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COGNITIVE BEHAVIOUR THERAPY AND ASSERTION TRAINING GROUPS FOR PATIENTS WITH DEPRESSION AND COMORBID PERSONALITY DISORDERS

Published online by Cambridge University Press:  01 January 2000

Jillian Ball
Affiliation:
Prince of Wales Hospital, Sydney, Australia
Brian Kearney
Affiliation:
Northside Clinic, Sydney, Australia
Kay Wilhelm
Affiliation:
St Vincent's Hospital, Sydney, Australia
Jodie Dewhurst-Savellis
Affiliation:
St Vincent's Hospital, Sydney, Australia
Belinda Barton
Affiliation:
New Children's Hospital, Westmead, Australia
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Abstract

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Longitudinal evaluations were conducted on 61 adults who were referred to a Mood Disorders Unit with a history of depression (all index episodes reached criteria for DSM-III-R major depression or dysthymia) and who had completed a cognitive behavioural therapy group either on its own or in combination with an assertion training group. Assessment of personality was made using DSM-III-R Axis II personality disorder categories. These categories were aggregated to form three groups: (i) no personality disorder; (ii) Cluster B (dramatic-erratic); and (iii) Cluster C (anxious-fearful), and were used to identify responsiveness to treatment and outcome at long-term follow-up. A battery of self-report measures were administered pretreatment, posttreatment and at long-term follow-up (1–3 years later). Both groups showed significant improvements in mean scores during treatment and these gains were maintained over the follow-up period. However, improvement in those patients without personality disorders was greater at posttreatment and at long-term follow-up, both in level of depressive symptomatology and proportion of cases meeting criteria for recovery. The treatment implications of these results are discussed.

Type
Clinical Section
Copyright
© 2000 British Association for Behavioural and Cognitive Psychotherapies
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