Differential Effects of Psychological Interventions in Online and Face-to-Face Settings on DSM-5 and ICD-11 Maladaptive Trait Domains: An Exploratory Pilot Study

DOI
Publisher DOI
PubMed ID
34194347
Abstract
While mental health treatments have proven to be effective for a range of mental health problems, there is comparably little research on its effects on personality disorders or difficulty (PD). New dimensional conceptualizations of PD such as the ICD-11 PD model enable the cost- and time-effective dimensional assessment of severity and style of PD. Furthermore, they constitute a promising tool to investigate PD, not only as a treatment endpoint but also as a predictive or influencing factor for mental health treatments. In this study, we investigated the effects in two different mental health treatment settings [online (N = 38); face-to-face and blended [FTF/blended] (N = 35)] on the reduction of maladaptive personality traits as well as the interaction between maladaptive personality patterns and the response on primary endpoints (i.e., mental distress). Results indicate that both treatment settings have comparable within-group effects on the reduction of distress symptoms, while the treatment in the FTF/blended setting seems to have a stronger impact on the reduction of maladaptive traits. Further, reduction of maladaptive trait expressions was a reliable predictor of treatment response in the FTF/blended setting while explaining less variance in the online setting. Beyond the promising findings on the utility of maladaptive trait change as an outcome measure, we discuss possible applications as an information source for treatment decisions.
Date Issued
2021
Publication Type
Article
Subject(s)
Subjects
DSM-5 AMPD ICD-11 personality disorders PID5BF+ internet-based interventions for mental health maladaptive traits psychotherapy
Language(s)
en
Author(s)
Kerber, André
Schaeuffele, Carmen
Riper, Heleen
Boettcher, Johanna
Knaevelsrud, Christine
Additional Credits
Journal
Frontiers in psychiatry
Publisher
Frontiers
ISSN
1664-0640
Access(Rights)
open.access
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