Evidence map›Paper›PMID 32115015›Full record

ArticleBJPsych open2020

Structured Psychological Support for people with personality disorder: feasibility randomised controlled trial of a low-intensity intervention.

Mike J Crawford, Lavanya Thana, Jennie Parker, Oliver Turner, Aidan Carney, Mary McMurran, Paul Moran, Timothy Weaver, Barbara Barrett, Sarah Roberts and 4 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BJPsych open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 1 country.

Mike J CrawfordDivision of Psychiatry, Imperial College London, UK.ORCID https://orcid.org/0000-0003-3137-5772
Lavanya ThanaResearch and Development, Central & North West London NHS Foundation Trust, UK.
Jennie ParkerResearch and Development, Central & North West London NHS Foundation Trust, UK.
Oliver TurnerDivision of Specialist Services, Barnet, Enfield & Haringey NHS Trust, UK.
Aidan CarneyAdult Mental Health Directorate, Central & North West London NHS Foundation Trust, UK.
Mary McMurranPsychiatry and Applied Psychology Department, University of Nottingham, UK.
Paul MoranCentre for Academic Mental Health, University of Bristol, UK.
Timothy WeaverSchool of Health and Education, Middlesex University London, UK.
Barbara BarrettHealth Service and Population Research, King's College London, UK.
Sarah RobertsHealth Service and Population Research, King's College London, UK.
Amy ClaringboldDivision of Psychiatry, Imperial College London, UK.
Paul BassettStatsconsultancy Ltd, UK.
Rahil SanatiniaDivision of Psychiatry, Imperial College London, UK.
Amanda SpongClinical Psychology, Cambridgeshire and Peterborough NHS Foundation Trust, UK.ORCID https://orcid.org/0000-0001-5953-2093
Central and North West London NHS Foundation Trust · GBImperial College London · GBKing's College London · GBBarnet Enfield and Haringey Mental Health Trust · GBCambridgeshire and Peterborough NHS Foundation Trust · GBCentre for Mental Health · GBMiddlesex University · GBUniversity of Nottingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNational guidance cautions against low-intensity interventions for people with personality disorder, but evidence from trials is lacking.

aimsTo test the feasibility of conducting a randomised trial of a low-intensity intervention for people with personality disorder.

methodSingle-blind, feasibility trial (trial registration: ISRCTN14994755). We recruited people aged 18 or over with a clinical diagnosis of personality disorder from mental health services, excluding those with a coexisting organic or psychotic mental disorder. We randomly allocated participants via a remote system on a 1:1 ratio to six to ten sessions of Structured Psychological Support (SPS) or to treatment as usual. We assessed social functioning, mental health, health-related quality of life, satisfaction with care and resource use and costs at baseline and 24 weeks after randomisation.

resultsA total of 63 participants were randomly assigned to either SPS (n = 33) or treatment as usual (n = 30). Twenty-nine (88%) of those in the active arm of the trial received one or more session (median 7). Among 46 (73%) who were followed up at 24 weeks, social dysfunction was lower (-6.3, 95% CI -12.0 to -0.6, P = 0.03) and satisfaction with care was higher (6.5, 95% CI 2.5 to 10.4; P = 0.002) in those allocated to SPS. Statistically significant differences were not found in other outcomes. The cost of the intervention was low and total costs over 24 weeks were similar in both groups.

conclusionsSPS may provide an effective low-intensity intervention for people with personality disorder and should be tested in fully powered clinical trials.

Indexed as

brief interventionlow intensityPersonality disorderpsychological treatmentrandomised trial

Identifiers

PMID32115015
PMCPMC7176836
OpenAlexW3009086583

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.