Imperial College London
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ProfessorMikeCrawford

Faculty of Medicine, Department of Brain Sciences

Professor of Mental Health Research
 
 
 
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Contact

 

+44 (0)20 3313 4161m.crawford

 
 
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Assistant

 

Ms Nicole Hickey +44 (0)20 3313 4161

 
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Location

 

Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Pearce:2017:10.1192/bjp.bp.116.184366,
author = {Pearce, S and Scott, L and Attwood, G and Saunders, K and Dean, M and De, Ridder R and Galea, D and Konstantinidou, H and Crawford, M},
doi = {10.1192/bjp.bp.116.184366},
journal = {British Journal of Psychiatry},
pages = {149--156},
title = {Democratic therapeutic community treatment for personality disorder: randomised controlled trial},
url = {http://dx.doi.org/10.1192/bjp.bp.116.184366},
volume = {210},
year = {2017}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - 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 randomised controlled trials (RCTs) is absent. AIMS: To test whether DTC treatment reduces use of in-patient services and improves the mental health of people with personality disorder. METHOD: An RCT of 70 people meeting DSM-IV criteria for personality disorder (trial registration: ISRCTN57363317). The intervention was DTC and the control condition was crisis planning plus treatment as usual (TAU). The primary outcome was days of in-patient 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 randomisation. RESULTS: Number of in-patient 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 the DTC compared with the TAU group. CONCLUSIONS: DTC is more effective than TAU in improving outcomes in personality disorder. Further studies are required to confirm this conclusion.
AU  - Pearce,S
AU  - Scott,L
AU  - Attwood,G
AU  - Saunders,K
AU  - Dean,M
AU  - De,Ridder R
AU  - Galea,D
AU  - Konstantinidou,H
AU  - Crawford,M
DO  - 10.1192/bjp.bp.116.184366
EP  - 156
PY  - 2017///
SN  - 1472-1465
SP  - 149
TI  - Democratic therapeutic community treatment for personality disorder: randomised controlled trial
T2  - British Journal of Psychiatry
UR  - http://dx.doi.org/10.1192/bjp.bp.116.184366
UR  - http://www.ncbi.nlm.nih.gov/pubmed/27908900
UR  - http://hdl.handle.net/10044/1/43163
VL  - 210
ER  -
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