Author:
Ball Jillian,Kearney Brian,Wilhelm Kay,Dewhurst-Savellis Jodie,Barton Belinda
Abstract
Longitudinal evaluations were conducted on 61 adults who were referred to a
Mood Disorders Unit with a history of depression (all index episodes
reached criteria for DSM-III-R major depression or dysthymia) and who had
completed a cognitive behavioural therapy group either on its own or in
combination with an assertion training group. Assessment of personality was
made using DSM-III-R Axis II personality disorder categories. These
categories were aggregated to form three groups: (i) no personality
disorder; (ii) Cluster B (dramatic-erratic); and
(iii) Cluster C (anxious-fearful), and were used to identify responsiveness
to treatment and outcome at long-term follow-up. A battery of self-report
measures were administered pretreatment, posttreatment and at long-term
follow-up (1–3 years later). Both groups showed significant
improvements in mean scores during treatment and these gains were maintained
over the follow-up period. However, improvement in those patients without
personality disorders was greater at posttreatment and at long-term
follow-up, both in level of depressive symptomatology and proportion of
cases meeting criteria for recovery. The treatment implications of these
results are discussed.
Publisher
Cambridge University Press (CUP)
Subject
Clinical Psychology,General Medicine
Cited by
13 articles.
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