Effectiveness of short-term inpatient psychotherapy based on transactional analysis with patients with personality disorders: A matched control study using propensity score

E.K. Horn, R. Verheul, M. Thunissen, J. Delimon, M. Soons, A.M.M.A. Meerman, U.M. Ziegler, B.V. Rossum, H. Andrea, T. Stijnen, P.M. Emmelkamp, J.J.V. Busschbach

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Abstract

Controlled studies on the effectiveness of inpatient psychotherapy with patients with personality disorders (PD) are rare. This study aims to compare 3-month short-term inpatient psychotherapy based on transactional analysis (STIP-TA) with other psychotherapies (OP) up to 36-month follow-up. PD patients treated with STIP-TA were matched with OP patients using the propensity score. The primary outcome measure was general psychiatric symptomatology; secondary outcomes were psychosocial functioning and quality of life. In 67 pairs of patients, both STIP-TA and OP showed large symptomatic and functional improvements. However, STIP-TA patients showed more symptomatic improvement at all time points compared to OP patients. At 36 months, 68% of STIP-TA patients were symptomatically recovered compared to 48% of OP patients. STIP-TA outperformed OP in terms of improvements in general psychiatric symptomatology and quality of life. Superiority of STIP-TA was most pronounced at 12-month follow-up, but remained intact over the course of the 3-year follow-up.


Original languageEnglish
Pages (from-to)663-683
JournalJournal of Personality Disorders
Volume29
Issue number5
DOIs
Publication statusPublished - 2015

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    Horn, E. K., Verheul, R., Thunissen, M., Delimon, J., Soons, M., Meerman, A. M. M. A., Ziegler, U. M., Rossum, B. V., Andrea, H., Stijnen, T., Emmelkamp, P. M., & Busschbach, J. J. V. (2015). Effectiveness of short-term inpatient psychotherapy based on transactional analysis with patients with personality disorders: A matched control study using propensity score. Journal of Personality Disorders, 29(5), 663-683. https://doi.org/10.1521/pedi_2014_28_166