TY - JOUR
T1 - Long-term outcome of inpatient psychotherapy for adolescents (IPA) with personality pathology
AU - Feenstra, Dine J.
AU - Laurenssen, Elisabeth M.P.
AU - Timman, Reinier
AU - Verheul, Roel
AU - Busschbach, Jan J.V.
AU - Hutsebaut, Joost
PY - 2014
Y1 - 2014
N2 - Little Is known about the effectiveness of treatment programs for adolescents with personality disorders (PDs). This descriptive study investigated long-term outcomes of inpatient psychotherapy for adolescents (IPA). In addition, predictors of long-term treatment effects were investigated. Seventy adolescents who completed their treatment were followed during and after their stay in IPA. Semistructured interviews were used to assess Axis I and Axis II disorders. Patients completed questionnaires to measure symptom severity and personality styles and functioning. Patients showed improvements (d ranging from. 18 to.80). After leaving IPA, a small relapse rate was shown. Higher levels of dependency or more Cluster C PD traits significantly predicted positive long-term treatment outcome. Although IPA might be effective for a particular group of adolescents, mean long-term treatment effects were at best modest. Given the high costs of IPA, developing adjustments to IPA and their guidelines is warranted to ensure cost-effectiveness.
AB - Little Is known about the effectiveness of treatment programs for adolescents with personality disorders (PDs). This descriptive study investigated long-term outcomes of inpatient psychotherapy for adolescents (IPA). In addition, predictors of long-term treatment effects were investigated. Seventy adolescents who completed their treatment were followed during and after their stay in IPA. Semistructured interviews were used to assess Axis I and Axis II disorders. Patients completed questionnaires to measure symptom severity and personality styles and functioning. Patients showed improvements (d ranging from. 18 to.80). After leaving IPA, a small relapse rate was shown. Higher levels of dependency or more Cluster C PD traits significantly predicted positive long-term treatment outcome. Although IPA might be effective for a particular group of adolescents, mean long-term treatment effects were at best modest. Given the high costs of IPA, developing adjustments to IPA and their guidelines is warranted to ensure cost-effectiveness.
UR - https://www.mendeley.com/catalogue/f49bb970-efa0-3549-a3f4-81b5ec829a60/
U2 - 10.1521/pedi_2014_28_132
DO - 10.1521/pedi_2014_28_132
M3 - Article
C2 - 24689768
SN - 1943-2763
VL - 28
SP - 637
EP - 656
JO - Journal of Personality Disorders
JF - Journal of Personality Disorders
IS - 5
ER -