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Erschienen in: Current Psychiatry Reports 3/2016

01.03.2016 | Personality Disorders (C Schmahl, Section Editor)

Avoidant Personality Disorder: a Current Review

verfasst von: Anna Weinbrecht, Lars Schulze, Johanna Boettcher, Babette Renneberg

Erschienen in: Current Psychiatry Reports | Ausgabe 3/2016

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Abstract

This review focuses on recent research on diagnostic aspects, etiology, and treatment of avoidant personality disorder (AVPD). Current studies stress the close relation between AVPD and social anxiety disorder, the influence of genetic factors in the development of AVPD, and the relative stability of symptoms. Treatment approaches should target the pervasive patterns of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation. Empirical evidence for cognitive-behavior and schema therapy is promising. Few other therapeutic approaches have been developed, but until now, these have only been investigated in case studies. We conclude that AVPD qualifies as a neglected disorder and that more research specifically on avoidant personality disorder symptoms and its treatment is needed.
Literatur
1.
Zurück zum Zitat Cramer V, Torgersen S, Kringlen E. Personality disorders and quality of life. A population study. Compr Psychiatry. 2006;47(3):178–84.CrossRefPubMed Cramer V, Torgersen S, Kringlen E. Personality disorders and quality of life. A population study. Compr Psychiatry. 2006;47(3):178–84.CrossRefPubMed
2.
Zurück zum Zitat Ullrich S, Farrington DP, Coid JW. Dimensions of DSM-IV personality disorders and life-success. J Pers Disord. 2007;21(6):657–63.CrossRefPubMed Ullrich S, Farrington DP, Coid JW. Dimensions of DSM-IV personality disorders and life-success. J Pers Disord. 2007;21(6):657–63.CrossRefPubMed
3.
Zurück zum Zitat Olsson I, Dahl AA. Avoidant personality problems—their association with somatic and mental health, lifestyle, and social network. A community-based study. Compr Psychiatry. 2012;53(6):813–21.CrossRefPubMed Olsson I, Dahl AA. Avoidant personality problems—their association with somatic and mental health, lifestyle, and social network. A community-based study. Compr Psychiatry. 2012;53(6):813–21.CrossRefPubMed
4.
Zurück zum Zitat Crawford TN, Cohen P, Johnson JG, Kasen S, First MB, Gordon K, et al. Self-reported personality disorder in the children in the community sample: convergent and prospective validity in late adolescence and adulthood. J Pers Disord. 2005;19(1):30–52.CrossRefPubMed Crawford TN, Cohen P, Johnson JG, Kasen S, First MB, Gordon K, et al. Self-reported personality disorder in the children in the community sample: convergent and prospective validity in late adolescence and adulthood. J Pers Disord. 2005;19(1):30–52.CrossRefPubMed
5.
Zurück zum Zitat Grant BF, Hasin DS, Stinson FS, Dawson DA, Chou SP, Ruan WJ, et al. Prevalence, correlates, and disability of personality disorders in the United States: results from the national epidemiologic survey on alcohol and related conditions. J Clin Psychiatry. 2004;65(7):948–58.CrossRefPubMed Grant BF, Hasin DS, Stinson FS, Dawson DA, Chou SP, Ruan WJ, et al. Prevalence, correlates, and disability of personality disorders in the United States: results from the national epidemiologic survey on alcohol and related conditions. J Clin Psychiatry. 2004;65(7):948–58.CrossRefPubMed
6.
Zurück zum Zitat Torgersen S. The nature (and nurture) of personality disorders. Scand J Psychol. 2009;50(6):624–32.CrossRefPubMed Torgersen S. The nature (and nurture) of personality disorders. Scand J Psychol. 2009;50(6):624–32.CrossRefPubMed
7.
Zurück zum Zitat Zimmerman M, Rothschild L, Chelminski I. The prevalence of DSM-IV personality disorders in psychiatric outpatients. Am J Psychiatry. 2005;162(10):1911–8.CrossRefPubMed Zimmerman M, Rothschild L, Chelminski I. The prevalence of DSM-IV personality disorders in psychiatric outpatients. Am J Psychiatry. 2005;162(10):1911–8.CrossRefPubMed
8.
Zurück zum Zitat American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: Author; 2013. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: Author; 2013.
9.
