Nick Huband1, Mary McMurran, Chris Evans, Conor Duggan. 1. Nottinghamshire Healthcare NHS Trust, Duncan Macmillan House, Porchester Road, Nottingham NG3 6AA, UK. nick.huband@nottshc.nhs.uk
Abstract
BACKGROUND:Social problem-solving therapy may be relevant in the treatment of personality disorder, although assessments of its effectiveness are uncommon. AIMS: To determine the effectiveness of a problem-solving intervention for adults with personality disorder in the community under conditions resembling routine clinical practice. METHOD: Participants were randomly allocated to brief psychoeducation plus 16 problem-solving group sessions (n=87) or to waiting-list control (n=89). Primary outcome was comparison of scores on the Social Problem Solving Inventory and the Social Functioning Questionnaire between intervention and control arms at the conclusion of treatment, on average at 24 weeks after randomisation. RESULTS: In intention-to-treat analysis, those allocated to intervention showed significantly better problem-solving skills (P<0.001), higher overall social functioning (P=0.031) and lower anger expression (P=0.039) compared with controls. No significant differences were found on use of services during the intervention period. CONCLUSIONS:Problem-solving plus psychoeducation has potential as a preliminary intervention for adults with personality disorder.
RCT Entities:
BACKGROUND: Social problem-solving therapy may be relevant in the treatment of personality disorder, although assessments of its effectiveness are uncommon. AIMS: To determine the effectiveness of a problem-solving intervention for adults with personality disorder in the community under conditions resembling routine clinical practice. METHOD:Participants were randomly allocated to brief psychoeducation plus 16 problem-solving group sessions (n=87) or to waiting-list control (n=89). Primary outcome was comparison of scores on the Social Problem Solving Inventory and the Social Functioning Questionnaire between intervention and control arms at the conclusion of treatment, on average at 24 weeks after randomisation. RESULTS: In intention-to-treat analysis, those allocated to intervention showed significantly better problem-solving skills (P<0.001), higher overall social functioning (P=0.031) and lower anger expression (P=0.039) compared with controls. No significant differences were found on use of services during the intervention period. CONCLUSIONS: Problem-solving plus psychoeducation has potential as a preliminary intervention for adults with personality disorder.
Authors: Simon Gibbon; Conor Duggan; Jutta Stoffers; Nick Huband; Birgit A Völlm; Michael Ferriter; Klaus Lieb Journal: Cochrane Database Syst Rev Date: 2010-06-16
Authors: Crispin Day; Jackie Briskman; Mike J Crawford; Lisa Foote; Lucy Harris; Janet Boadu; Paul McCrone; Mary McMurran; Daniel Michelson; Paul Moran; Liberty Mosse; Stephen Scott; Daniel Stahl; Paul Ramchandani; Timothy Weaver Journal: Health Technol Assess Date: 2020-03 Impact factor: 4.014
Authors: Mary McMurran; Mike J Crawford; Joseph G Reilly; Paul McCrone; Paul Moran; Hywel Williams; Clive E Adams; Conor Duggan; Juan Delport; Diane Whitham; Florence Day Journal: Trials Date: 2011-08-24 Impact factor: 2.279