Outcomes of poorly functioning patients with personality disorders in a day treatment program

Psychiatr Serv. 1998 Nov;49(11):1462-7. doi: 10.1176/ps.49.11.1462.

Abstract

Objective: Rates of completion, complications, and outcome were examined in a sample of poorly functioning patients who participated in a group-oriented day treatment program for patients with personality disorders.

Methods: The study was a naturalistic prospective study of 183 patients admitted to a day treatment program in Oslo, Norway. The program consists of a combination of group analytically oriented groups and cognitive-behavioral groups. The Global Severity Index (GSI) of the Symptom Check List, the circumplex version of the Inventory of Interpersonal Problems (IIP-C), and the Global Assessment of Functioning (GAF) were administered at admission and discharge.

Results: A total of 138 [corrected] patients (77 percent) completed the day treatment program. Few patients experienced treatment complications. Effect sizes for GAF, GSI, and IIP-C scores for treatment completers were in the medium-to-high range, indicating a fair level of improvement. Patients' rating of benefit was positive.

Conclusions: The results are promising as a first step toward development of a cost-efficient comprehensive long-term treatment program for patients with severe personality disorders.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cognitive Behavioral Therapy*
  • Day Care, Medical*
  • Female
  • Humans
  • Logistic Models
  • Male
  • Norway
  • Patient Dropouts / statistics & numerical data
  • Personality Disorders / rehabilitation*
  • Prospective Studies
  • Psychotherapy, Group*
  • Severity of Illness Index
  • Treatment Outcome