Evidence map›Paper›PMID 21543951›Full record

Trial reportThe Journal of nervous and mental disease2011

Randomized trial of dual-focused vs. single-focused individual therapy for personality disorders and substance dependence.

Samuel A Ball, Lisa M Maccarelli, Donna M LaPaglia, Mark J Ostrowski

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of nervous and mental disease, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Psychological interventions for antisocial personality disorder.The Cochrane database of systematic reviews · 2020
    Pooled it
  2. Trial
  3. Trial
  4. Automaticity: schema modes in addiction.Frontiers in psychiatry · 2023
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
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  11. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Samuel A BallDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT, USA. samuel.ball@yale.edu
Lisa M Maccarelli
Donna M LaPaglia
Mark J Ostrowski
APT Foundation · USUniversity of Pittsburgh Medical Center · USYale University · US

Funding

Psychotherapy Enhancement for TC RetentionR01DA014967 · NIDA · APT FOUNDATION, INC. · PI BALL, SAMUEL A. · 2001 to 2004
$1.6M
NIDA NIH HHS R01 DA014967NIDA NIH HHS R01DA14967
6 · The paper itself

Abstract

We conducted a randomized comparison of dual-focus schema therapy with individual drug counseling as enhancements to the residential treatment of 105 substance-dependent patients with specific personality disorders versus those without. Both therapies were manual-guided and delivered for 6 months by experienced psychotherapists intensively trained and supervised with independent fidelity assessment. Using the Cox proportional hazards model, we found no psychotherapy differences in retention (days in treatment). Hierarchical linear modeling indicated that participants with personality disorders started with higher psychiatric, interpersonal, and dysphoria symptoms and that both therapies reduced symptoms in 6 months. Contrary to predictions, individual drug counseling resulted in more sustained reductions than did dual-focus schema therapy in several symptoms for several personality disorders. Our findings raised important questions about the added value of integrative or dual-focus therapies for co-occurring personality disorders and substance dependence relative to empirically supported therapies focused more specifically on addiction symptoms.

Indexed as

AdultDiagnosis, Dual (Psychiatry)FemaleHumansMalePatient CompliancePersonality AssessmentPersonality DisordersPsychiatric Status Rating ScalesPsychotherapySubstance-Related Disorders

Identifiers

PMID21543951
PMCPMC3100211
OpenAlexW2029572860

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.