · see citing works
Kvarstein, E. H., Zahl, K., Stänicke, L. I., Pettersen, M. S., Baltzersen, Å.-L., Johansen, M. S., Eikenæs, I. U.-M., Arnevik, E. A., Hummelen, B., Wilberg, T., et al. (2021) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2021.1934110 · Cited by 13 · see citing works
Self-citationPedersen, G., Normann‐Eide, E., Eikenæs, I. U.-M., Kvarstein, E. H., & Wilberg, T. (2021) · Journal of Clinical Psychology · doi:10.1002/jclp.23270 · Cited by 14 · see citing works
Self-citationPedersen, G., Eikenæs, I. U.-M., Urnes, Ø., Skulberg, G. M., & Wilberg, T. (2015) · Personality and Mental Health · doi:10.1002/pmh.1298 · Cited by 14 · see citing works
Self-citationClarke, M., Fardouly, P., & McMurran, M. (2013) · Journal of Forensic Psychiatry and Psychology · doi:10.1080/14789949.2013.862292 · Cited by 13 · see citing works
Sveen, C., Pedersen, G., Ulvestad, D. A., Zahl, K., Wilberg, T., & Kvarstein, E. H. (2023) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-023-01655-1 · Cited by 14 · see citing works
Self-citationMcMurran, M., Cox, W. M., Coupe, S., Whitham, D., & Hedges, L. (2010) · Trials · doi:10.1186/1745-6215-11-98 · Cited by 12 · see citing works
Engaging clients with personality disorder in treatment
Jinks, M., McMurran, M., & Huband, N. (2012) · Mental Health Review Journal · doi:10.1108/13619321211287229 · Cited by 12 · see citing works
- Authors
- Karterud, S., Pedersen, G., Bjordal, E., Brabrand, J., Friis, S., Haaseth, Ø., Haavaldsen, G., Irion, T., Leirvåg, H., Tørum, E., & Urnes, Ø.
- Affiliations
- Oslo University Hospital (NO)
- Venue
- Journal of Personality Disorders
- Publisher
- Guilford Publications
- Published
- 2003-06
- Volume
- 17
- Issue
- 3
- Pages
- 243-262
- ISSN
- 0885-579X (ISSN-L)
- OpenAlex
- W2088804294
- Cited by
- 178
- References
- 20
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 4 · 2023: 11 · 2022: 6 · 2021: 12 · 2020: 6 · 2019: 7 · 2018: 9 · 2017: 11 · 2016: 7 · 2015: 8 · 2014: 8 · 2013: 9 · 2012: 15
- FWCI
- 5.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Personality Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Keywords
- personality disorders, day treatment, treatment outcomes, borderline personality disorder, avoidant personality disorder, paranoid personality disorder, Cluster A personality disorders, cluster C personality disorders, treatment dosage, attrition, quality of life, work functioning, parasuicide, general functioning
- MeSH terms
- Adult, Ambulatory Care, Borderline Personality Disorder, Female, Humans, Male, Norway, Paranoid Personality Disorder, Personality Disorders, Cognitive Behavioral Therapy, Treatment Outcome
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