In adults with a personality disorder how effective are brief dynamic psychotherapies, compared to any other intervention, for improving patient outcomes?
Two poor quality systematic reviews and one small open
randomised controlled trial (RCT) with limitations in the reported
analyses provided very limited information on the effectiveness of
short-term psychodynamic psychotherapies for the treatment of
people with personality disorders. The results reported in the
systematic reviews were not sufficient to support any firm
conclusions. The additional RCT provided some preliminary evidence
that Psychic Representation-Focused Psychotherapy, used in addition
to standard treatment, may improve a range of symptoms in people
with borderline personality disorder. However, these results were
for immediate, post-treatment effects only; longer-term follow-up
from this study is ongoing. There is currently insufficient
evidence to support the use of short-term psychodynamic
psychotherapies in people with personality disorders and more
research is needed.
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