Zurück zum Zitat Cox BJ, Pagura J, Stein MB, Sareen J. The relationship between generalized social phobia and avoidant personality disorder in a national mental health survey. Depress Anxiety. 2009;26(4):354–62.CrossRefPubMed Cox BJ, Pagura J, Stein MB, Sareen J. The relationship between generalized social phobia and avoidant personality disorder in a national mental health survey. Depress Anxiety. 2009;26(4):354–62.CrossRefPubMed
10.
Zurück zum Zitat Hofmann SG, Newman MG, Ehlers A, Roth WT. Psychophysiological differences between subgroups of social phobia. J Abnorm Psychol. 1995;104(1):224–31.CrossRefPubMed Hofmann SG, Newman MG, Ehlers A, Roth WT. Psychophysiological differences between subgroups of social phobia. J Abnorm Psychol. 1995;104(1):224–31.CrossRefPubMed
11.
Zurück zum Zitat Herbert JD, Hope DA, Bellack AS. Validity of the distinction between generalized social phobia and avoidant personality disorder. J Abnorm Psychol. 1992;101(2):332–9.CrossRefPubMed Herbert JD, Hope DA, Bellack AS. Validity of the distinction between generalized social phobia and avoidant personality disorder. J Abnorm Psychol. 1992;101(2):332–9.CrossRefPubMed
12.
Zurück zum Zitat Friborg O, Martinussen M, Kaiser S, Overgard KT, Rosenvinge JH. Comorbidity of personality disorders in anxiety disorders: a meta-analysis of 30 years of research. J Affect Disord. 2013;145(2):143–55.CrossRefPubMed Friborg O, Martinussen M, Kaiser S, Overgard KT, Rosenvinge JH. Comorbidity of personality disorders in anxiety disorders: a meta-analysis of 30 years of research. J Affect Disord. 2013;145(2):143–55.CrossRefPubMed
13.
Zurück zum Zitat Alden LE, Laposa JM, Taylor CT, Ryder AG. Avoidant personality disorder: current status and future directions. J Pers Disord. 2002;16(1):1–29.CrossRefPubMed Alden LE, Laposa JM, Taylor CT, Ryder AG. Avoidant personality disorder: current status and future directions. J Pers Disord. 2002;16(1):1–29.CrossRefPubMed
14.
Zurück zum Zitat Bogels SM, Alden L, Beidel DC, Clark LA, Pine DS, Stein MB, et al. Social anxiety disorder: questions and answers for the DSM-V. Depress Anxiety. 2010;27(2):168–89.CrossRefPubMed Bogels SM, Alden L, Beidel DC, Clark LA, Pine DS, Stein MB, et al. Social anxiety disorder: questions and answers for the DSM-V. Depress Anxiety. 2010;27(2):168–89.CrossRefPubMed
15.
Zurück zum Zitat Reich J. Chapter 2—avoidant personality disorder and its relationship to social anxiety disorder. In: Hofmann SG, DiBartolo PM, editors. Social anxiety. 3rd ed. San Diego: Academic; 2014. p. 27–44. Reich J. Chapter 2—avoidant personality disorder and its relationship to social anxiety disorder. In: Hofmann SG, DiBartolo PM, editors. Social anxiety. 3rd ed. San Diego: Academic; 2014. p. 27–44.
16.
Zurück zum Zitat Marques L, Porter E, Keshaviah A, Pollack MH, Van Ameringen M, Stein MB, et al. Avoidant personality disorder in individuals with generalized social anxiety disorder: what does it add? J Anxiety Disord. 2012;26(6):665–72.PubMedCentralCrossRefPubMed Marques L, Porter E, Keshaviah A, Pollack MH, Van Ameringen M, Stein MB, et al. Avoidant personality disorder in individuals with generalized social anxiety disorder: what does it add? J Anxiety Disord. 2012;26(6):665–72.PubMedCentralCrossRefPubMed
17.
Zurück zum Zitat Eikenaes I, Hummelen B, Abrahamsen G, Andrea H, Wilberg T. Personality functioning in patients with avoidant personality disorder and social phobia. J Pers Disord. 2013;27(6):746–63.CrossRefPubMed Eikenaes I, Hummelen B, Abrahamsen G, Andrea H, Wilberg T. Personality functioning in patients with avoidant personality disorder and social phobia. J Pers Disord. 2013;27(6):746–63.CrossRefPubMed
18.
Zurück zum Zitat Rettew DC. Avoidant personality disorder, generalized social phobia, and shyness: putting the personality back into personality disorders. Harv Rev Psychiatry. 2000;8(6):283–97.CrossRefPubMed Rettew DC. Avoidant personality disorder, generalized social phobia, and shyness: putting the personality back into personality disorders. Harv Rev Psychiatry. 2000;8(6):283–97.CrossRefPubMed
19.
