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Cassel personality disorder study - Methodology and treatment effects

Chiesa, M; Fonagy, P; (2000) Cassel personality disorder study - Methodology and treatment effects. BRIT J PSYCHIAT , 176 485 - 491.

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Abstract

Background The effectiveness of hospital-based treatment models for personality disorder is still uncertain.Aims To compare effectiveness of two models of psychosocial intervention for personality disorder.Method Two samples of people with personality disorder allocated to a one-stage treatment model tin-patient treatment with no aftercare) and to a two-stage model (shorter in-patient admission followed by outreach therapy) are prospectively compared.Results Subjects in the two-stage sample did significantly better on global assessment of mental health (according to the Global Assessment Score (GAS)) at 6 and 12 months and on social adjustment (according to the Social Adjustment Scare (SAS)) at 12 months. Significant differences in rates of reliable improvement on the GAS (43% v. 17%) and SAS (39% v. 15%) in favour of the two-stage condition were found at 12 months. Subjects with borderline personality disorder (BPD) allocated to the two-stage model improved significantly more than such patients in the one-stage model.Conclusions Along-term phased model which combines hospital-based and community-based strategies has advantages over a purely in-patient model for the treatment of BPD.Declaration of interest This study was supported by the Sir Jules Thorn Charitable Trust and North Thames Regional Research and Development.

Type: Article
Title: Cassel personality disorder study - Methodology and treatment effects
Keywords: THERAPEUTIC-COMMUNITY TREATMENT, BORDERLINE PERSONALITY, CLINICAL-SIGNIFICANCE, PSYCHOTHERAPY
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: http://discovery.ucl.ac.uk/id/eprint/145263
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