Three-week inpatient Cognitive Evolutionary Therapy (CET) for patients with personality disorders: evidence of effectiveness in symptoms reduction and improved treatment adherence

Psychol Psychother. 2013 Sep;86(3):262-79. doi: 10.1111/j.2044-8341.2011.02060.x. Epub 2012 Feb 20.

Abstract

Objectives: The aim of this study was to evaluate the efficacy of Cognitive Evolutionary Therapy (CET) in an intensive short residential treatment of a wide range of severe personality disorders (PDs) that resulted in a reduction of social functioning and significant personal distress.

Design: Each patient was assessed at admission, discharge, and 3 months later in order to determine if there was a reduction in symptoms and an improved adherence to former outpatient programs and to check if patients were undergoing new treatment after discharge.

Method: Fifty-one patients participated in this study. The 20-hr weekly program consisted of two individual sessions and various group modules. Outcome measures included: self-reported measures of depression, anxiety, general symptoms, number and duration of inpatient admissions after the programme, and continuation in an outpatient treatment programme.

Results: The results show an overall improvement in general psychopathology after the release and in follow-up sessions, a decrease in the number of further hospital admissions, and an increased level of attendance of outpatient therapy.

Conclusions: This study shows that intensive short residential treatment is an effective treatment for patients with a wide range of PDs.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Ambulatory Care
  • Analysis of Variance
  • Anxiety / complications
  • Anxiety / therapy
  • Cognitive Behavioral Therapy / methods*
  • Depressive Disorder / complications
  • Depressive Disorder / therapy
  • Emotions
  • Female
  • Hospitalization / statistics & numerical data*
  • Humans
  • Interpersonal Relations
  • Interview, Psychological
  • Male
  • Outcome Assessment, Health Care / statistics & numerical data*
  • Patient Compliance / statistics & numerical data*
  • Personality Disorders / complications
  • Personality Disorders / psychology
  • Personality Disorders / therapy*
  • Pilot Projects
  • Psychiatric Status Rating Scales
  • Psychotherapy, Brief / methods*
  • Severity of Illness Index