In Search of Patient Characteristics That May Guide Empirically Based Treatment Selection for Personality Disorder Patients-A Concept Map Approach.

Using the concept map method, this study aimed to summarize and describe patient characteristics pertinent to treatment selection for patients with personality disorders (PDs). Initial patient characteristics were derived from the research literature and a survey among Dutch expert clinicians. Conce...

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Bibliographic Details
Published in:Journal of Personality Disorders Vol. 26; no. 4; pp. 481 - 498
Main Authors: van Manen, J. G., Kamphuis, J. H., Goossensen, A., Timman, R., Busschbach, J. J. V., Verheul, R.
Format: research systematic review tables/charts Journal Article
Published: Guilford Publications Inc. Aug2012
Online Access:View this record in EBSCOhost
Description
Summary:Using the concept map method, this study aimed to summarize and describe patient characteristics pertinent to treatment selection for patients with personality disorders (PDs). Initial patient characteristics were derived from the research literature and a survey among Dutch expert clinicians. Concept mapping is a formalized conceptualization procedure that describes the underlying cognitive structures people use in complex tasks, such as treatment allocation. Based on expert opinions of 29 Dutch clinicians, a concept map was generated that yielded eight domains of patient characteristics, i.e., Severity of symptoms, Severity of personality pathology, Ego-adaptive capacities, Motivation and working alliance, Social context, Social demographic characteristics, Trauma, and Treatment history and medical condition. These domains can be ordered along two bipolar axes, running from internal to external concepts and from vulnerability to strength concepts, respectively. Our findings may serve as input for the delineation of algorithms for patient-treatment matching research in PD.