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Problem-solving therapy improves social functioning in people with personality disorder

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Does problem-solving therapy improve social functioning in adults with personality disorder?

Huband N, McMurran M, Evans C, et al. Social problem-solving plus psychoeducation for adults with personality disorder: pragmatic randomised controlled trial. Br J Psychiatry 2007;190:307–13.

METHODS

Embedded ImageDesign:

Randomised controlled trial.

Embedded ImageAllocation:

Concealed.

Embedded ImageBlinding:

Unblinded.

Embedded ImageFollow-up period:

Until the end of treatment, mean 24 weeks (range 21–28 weeks).

Embedded ImageSetting:

Five sites in the East Midlands, UK; September 2002 to March 2004.

Embedded ImagePatients:

176 community dwelling adults (aged 18–65 years) with DSM-IV personality disorder. Exclusions: major functional psychosis, insufficient literacy or poor cognitive functioning.

Embedded ImageIntervention:

Social problem solving (weekly 2-hour group sessions for up to 16 sessions) plus psychoeducation (three 1-hour sessions received before problem solving) or waiting list control. Both the intervention and control groups also received “treatment as usual” for their condition.

Embedded ImageOutcomes:

Social problem solving ability …

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