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Associations between personality disorder characteristics and treatment outcomes in people with co-occurring alcohol misuse and depression

Overview of attention for article published in BMC Psychiatry, July 2016
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Title
Associations between personality disorder characteristics and treatment outcomes in people with co-occurring alcohol misuse and depression
Published in
BMC Psychiatry, July 2016
DOI 10.1186/s12888-016-0937-z
Pubmed ID
Authors

Kristen L. McCarter, Sean A. Halpin, Amanda L. Baker, Frances J. Kay-Lambkin, Terry J. Lewin, Louise K. Thornton, David J. Kavanagh, Brian J. Kelly

Abstract

Personality disorders are highly comorbid with alcohol misuse and depressive symptomatology; however, few studies have investigated treatment outcomes in this population. The aim of this study was to examine relationships between baseline personality disorder cluster profiles and overall and treatment-related changes for those with co-occurring alcohol misuse and depression. Secondary analysis was conducted using a subset of data (N = 290) from two randomised controlled trials of psychological interventions for co-occurring alcohol misuse and depression, which did not specifically target personality disorders. Baseline dimensional personality disorder cluster scores were derived from the International Personality Disorder Examination Questionnaire (IPDEQ). Four treatment conditions were compared: a brief integrated intervention, followed by no further treatment, or nine further sessions of integrated-, alcohol-, or depression-focused treatment. Associations between IPDEQ scores and changes in alcohol use, depressive symptoms and functioning from baseline to the 6- and the 12-month follow-ups were of primary interest. Personality disorder cluster scores moderately negatively impacted on overall change (primarily Cluster C), as well as treatment-related outcomes (primarily Cluster A), particularly changes in depressive symptoms and psychosocial functioning. Longer interventions appeared to be more effective in the longer-term (e.g., at 12-month follow-up), with integrated interventions relatively more effective than single-focused ones for individuals with higher personality disorder cluster scores. Greater attention needs to be paid to particular personality disorder clusters during the assessment and treatment of individuals with co-occurring alcohol misuse and depression. Integrated interventions, incorporating motivational interviewing and cognitive behaviour therapy, may provide a useful therapeutic framework. Integrated interventions also provide opportunities for adjunctive components focussing on other issues and coping strategies (e.g., to offset negative affective states), potentially tailored to the characteristics and needs of individual participants.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 158 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Colombia 1 <1%
Unknown 157 99%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 21 13%
Researcher 18 11%
Student > Bachelor 17 11%
Student > Master 16 10%
Other 8 5%
Other 30 19%
Unknown 48 30%
Readers by discipline Count As %
Psychology 43 27%
Medicine and Dentistry 23 15%
Social Sciences 10 6%
Nursing and Health Professions 8 5%
Agricultural and Biological Sciences 3 2%
Other 13 8%
Unknown 58 37%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 July 2016.
All research outputs
#15,689,396
of 23,314,015 outputs
Outputs from BMC Psychiatry
#3,497
of 4,812 outputs
Outputs of similar age
#228,351
of 357,042 outputs
Outputs of similar age from BMC Psychiatry
#81
of 122 outputs
Altmetric has tracked 23,314,015 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,812 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 12.4. This one is in the 21st percentile – i.e., 21% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 357,042 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 122 others from the same source and published within six weeks on either side of this one. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.