Abstract |
Repeated assessments of psychopathology, together with personality status, were made over two years on 181 psychiatric out-patients with generalised anxiety disorder (59), panic disorder (66), or dysthymic disorder (56) diagnosed using an interview schedule for DSM-III. Patients were randomly allocated to drug treatment, cognitive and behaviour therapy, or a self-help treatment programme. Although there were no overall differences in compliance rate and efficacy between the three modes of treatment, the psychological treatment methods, particularly self-help, were more effective in patients without personality disorder, and those with personality disorder responded better to drug treatment, primarily antidepressants. The findings suggest that assessment of personality status could be a valuable aid to selection of treatment in neurotic disorders and that self-help approaches are particularly valuable once personality disorder has been excluded.
|
Authors | P Tyrer, N Seivewright, B Ferguson, S Murphy, A L Johnson |
Journal | The British journal of psychiatry : the journal of mental science
(Br J Psychiatry)
Vol. 162
Pg. 219-26
(Feb 1993)
ISSN: 0007-1250 [Print] England |
PMID | 8435693
(Publication Type: Clinical Trial, Comparative Study, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
|
Chemical References |
|
Topics |
- Adult
- Anxiety Disorders
(psychology, therapy)
- Cognitive Behavioral Therapy
- Depressive Disorder
(psychology, therapy)
- Diazepam
(therapeutic use)
- Dothiepin
(therapeutic use)
- Female
- Follow-Up Studies
- Humans
- Male
- Middle Aged
- Neurotic Disorders
(psychology, therapy)
- Panic Disorder
(psychology, therapy)
- Personality Assessment
- Self-Help Groups
|