Zurück zum Zitat Sanislow CA, Bartolini EE, Zoloth EC. Avoidant personality disorder. In: Ramachandran VS, editor. Encyclopedia of human behavior. 2nd ed. San Diego: Academic; 2012. p. 257–66.CrossRef Sanislow CA, Bartolini EE, Zoloth EC. Avoidant personality disorder. In: Ramachandran VS, editor. Encyclopedia of human behavior. 2nd ed. San Diego: Academic; 2012. p. 257–66.CrossRef
20.
Zurück zum Zitat Skodol AE, Bender DS, Morey LC, Clark LA, Oldham JM, Alarcon RD, et al. Personality disorder types proposed for DSM-5. J Pers Disord. 2011;25(2):136–69.CrossRefPubMed Skodol AE, Bender DS, Morey LC, Clark LA, Oldham JM, Alarcon RD, et al. Personality disorder types proposed for DSM-5. J Pers Disord. 2011;25(2):136–69.CrossRefPubMed
21.
Zurück zum Zitat Stuart S, Pfohl B, Battaglia M, Bellodi L, Grove W, Cadoret R. The cooccurrence of DSM-III-R personality disorders. J Pers Disord. 1998;12(4):302–15.CrossRefPubMed Stuart S, Pfohl B, Battaglia M, Bellodi L, Grove W, Cadoret R. The cooccurrence of DSM-III-R personality disorders. J Pers Disord. 1998;12(4):302–15.CrossRefPubMed
22.
Zurück zum Zitat Bachrach N, Croon MA, Bekker MH. Factor structure of self-reported clinical disorders and personality disorders: a review of the existing literature and a factor analytical study. J Clin Psychol. 2012;68(6):645–60.CrossRefPubMed Bachrach N, Croon MA, Bekker MH. Factor structure of self-reported clinical disorders and personality disorders: a review of the existing literature and a factor analytical study. J Clin Psychol. 2012;68(6):645–60.CrossRefPubMed
23.
Zurück zum Zitat Caspi A, Houts RM, Belsky DW, Goldman-Mellor SJ, Harrington H, Israel S, et al. The p factor: one general psychopathology factor in the structure of psychiatric disorders? Clin Psychol Sci. 2014;2(2):119–37.PubMedCentralCrossRefPubMed Caspi A, Houts RM, Belsky DW, Goldman-Mellor SJ, Harrington H, Israel S, et al. The p factor: one general psychopathology factor in the structure of psychiatric disorders? Clin Psychol Sci. 2014;2(2):119–37.PubMedCentralCrossRefPubMed
24.••
Zurück zum Zitat Wright AG, Pincus AL, Lenzenweger MF. A parallel process growth model of avoidant personality disorder symptoms and personality traits. Personal Disord. 2013;4(3):230–8. In this longitudinal study, the rates of change in avoidant personality disorder symptoms were associated to rates of change in normal personality traits (interpersonal dominance, affiliation, and neuroticism). This supports the proposition that personality disorders can be conceptualized as expressions of normal personality traits and stresses the crucial role of neuroticism for avoidant personality disorder. PubMedCentralCrossRefPubMed Wright AG, Pincus AL, Lenzenweger MF. A parallel process growth model of avoidant personality disorder symptoms and personality traits. Personal Disord. 2013;4(3):230–8. In this longitudinal study, the rates of change in avoidant personality disorder symptoms were associated to rates of change in normal personality traits (interpersonal dominance, affiliation, and neuroticism). This supports the proposition that personality disorders can be conceptualized as expressions of normal personality traits and stresses the crucial role of neuroticism for avoidant personality disorder. PubMedCentralCrossRefPubMed
25.
Zurück zum Zitat Lenzenweger MF. Stability and change in personality disorder features: the Longitudinal Study of Personality Disorders. Arch Gen Psychiatry. 1999;56(11):1009–15.CrossRefPubMed Lenzenweger MF. Stability and change in personality disorder features: the Longitudinal Study of Personality Disorders. Arch Gen Psychiatry. 1999;56(11):1009–15.CrossRefPubMed
26.
