Siri Omvik, Arnheid Kvamme, Jörg Assmus, Elfrida Kvarstein, Geir Pedersen, Kjell-Einar Zahl
{"title":"回避型人格障碍的元认知人际治疗——与最佳实践的比较。","authors":"Siri Omvik, Arnheid Kvamme, Jörg Assmus, Elfrida Kvarstein, Geir Pedersen, Kjell-Einar Zahl","doi":"10.1002/cpp.70149","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Introduction</h3>\n \n <p>Avoidant personality disorder (AvPD) is a prevalent condition characterized by low self-esteem and social withdrawal. Nonetheless, targeted psychotherapy remains limited. This study aimed to examine short-term metacognitive interpersonal therapy in group (MIT-G) tailored for AvPD and to compare the outcomes of patients receiving this treatment with patients participating in outpatient group therapies within specialized mental health services for personality disorders (representing best available practice).</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>The study had a quasi-experimental design and included 56 patients with AvPD who participated in MIT-G. The comparison group was derived from the Norwegian Network for Personality Disorders (<i>N</i> = 154). Assessments for the MIT-G group were conducted before and after treatment and at a 6-month follow-up. Outcome measures included personality functioning, alexithymia, symptoms of anxiety and depression, work/social functioning and group relationships.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Significant, moderate improvements were found across all outcome measures in the MIT-G group. Enhancement in personality functioning was greater, and group relationships, specifically regarding group cohesion and perceptions of positive work, were rated more satisfactory than in the comparison group.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The findings suggest that MIT-G contributes to significant clinical improvements among patients with AvPD. The greater enhancement of personality functioning may link to better group relationships. Limitations include the nonrandomised design, unable to draw causal inferences.</p>\n </section>\n </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 5","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Metacognitive Interpersonal Therapy in Group for Avoidant Personality Disorder—A Comparison With Best Available Practice\",\"authors\":\"Siri Omvik, Arnheid Kvamme, Jörg Assmus, Elfrida Kvarstein, Geir Pedersen, Kjell-Einar Zahl\",\"doi\":\"10.1002/cpp.70149\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Introduction</h3>\\n \\n <p>Avoidant personality disorder (AvPD) is a prevalent condition characterized by low self-esteem and social withdrawal. Nonetheless, targeted psychotherapy remains limited. This study aimed to examine short-term metacognitive interpersonal therapy in group (MIT-G) tailored for AvPD and to compare the outcomes of patients receiving this treatment with patients participating in outpatient group therapies within specialized mental health services for personality disorders (representing best available practice).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>The study had a quasi-experimental design and included 56 patients with AvPD who participated in MIT-G. The comparison group was derived from the Norwegian Network for Personality Disorders (<i>N</i> = 154). Assessments for the MIT-G group were conducted before and after treatment and at a 6-month follow-up. Outcome measures included personality functioning, alexithymia, symptoms of anxiety and depression, work/social functioning and group relationships.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Significant, moderate improvements were found across all outcome measures in the MIT-G group. Enhancement in personality functioning was greater, and group relationships, specifically regarding group cohesion and perceptions of positive work, were rated more satisfactory than in the comparison group.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>The findings suggest that MIT-G contributes to significant clinical improvements among patients with AvPD. The greater enhancement of personality functioning may link to better group relationships. Limitations include the nonrandomised design, unable to draw causal inferences.</p>\\n </section>\\n </div>\",\"PeriodicalId\":10460,\"journal\":{\"name\":\"Clinical psychology & psychotherapy\",\"volume\":\"32 5\",\"pages\":\"\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-09-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical psychology & psychotherapy\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/cpp.70149\",\"RegionNum\":3,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical psychology & psychotherapy","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/cpp.70149","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Metacognitive Interpersonal Therapy in Group for Avoidant Personality Disorder—A Comparison With Best Available Practice
Introduction
Avoidant personality disorder (AvPD) is a prevalent condition characterized by low self-esteem and social withdrawal. Nonetheless, targeted psychotherapy remains limited. This study aimed to examine short-term metacognitive interpersonal therapy in group (MIT-G) tailored for AvPD and to compare the outcomes of patients receiving this treatment with patients participating in outpatient group therapies within specialized mental health services for personality disorders (representing best available practice).
Methods
The study had a quasi-experimental design and included 56 patients with AvPD who participated in MIT-G. The comparison group was derived from the Norwegian Network for Personality Disorders (N = 154). Assessments for the MIT-G group were conducted before and after treatment and at a 6-month follow-up. Outcome measures included personality functioning, alexithymia, symptoms of anxiety and depression, work/social functioning and group relationships.
Results
Significant, moderate improvements were found across all outcome measures in the MIT-G group. Enhancement in personality functioning was greater, and group relationships, specifically regarding group cohesion and perceptions of positive work, were rated more satisfactory than in the comparison group.
Conclusions
The findings suggest that MIT-G contributes to significant clinical improvements among patients with AvPD. The greater enhancement of personality functioning may link to better group relationships. Limitations include the nonrandomised design, unable to draw causal inferences.
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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
