A randomized controlled trial of democratic therapeutic community treatment for personality disorder.

File Description SizeFormat 
TaCIT Accepted 2016.docxFile embargoed for 12 months after publication date 52.51 kBMicrosoft Word    Request a copy
Title: A randomized controlled trial of democratic therapeutic community treatment for personality disorder.
Author(s): Pearce, S
Scott, L
Attwood,, G
Saunders, K
Dean, M
DeRidder, R
Galea, D
Konstantinidou, H
Crawford, MJ
Item Type: Journal Article
Abstract: Background: Democratic therapeutic community (DTC) treatment has been used for many years in an effort to help people with personality disorder. High quality evidence from randomized controlled trials is absent. Aims: The aim of this study was to test whether DTC treatment reduces use of inpatient services and improves mental health of people with personality disorder. Method: A randomized controlled trial of 70 subjects meeting DSM-IV criteria for personality disorder. The intervention was DTC and the control condition was crisis planning plus treatment as usual. The primary outcome was days of inpatient psychiatric treatment. Secondary outcomes were social function, mental health status, self-harm and aggression, attendance at emergency departments and primary care, and satisfaction with care. All outcomes were measured at 12 and 24 months after randomization. Results: Among 35 allocated to DTC, 28 (80%) attended at least one treatment session. Number of inpatient days at follow-up was low among all participants and there was no difference between groups. At 24 months, self and other directed aggression and satisfaction with care were significantly improved in those allocated to DTC treatment compared to those receiving TAU. No adverse reactions were detected. Conclusion: DTC is more effective than TAU in improving outcomes in personality disorder. Further studies are required to confirm this conclusion.
Date of Acceptance: 5-Sep-2016
URI: http://hdl.handle.net/10044/1/39855
ISSN: 1472-1465
Publisher: Royal College of Psychiatrists
Journal / Book Title: British Journal of Psychiatry
Keywords: Psychiatry
11 Medical And Health Sciences
17 Psychology And Cognitive Sciences
Publication Status: Accepted
Appears in Collections:Department of Medicine
Faculty of Medicine



Items in Spiral are protected by copyright, with all rights reserved, unless otherwise indicated.

Creative Commons