Depression and Comorbid Personality Disorder - Effectiveness of Psychodynamic Inpatient Psychotherapy

Psychotherapie, Psychosomatik, medizinische Psychologie
Daniel SeidlerMatthias Franz

Abstract

Objectives Depression is one of the most common illnesses. The effectiveness of psychodynamic psychotherapy on depressive symptom load has been demonstrated. However, for patients suffering from comorbid personality disorder (PD) a decreased benefit has been reported, as well as fewer rates of remission and extended duration of remission. However, findings are inconsistent. The objective of this study was to determine potential differences in therapy-outcome comparing female patients with and without comorbid PD. Method Including female inpatients aged between 25-45 years (N=377) in a psychodynamic treatment, the dissenting outcome on depressive symptom load (among others BDI; HAMD) as well as psychodynamic variables (IPO) by patients with and without comorbid PD were analysed within a naturalistic multicenter intervention study (STOP-D). Data were collected in 15 psychodynamically oriented psychosomatic hospital units in Germany, based on self- and external-assessment instruments. Results Under comparable therapy-doses, female patients with and without comorbid PD benefit significantly from psychodynamic inpatient treatment. By equivalent baseline severity of clinical symptoms patients without comorbid PD show larger effect si...Continue Reading

Citations

Jan 10, 2020·Journal of Personality Assessment·Susanne Hörz-SagstetterJohannes Zimmermann
Jun 4, 2019·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Daniel SeidlerMatthias Franz
Sep 16, 2021·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Marc A NordmannMatthias Franz

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