Zurück zum Zitat Grilo CM, Sanislow CA, Gunderson JG, Pagano ME, Yen S, Zanarini MC, et al. Two-year stability and change of schizotypal, borderline, avoidant, and obsessive-compulsive personality disorders. J Consult Clin Psychol. 2004;72(5):767–75.PubMedCentralCrossRefPubMed Grilo CM, Sanislow CA, Gunderson JG, Pagano ME, Yen S, Zanarini MC, et al. Two-year stability and change of schizotypal, borderline, avoidant, and obsessive-compulsive personality disorders. J Consult Clin Psychol. 2004;72(5):767–75.PubMedCentralCrossRefPubMed
27.
Zurück zum Zitat Johnson JG, Cohen P, Kasen S, Skodol AE, Hamagami F, Brook JS. Age-related change in personality disorder trait levels between early adolescence and adulthood: a community-based longitudinal investigation. Acta Psychiatr Scand. 2000;102(4):265–75.CrossRefPubMed Johnson JG, Cohen P, Kasen S, Skodol AE, Hamagami F, Brook JS. Age-related change in personality disorder trait levels between early adolescence and adulthood: a community-based longitudinal investigation. Acta Psychiatr Scand. 2000;102(4):265–75.CrossRefPubMed
28.
Zurück zum Zitat Sanislow CA, Little TD, Ansell EB, Grilo CM, Daversa M, Markowitz JC, et al. Ten-year stability and latent structure of the DSM-IV schizotypal, borderline, avoidant, and obsessive-compulsive personality disorders. J Abnorm Psychol. 2009;118(3):507–19.CrossRefPubMed Sanislow CA, Little TD, Ansell EB, Grilo CM, Daversa M, Markowitz JC, et al. Ten-year stability and latent structure of the DSM-IV schizotypal, borderline, avoidant, and obsessive-compulsive personality disorders. J Abnorm Psychol. 2009;118(3):507–19.CrossRefPubMed
29.••
Zurück zum Zitat Hallquist MN, Lenzenweger MF. Identifying latent trajectories of personality disorder symptom change: growth mixture modeling in the longitudinal study of personality disorders. J Abnorm Psychol. 2013;122(1):138–55. In this longitudinal study, latent trajectories of personality dysfunction were investigated. Results indicated that avoidant personality disorder can develop at a later stage of life and that this is associated with lower positive emotionality. PubMedCentralCrossRefPubMed Hallquist MN, Lenzenweger MF. Identifying latent trajectories of personality disorder symptom change: growth mixture modeling in the longitudinal study of personality disorders. J Abnorm Psychol. 2013;122(1):138–55. In this longitudinal study, latent trajectories of personality dysfunction were investigated. Results indicated that avoidant personality disorder can develop at a later stage of life and that this is associated with lower positive emotionality. PubMedCentralCrossRefPubMed
30.•
Zurück zum Zitat Gjerde LC, Czajkowski N, Roysamb E, Ystrom E, Tambs K, Aggen SH et al. A longitudinal, population-based twin study of avoidant and obsessive-compulsive personality disorder traits from early to middle adulthood. Psychol Med. 2015:1–10. This longitudinal twin study provided support that genetic factors contribute more to the phenotypic stability of avoidant personality disorder than environmental factors. Gjerde LC, Czajkowski N, Roysamb E, Ystrom E, Tambs K, Aggen SH et al. A longitudinal, population-based twin study of avoidant and obsessive-compulsive personality disorder traits from early to middle adulthood. Psychol Med. 2015:1–10. This longitudinal twin study provided support that genetic factors contribute more to the phenotypic stability of avoidant personality disorder than environmental factors.
31.••
Zurück zum Zitat Hopwood CJ, Morey LC, Donnellan MB, Samuel DB, Grilo CM, McGlashan TH, et al. Ten-year rank-order stability of personality traits and disorders in a clinical sample. J Pers. 2013;81(3):335–44. This study assessed 10-year stability of personality traits and personality disorder dimensions in a clinical sample. Stability was relatively greater for traits than personality disorders. PubMedCentralCrossRefPubMed Hopwood CJ, Morey LC, Donnellan MB, Samuel DB, Grilo CM, McGlashan TH, et al. Ten-year rank-order stability of personality traits and disorders in a clinical sample. J Pers. 2013;81(3):335–44. This study assessed 10-year stability of personality traits and personality disorder dimensions in a clinical sample. Stability was relatively greater for traits than personality disorders. PubMedCentralCrossRefPubMed
32.
