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Comparison of brief dynamic and cognitive–behavioural therapies in avoidant personality disorder

  • Paul M. G. Emmelkamp (a1), Ank Benner (a2), Antoinette Kuipers (a2), Guus A. Feiertag (a2), Harrie C. Koster (a2) and Franske J. van Apeldoorn (a2)...

Abstract

Background

There is a paucity of controlled trials examining the effectiveness of individual psychotherapy in personality disorders, especially in patients with cluster C disorders.

Aims

To compare the effectiveness of brief dynamic therapy and cognitive–behavioural therapy as out-patient treatment for people with avoidant personality disorder.

Method

Patients who met the criteria for avoidant personality disorder (n=62) were randomly assigned to 20 weekly sessions of either brief dynamic therapy (n=23) or cognitive–behavioural therapy (n=21), or they were assigned to the waiting-list control group (n=18). After the waiting period, patients in the control group were randomly assigned to one of the two therapies.

Results

Patients who received cognitive–behavioural therapy showed significantly more improvements on a number of measures in comparison with those who had brief dynamic psychotherapy or were in the waiting-list control group. Results were maintained at follow-up.

Conclusions

Cognitive–behavioural therapy is more effective than waiting-list control and brief dynamic therapy. Brief dynamic therapy was no better than the waiting-list control condition.

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Copyright

Corresponding author

Professor Paul M. G. Emmelkamp, University of Amsterdam, Department of Clinical Psychology, Roetersstraat 15, 1018 WB Amsterdam, The Netherlands. Email: P.M.G.Emmelkamp@uva.nl

Footnotes

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Declaration of interest

None.

Funding detailed in Acknowledgements.

Footnotes

References

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Comparison of brief dynamic and cognitive–behavioural therapies in avoidant personality disorder

  • Paul M. G. Emmelkamp (a1), Ank Benner (a2), Antoinette Kuipers (a2), Guus A. Feiertag (a2), Harrie C. Koster (a2) and Franske J. van Apeldoorn (a2)...

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