The British Journal of Psychiatry (2007) 190: 307-313. doi: 10.1192/bjp.bp.106.023341
© 2007 The Royal College of Psychiatrists
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Social problem-solving plus psychoeducation for adults with personality disorder

Pragmatic randomised controlled trial{dagger}

NICK HUBAND, PhD

Nottinghamshire Healthcare NHS Trust, Nottingham, UK

MARY McMURRAN, PhD

Section of Forensic Mental Health, University of Nottingham, Nottingham, UK

CHRIS EVANS, MRCPsych

Nottinghamshire Healthcare NHS Trust, Nottingham, UK

CONOR DUGGAN, FRCPsych

Section of Forensic Mental Health, University of Nottingham, Nottingham, UK

Correspondence: Dr Nick Huband, Nottinghamshire Healthcare NHS Trust, Duncan Macmillan House, Porchester Road, Nottingham NG3 6AA, UK. Email: nick.huband{at}nottshc.nhs.uk

Declaration of interest None.

{dagger} See editorial, pp. 283–284, this issue.

Background Social problem-solving therapy may be relevant in the treatment of personality disorder, although assessments of its effectiveness are uncommon.

Aims To determine the effectiveness of a problem-solving intervention for adults with personality disorder in the community under conditions resembling routine clinical practice.

Method Participants were randomly allocated to brief psychoeducation plus 16 problem-solving group sessions (n=87) or to waiting-list control (n=89). Primary outcome was comparison of scores on the Social Problem Solving Inventory and the Social Functioning Questionnaire between intervention and control arms at the conclusion of treatment, on average at 24 weeks after randomisation.

Results In intention-to-treat analysis, those allocated to intervention showed significantly better problem-solving skills (P<0.001), higher overall social functioning (P=0.031) and lower anger expression (P=0.039) compared with controls. No significant differences were found on use of services during the intervention period.

Conclusions Problem-solving plus psychoeducation has potential as a preliminary intervention for adults with personality disorder.


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