Psychotherapy for patients with schizotypal personality disorder: A scoping review

IF 3.2 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Kåre Donskov Nielsen, Oliver Rumle Hovmand, Mie Sedoc Jørgensen, Maria Meisner, Sidse Marie Arnfred
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Abstract

Background

Treatment of schizotypal personality disorder is complex. Currently, there are no clear evidence-based recommendations for use of psychotherapy for individuals suffering from this mental illness, and studies are sparse. Our aim in this review is to map and describe the existing research and to answer the research question: What do we know about the use of psychotherapy for people with schizotypal personality disorder?

Methods

We conducted a scoping review using systematic searches in the Embase, MEDLINE and PsycINFO databases. Two reviewers screened possible studies and extracted data on subject samples, type of psychotherapy, outcomes and suggested mechanisms of change. The review is based on the PRISMA checklist for scoping reviews.

Results

Twenty-three papers were included, and we found a wide variety of study types, psychotherapeutic orientations and outcomes. Few studies emerged that focused solely on schizotypal personality disorder.

Conclusion

Psychotherapy as a treatment for schizotypal personality disorder is understudied compared with diagnoses such as schizophrenia and borderline personality disorder. Our results included two randomized controlled studies, as well as mainly smaller studies with different approaches to diagnostic criteria, psychotherapeutic orientation and outcome measures. The findings are too sparse and too diverse to make any evidence-based recommendations. We found some indications that psychotherapy may support and assist individuals with schizotypal personality disorder.

Abstract Image

精神分裂型人格障碍患者的心理治疗:范围综述。
背景介绍分裂型人格障碍的治疗非常复杂。目前,针对这种精神疾病患者的心理治疗还没有明确的循证建议,相关研究也非常稀少。本综述旨在对现有研究进行梳理和描述,并回答研究问题:我们对精神分裂型人格障碍患者使用心理疗法了解多少?我们在 Embase、MEDLINE 和 PsycINFO 数据库中进行了系统性检索,从而开展了一次范围界定综述。两名审稿人对可能的研究进行了筛选,并提取了关于研究对象样本、心理疗法类型、结果和建议的改变机制的数据。本综述以范围界定综述的 PRISMA 核对表为基础:结果:共收录了 23 篇论文,我们发现研究类型、心理治疗方向和结果多种多样。结论:心理治疗作为精神分裂症的一种治疗方法,在临床治疗中发挥着重要作用:结论:与精神分裂症和边缘型人格障碍等诊断相比,心理治疗作为分裂型人格障碍的一种治疗方法还未得到充分研究。我们的研究结果包括两项随机对照研究,以及主要采用不同诊断标准、心理治疗方向和结果测量方法的小型研究。这些研究结果过于稀少,而且种类繁多,因此无法提出任何基于证据的建议。我们发现一些迹象表明,心理治疗可以为分裂型人格障碍患者提供支持和帮助。
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来源期刊
Clinical psychology & psychotherapy
Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
6.30
自引率
5.60%
发文量
106
期刊介绍: Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.
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