The role of avoidant and obsessive-compulsive personality disorder traits in matching patients with major depression to cognitive behavioral and psychodynamic therapy: A replication study

Martijn J Kikkert; Ellen Driessen; Jaap Peen; Jacques P Barber; Claudi Bockting; Frans Schalkwijk; Jeff Dekker; Jack J M Dekker

doi:10.1016/j.jad.2016.08.017

The role of avoidant and obsessive-compulsive personality disorder traits in matching patients with major depression to cognitive behavioral and psychodynamic therapy: A replication study

Martijn J Kikkert
, Ellen Driessen
, Jaap Peen
, Jacques P Barber
, Claudi Bockting
, Frans Schalkwijk
, Jeff Dekker
, Jack J M Dekker

Department of Surgery, Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, Cancer Center Amsterdam, Amsterdam, the Netherlands.
NPI, Arkin Mental Health Care, Amsterdam, Netherlands
Adelphi University
Department of Sciences, Amsterdam University College, VU Amsterdam/University of Amsterdam, 1012 WX, Amsterdam, The Netherlands

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: Barber and Muenz (1996) reported that cognitive behavior therapy (CBT) was more effective than interpersonal therapy (IPT) for depressed patients with elevated levels of avoidant personality disorder, while IPT was more effective than CBT in patients with elevated levels of obsessive-compulsive personality disorder. These findings may have important clinical implications, but have not yet been replicated.

METHODS: We conducted a study using data from a randomized clinical trial comparing the efficacy of CBT and short-term psychodynamic supportive psychotherapy in the outpatient treatment of depression.

RESULTS: We found no evidence indicating that avoidant patients may benefit more from CBT compared to short-term psychodynamic supportive therapy (SPSP).

CONCLUSIONS: Our results indicate that treatment effect does not depend on the level of avoidance, or obsessive-compulsiveness personality disorders further examine the influence of personality disorders on the effectiveness of CBT or psychodynamic therapy in the treatment of depression.

Original language	English
Pages (from-to)	400-405
Number of pages	6
Journal	Journal of affective disorders
Volume	205
DOIs	https://doi.org/10.1016/j.jad.2016.08.017
Publication status	Published - 15 Nov 2016

Keywords

Adult
Cognitive Behavioral Therapy
Compulsive Personality Disorder/therapy
Depressive Disorder, Major/complications
Female
Humans
Male
Patient Selection
Personality Disorders/therapy
Psychotherapy, Brief
Psychotherapy, Psychodynamic
Randomized Controlled Trials as Topic/psychology
Treatment Outcome
Young Adult

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10.1016/j.jad.2016.08.017

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Kikkert, M. J., Driessen, E., Peen, J., Barber, J. P., Bockting, C., Schalkwijk, F., Dekker, J., & Dekker, J. J. M. (2016). The role of avoidant and obsessive-compulsive personality disorder traits in matching patients with major depression to cognitive behavioral and psychodynamic therapy: A replication study. Journal of affective disorders, 205, 400-405. https://doi.org/10.1016/j.jad.2016.08.017

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title = "The role of avoidant and obsessive-compulsive personality disorder traits in matching patients with major depression to cognitive behavioral and psychodynamic therapy: A replication study",

abstract = "BACKGROUND: Barber and Muenz (1996) reported that cognitive behavior therapy (CBT) was more effective than interpersonal therapy (IPT) for depressed patients with elevated levels of avoidant personality disorder, while IPT was more effective than CBT in patients with elevated levels of obsessive-compulsive personality disorder. These findings may have important clinical implications, but have not yet been replicated.METHODS: We conducted a study using data from a randomized clinical trial comparing the efficacy of CBT and short-term psychodynamic supportive psychotherapy in the outpatient treatment of depression.RESULTS: We found no evidence indicating that avoidant patients may benefit more from CBT compared to short-term psychodynamic supportive therapy (SPSP).CONCLUSIONS: Our results indicate that treatment effect does not depend on the level of avoidance, or obsessive-compulsiveness personality disorders further examine the influence of personality disorders on the effectiveness of CBT or psychodynamic therapy in the treatment of depression.",

keywords = "Adult, Cognitive Behavioral Therapy, Compulsive Personality Disorder/therapy, Depressive Disorder, Major/complications, Female, Humans, Male, Patient Selection, Personality Disorders/therapy, Psychotherapy, Brief, Psychotherapy, Psychodynamic, Randomized Controlled Trials as Topic/psychology, Treatment Outcome, Young Adult",

