Lamph, G, Baker, J orcid.org/0000-0001-9985-9875, Dickinson, T et al. (1 more author) (2020) Personality disorder co-morbidity in primary care ‘Improving Access to Psychological Therapy’ (IAPT) Services: A qualitative study exploring patient perspectives on treatment experience. Behavioural and Cognitive Psychotherapy. ISSN 1352-4658
Abstract
Background:
High numbers of people present with common mental health disorders and co-morbid personality disorder traits in primary care ‘Improving Access to Psychological Therapies’ (IAPT) services in England and they receive sub-optimal treatments. No previous studies have explored the treatment experiences or needs of this patient population in England.
Aims:
This qualitative study explored the treatment experiences of patients (n = 22) with common mental health difficulties and co-morbid personality disorder as indicated by a score of 3 or more on the ‘Standardised Assessment of Personality – Abbreviated Scale’ (SAPAS) in receipt of primary care-based IAPT treatment.
Method:
A qualitative health research approach was used. Qualitative individual face-to-face semi-structured interviews were conducted. All interviews were audio recorded, data were transcribed verbatim and analysed using a framework analysis approach.
Results:
Findings revealed a need to adapt away from prescriptive cognitive behavioural therapy (CBT) treatment models towards more flexible, personalised and individualised treatment with this patient group. Time to emotionally offload, build a therapeutic relationship and link past experiences to presenting problems were highlighted as important.
Conclusions:
For the first time, the needs and treatment experiences of this patient group have been explored. This paper provides a unique patient experience insight that should be considered when exploring new approaches to working with and developing effective interventions via a stepped care approach.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | This article has been published in a revised form in Behavioural and Cognitive Psychotherapy https://doi.org/10.1017/S1352465820000594. This version is free to view and download for private research and study only. Not for re-distribution, re-sale or use in derivative works. © British Association for Behavioural and Cognitive Psychotherapies 2020. |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Healthcare (Leeds) > Nursing Mental Health (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 13 Jul 2020 11:17 |
Last Modified: | 07 Nov 2020 03:19 |
Status: | Published online |
Publisher: | Cambridge University Press |
Identification Number: | 10.1017/S1352465820000594 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:163088 |