Strengthening the status of psychotherapy for personality disorders: an integrated perspective on effects and costs

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
Anna BartakJan J V Busschbach

Abstract

Despite scientific evidence of effectiveness, psychotherapy for personality disorders is not yet fully deployed, nor is its reimbursement self-evident. Both clinicians and health care policy-makers increasingly rely on evidence-based medicine and health economics when determining a treatment of choice and reimbursement. This article aims to contribute to that understanding by applying these criteria on psychotherapy as a treatment for patients with personality disorder. We have evaluated the available empirical evidence on effectiveness and cost-effectiveness, and integrated this with necessity of treatment as a moderating factor. The effectiveness of psychotherapy for personality disorders is well documented with favourable randomized trial results, 2 metaanalyses, and a Cochrane review. However, the evidence does not yet fully live up to modern standards of evidence-based medicine and is mostly limited to borderline and avoidant personality disorders. Data on cost-effectiveness suggest that psychotherapy for personality disorders may lead to cost-savings. However, state-of-the-art cost-effectiveness data are still scarce. An encouraging factor is that the available studies indicate that patients with personality disorder expe...Continue Reading

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Citations

Oct 15, 2008·Current Opinion in Psychiatry·Thorsten Kienast, Julia Foerster
Oct 25, 2013·Behavioural and Cognitive Psychotherapy·Jaime DelgadilloSimone Stephenson-Bellwood
Dec 20, 2015·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Ueli KramerJean-Nicolas Despland
Sep 20, 2011·International Review of Psychiatry·Katherine L Dixon-GordonAlexander L Chapman
Aug 9, 2020·International Journal of Environmental Research and Public Health·Géza KovácsMarie-Jose Enders-Slegers
Mar 1, 2013·Journal of Personality Disorders·Diana PapaioannouGlenys Parry
Apr 27, 2010·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·George Hadjipavlou, John S Ogrodniczuk
Jan 12, 2010·International Journal of Technology Assessment in Health Care·Caspar C BerghoutLeona Hakkaart-van Roijen

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