author = "Kikkert, \{Martijn J\} and Ellen Driessen and Jaap Peen and Barber, \{Jacques P\} and Claudi Bockting and Frans Schalkwijk and Jeff Dekker and Dekker, \{Jack J M\}",

year = "2016",

month = nov,

day = "15",

doi = "10.1016/j.jad.2016.08.017",

language = "English",

volume = "205",

pages = "400--405",

journal = "Journal of affective disorders",

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publisher = "Elsevier",

}

Kikkert, MJ, Driessen, E, Peen, J, Barber, JP, Bockting, C, Schalkwijk, F, Dekker, J & Dekker, JJM 2016, 'The role of avoidant and obsessive-compulsive personality disorder traits in matching patients with major depression to cognitive behavioral and psychodynamic therapy: A replication study', Journal of affective disorders, vol. 205, pp. 400-405. https://doi.org/10.1016/j.jad.2016.08.017

The role of avoidant and obsessive-compulsive personality disorder traits in matching patients with major depression to cognitive behavioral and psychodynamic therapy: A replication study. / Kikkert, Martijn J; Driessen, Ellen; Peen, Jaap et al.
In: Journal of affective disorders, Vol. 205, 15.11.2016, p. 400-405.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - The role of avoidant and obsessive-compulsive personality disorder traits in matching patients with major depression to cognitive behavioral and psychodynamic therapy

T2 - A replication study

AU - Kikkert, Martijn J

AU - Driessen, Ellen

AU - Peen, Jaap

AU - Barber, Jacques P

AU - Bockting, Claudi

AU - Schalkwijk, Frans

AU - Dekker, Jeff

AU - Dekker, Jack J M

PY - 2016/11/15

Y1 - 2016/11/15

N2 - BACKGROUND: Barber and Muenz (1996) reported that cognitive behavior therapy (CBT) was more effective than interpersonal therapy (IPT) for depressed patients with elevated levels of avoidant personality disorder, while IPT was more effective than CBT in patients with elevated levels of obsessive-compulsive personality disorder. These findings may have important clinical implications, but have not yet been replicated.METHODS: We conducted a study using data from a randomized clinical trial comparing the efficacy of CBT and short-term psychodynamic supportive psychotherapy in the outpatient treatment of depression.RESULTS: We found no evidence indicating that avoidant patients may benefit more from CBT compared to short-term psychodynamic supportive therapy (SPSP).CONCLUSIONS: Our results indicate that treatment effect does not depend on the level of avoidance, or obsessive-compulsiveness personality disorders further examine the influence of personality disorders on the effectiveness of CBT or psychodynamic therapy in the treatment of depression.

AB - BACKGROUND: Barber and Muenz (1996) reported that cognitive behavior therapy (CBT) was more effective than interpersonal therapy (IPT) for depressed patients with elevated levels of avoidant personality disorder, while IPT was more effective than CBT in patients with elevated levels of obsessive-compulsive personality disorder. These findings may have important clinical implications, but have not yet been replicated.METHODS: We conducted a study using data from a randomized clinical trial comparing the efficacy of CBT and short-term psychodynamic supportive psychotherapy in the outpatient treatment of depression.RESULTS: We found no evidence indicating that avoidant patients may benefit more from CBT compared to short-term psychodynamic supportive therapy (SPSP).CONCLUSIONS: Our results indicate that treatment effect does not depend on the level of avoidance, or obsessive-compulsiveness personality disorders further examine the influence of personality disorders on the effectiveness of CBT or psychodynamic therapy in the treatment of depression.

KW - Adult

KW - Cognitive Behavioral Therapy

KW - Compulsive Personality Disorder/therapy

KW - Depressive Disorder, Major/complications

KW - Female

KW - Humans

KW - Male

KW - Patient Selection

KW - Personality Disorders/therapy

KW - Psychotherapy, Brief

KW - Psychotherapy, Psychodynamic

KW - Randomized Controlled Trials as Topic/psychology

KW - Treatment Outcome

KW - Young Adult

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DO - 10.1016/j.jad.2016.08.017

M3 - Article

SN - 0165-0327

VL - 205

SP - 400

EP - 405

JO - Journal of affective disorders

JF - Journal of affective disorders

ER -

The role of avoidant and obsessive-compulsive personality disorder traits in matching patients with major depression to cognitive behavioral and psychodynamic therapy: A replication study

Abstract

Keywords

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