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Personality abnormality in severe mental illness and its influence on outcome of intensive and standard case management: a randomised controlled trial

Published online by Cambridge University Press:  16 April 2020

P. Tyrer ,
C. Manley ,
E. Van Horn ,
D. Leddy  and
O.C. Ukoumunne
P. Tyrer*
Affiliation:
Department of Public Mental Health, Division of Neuroscience and Psychological Medicine, Imperial College School of Medicine, Paterson Centre, 20 Wharf Road, LondonW2 1PD, UK
C. Manley
Affiliation:
Department of Public Mental Health, Division of Neuroscience and Psychological Medicine, Imperial College School of Medicine, Paterson Centre, 20 Wharf Road, LondonW2 1PD, UK
E. Van Horn
Affiliation:
Department of Public Mental Health, Division of Neuroscience and Psychological Medicine, Imperial College School of Medicine, Paterson Centre, 20 Wharf Road, LondonW2 1PD, UK
D. Leddy
Affiliation:
Department of Public Mental Health, Division of Neuroscience and Psychological Medicine, Imperial College School of Medicine, Paterson Centre, 20 Wharf Road, LondonW2 1PD, UK
O.C. Ukoumunne
Affiliation:
Department of Public Mental Health, Division of Neuroscience and Psychological Medicine, Imperial College School of Medicine, Paterson Centre, 20 Wharf Road, LondonW2 1PD, UK
*
* Correspondence and reprints
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Summary

One hundred fifty-five (77%) of 201 participants recruited in a trial of intensive vs standard case management of patients with recurrent psychotic illness had their personality status measured before treatment and were followed up for two years. The primary outcome was the total number of days spent in psychiatric hospitalisation in the two years following randomisation. Thirty-three (21%) of the patients had a personality disorder and their duration of hospital stay (105 days) was greater than in those without personality disorder (56 days). There was weak evidence that intensive case management more effective in reducing the duration of care in those with personality disorder than in those without personality disorder.

Keywords

costsoutcomepersonality disorderschizophreniatrial
Type
Original Article
Information
European Psychiatry , Volume 15 , Issue S1 , June 2000 , pp. 7 - 10
Copyright
Copyright © 2001 Éditions scientifiques et médicales Elsevier SAS. All rights reserved

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