Effectiveness of outpatient and community treatments for people with a diagnosis of ‘personality disorder’: systematic review and meta-analysis

Katakis, Panos; Schlief, Merle; Barnett, Phoebe; Rains, Luke Sheridan; Rowe, Sarah; Pilling, Steve; Johnson, Sonia

doi:10.1186/s12888-022-04483-0

Table 3 Meta-regression analysis of intervention type, service setting, treatment duration, treatment intensity and diagnoses

From: Effectiveness of outpatient and community treatments for people with a diagnosis of ‘personality disorder’: systematic review and meta-analysis

Outcome	K	Variable	Beta*	95% CI	p-value
Anxiety symptoms	16	Intervention type ^a
		Psychodynamic Therapy	−0.47	−1.43, 0.49	0.33
		DBT	0.31	−0.60, 1.22	0.51
		MBT	0.18	−0.78, 1.14	0.72
		Service setting ^b
		Specialist day service	0.98	−0.23, 2.20	0.11
		Specialist team	0.40	−1.02, 1.83	0.58
		Standalone outpatient intervention	0.25	−0.67, 1.16	0.60
		Treatment duration ^c
		4–6 months	−0.63	−1.36, 0.10	0.09
		7–12 months	−0.80	−1.61, 0.01	0.05
		> 12 months	−0.26	−1.25, 0.73	0.60
		Treatment intensity ^d
		2–3 sessions	−0.11	−0.75, 0.54	0.74
		> 3 sessions	0.68	−0.37, 1.73	0.20
		Diagnoses ^e
		Other PDs	−0.80	−1.76, 0.17	0.10
Depressive symptoms	23	Intervention type
		Psychodynamic Therapy	−0.02	−0.82, 0.77	0.95
		DBT	0.12	−0.41, 0.64	0.67
		MBT	0.51	−0.14, 1.15	0.12
		Service setting
		Specialist day service	0.74	−0.16, 1.63	0.11
		Specialist team	0.16	−0.60, 0.93	0.68
		Standalone outpatient intervention	0.31	−0.41, 1.02	0.40
		Treatment duration
		4–6 months	−0.27	−0.79, 0.25	0.31
		7–12 months	−0.55	−1.10, 0.01	0.05
		> 12 months	0.10	−0.60, 0.79	0.80
		Treatment intensity
		2–3 sessions	−0.11	−0.58, 0.37	0.66
		> 3 sessions	0.03	−0.59, 0.64	0.93
		Diagnoses
		Other PDs	−0.71	−1.39, −0.03	0.04*
Psychiatric symptoms	36	Intervention type
		Psychodynamic Therapy	−0.04	−0.48, 0.39	0.85
		DBT	−0.08	−0.51, 0.35	0.72
		MBT	0.09	−0.45, 0.62	0.75
		Schema Therapy	0.57	−0.47, 1.60	0.28
		Service setting
		Specialist day service	0.08	−0.51, 0.68	0.78
		Specialist team	0.24	−0.25, 0.74	0.34
		Standalone outpatient intervention	0.23	−0.19, 0.65	0.29
		Treatment duration
		4–6 months	−0.10	−0.54, 0.33	0.64
		7–12 months	−0.24	−0.60, 0.12	0.20
		> 12 months	0.00	−0.45, 0.44	0.98
		Treatment intensity
		2–3 sessions	0.04	−0.26, 0.35	0.79
		> 3 sessions	−0.17	−0.52, 0.17	0.32
		Diagnoses
		Other diagnoses/symptoms	−0.05	−0.94, 0.83	0.91
		Other PDs	0.03	−0.27, 0.32	0.86
BPD symptoms	23	Intervention type
		Psychodynamic Therapy	−0.16	−0.74, 0.42	0.58
		DBT	−0.14	−0.60, 0.33	0.57
		MBT	0.13	−0.54, 0.79	0.71
		Schema Therapy	0.82	−0.24, 1.89	0.13
		Service setting
		Specialist day service	−0.21	−1.24, 0.82	0.69
		Specialist team	0.40	−0.78, 1.59	0.51
		Standalone outpatient intervention	−0.08	−0.93, 0.77	0.86
		Treatment duration
		4–6 months	−0.59	−0.98, −0.20	0.003**
		7–12 months	−0.50	−0.90, −0.11	0.01*
		> 12 months	−0.10	−0.65, 0.44	0.71
		Treatment intensity
		2–3 sessions	−0.05	−0.44, 0.33	0.78
		> 3 sessions	0.02	−0.44, 0.49	0.92
		Diagnoses
		Other PDs	−0.41	−1.12, 0.30	0.26

*Adjusted for control group category. ** p < 0.05. *** p < 0.01. The reference group is ^a CBT, ^b Generic mental health service, ^c < 4 months, ^d < 2 sessions, and ^e BPD for intervention category, service setting, treatment duration, treatment intensity and diagnoses respectively. Abbreviations: ΜΒΤ Mentalization-Based Treatment, CBT Cognitive Behavioral Therapies, BPD Borderline Personality Disorder, DBT Dialectical Behavior Therapy, PD Personality Disorder

Back to article page

ISSN: 1471-244X

Contact us

Submission enquiries: bmcpsychiatry@biomedcentral.com
General enquiries: ORSupport@springernature.com

BMC Psychiatry

Contact us