Psychology and Psychotherapy: Theory, Research and Practice

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Volume 86 Issue 3 (September 2013), Pages 245-351

Three‐week inpatient Cognitive Evolutionary Therapy (CET) for patients with personality disorders: Evidence of effectiveness in symptoms reduction and improved treatment adherence (pages 262-279)

Objectives. The aim of this study was to evaluate the efficacy of Cognitive Evolutionary Therapy (CET) in an intensive short residential treatment of a wide range of severe personality disorders (PDs) that resulted in a reduction of social functioning and significant personal distress.

Design. Each patient was assessed at admission, discharge, and 3 months later in order to determine if there was a reduction in symptoms and an improved adherence to former outpatient programs and to check if patients were undergoing new treatment after discharge.

Method. Fifty‐one patients participated in this study. The 20‐hr weekly program consisted of two individual sessions and various group modules. Outcome measures included: self‐reported measures of depression, anxiety, general symptoms, number and duration of inpatient admissions after the programme, and continuation in an outpatient treatment programme.

Results. The results show an overall improvement in general psychopathology after the release and in follow‐up sessions, a decrease in the number of further hospital admissions, and an increased level of attendance of outpatient therapy.

Conclusions. This study shows that intensive short residential treatment is an effective treatment for patients with a wide range of PDs.

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