Histrionic personality disorder (HPD) with a lifetime prevalence rate of 1,8% is an under-researched psychiatric diagnosis. The present study therefore aimed to investigate both the processes and outcomes of psychotherapy for HPD in a non-controlled study.
METHODS
A total of 159 patients diagnosed with HPD were recruited and received Clarification-Oriented Psychotherapy. Sessions 15, 20, and 25 were video-recorded and analyzed using the Process-Content-Relationship Scale. Therapy outcome was assessed with symptom measures at intake and discharge. Hierarchical Linear Modelling was applied to estimate the changes in the psychotherapeutic outcome and associations with patient and therapist process developments.
RESULTS
Improvements in relationship processes of patients and therapists were systematically related to outcome while only partial relationships were found on the levels of process and content.
CONCLUSION
The present study represents the first systematic insight into core changes in patients with HPD undergoing psychotherapy.
Date of Publication
2023-01
Publication Type
Article
Subject(s)
600 - Technology::610 - Medicine & health
Keyword(s)
Clarification-Oriented Psychotherapy hierarchical linear modelling histrionic personality disorder mechanisms of change process-outcome study