Zurück zum Zitat Gjerde LC, Czajkowski N, Roysamb E, Orstavik RE, Knudsen GP, Ostby K, et al. The heritability of avoidant and dependent personality disorder assessed by personal interview and questionnaire. Acta Psychiatr Scand. 2012;126(6):448–57.PubMedCentralCrossRefPubMed Gjerde LC, Czajkowski N, Roysamb E, Orstavik RE, Knudsen GP, Ostby K, et al. The heritability of avoidant and dependent personality disorder assessed by personal interview and questionnaire. Acta Psychiatr Scand. 2012;126(6):448–57.PubMedCentralCrossRefPubMed
33.
Zurück zum Zitat Isomura K, Boman M, Ruck C, Serlachius E, Larsson H, Lichtenstein P, et al. Population-based, multi-generational family clustering study of social anxiety disorder and avoidant personality disorder. Psychol Med. 2015;45(8):1581–9.CrossRefPubMed Isomura K, Boman M, Ruck C, Serlachius E, Larsson H, Lichtenstein P, et al. Population-based, multi-generational family clustering study of social anxiety disorder and avoidant personality disorder. Psychol Med. 2015;45(8):1581–9.CrossRefPubMed
34.
Zurück zum Zitat Joyce PR, McKenzie JM, Luty SE, Mulder RT, Carter JD, Sullivan PF, et al. Temperament, childhood environment and psychopathology as risk factors for avoidant and borderline personality disorders. Aust N Z J Psychiatry. 2003;37(6):756–64.PubMed Joyce PR, McKenzie JM, Luty SE, Mulder RT, Carter JD, Sullivan PF, et al. Temperament, childhood environment and psychopathology as risk factors for avoidant and borderline personality disorders. Aust N Z J Psychiatry. 2003;37(6):756–64.PubMed
35.
Zurück zum Zitat Meyer B, Carver CS. Negative childhood accounts, sensitivity, and pessimism: a study of avoidant personality disorder features in college students. J Pers Disord. 2000;14(3):233–48.CrossRefPubMed Meyer B, Carver CS. Negative childhood accounts, sensitivity, and pessimism: a study of avoidant personality disorder features in college students. J Pers Disord. 2000;14(3):233–48.CrossRefPubMed
36.
Zurück zum Zitat Eikenaes I, Egeland J, Hummelen B, Wilberg T. Avoidant personality disorder versus social phobia: the significance of childhood neglect. PLoS One. 2015;10(3), e0122846.PubMedCentralCrossRefPubMed Eikenaes I, Egeland J, Hummelen B, Wilberg T. Avoidant personality disorder versus social phobia: the significance of childhood neglect. PLoS One. 2015;10(3), e0122846.PubMedCentralCrossRefPubMed
37.
Zurück zum Zitat Carr SN, Francis AJ. Early maladaptive schemas and personality disorder symptoms: an examination in a non-clinical sample. Psychol Psychother. 2010;83(4):333–49.CrossRefPubMed Carr SN, Francis AJ. Early maladaptive schemas and personality disorder symptoms: an examination in a non-clinical sample. Psychol Psychother. 2010;83(4):333–49.CrossRefPubMed
38.
Zurück zum Zitat Renneberg B, Goldstein AJ, Phillips D, Chambless DL. Intensive behavioral group treatment of avoidant personality-disorder. Behav Ther. 1990;21(3):363–77.CrossRef Renneberg B, Goldstein AJ, Phillips D, Chambless DL. Intensive behavioral group treatment of avoidant personality-disorder. Behav Ther. 1990;21(3):363–77.CrossRef
39.
Zurück zum Zitat Alden L. Short-term structured treatment for avoidant personality-disorder. J Consult Clin Psychol. 1989;57(6):756–64.CrossRefPubMed Alden L. Short-term structured treatment for avoidant personality-disorder. J Consult Clin Psychol. 1989;57(6):756–64.CrossRefPubMed
40.
Zurück zum Zitat Stravynski A, Belisle M, Marcouiller M, Lavallee YJ, Elie R. The treatment of avoidant personality disorder by social skills training in the clinic or in real-life settings. Can J Psychiatry. 1994;39(8):377–83.PubMed Stravynski A, Belisle M, Marcouiller M, Lavallee YJ, Elie R. The treatment of avoidant personality disorder by social skills training in the clinic or in real-life settings. Can J Psychiatry. 1994;39(8):377–83.PubMed
41.
Zurück zum Zitat Beck AT, Freeman AM. Cognitive therapy of personality disorders. New York, NY, US: Guilford Press; 1990. Beck AT, Freeman AM. Cognitive therapy of personality disorders. New York, NY, US: Guilford Press; 1990.
42.
Zurück zum Zitat Clark DM, Wells A. A cognitive model of social phobia. In: Heimberg RG, Liebowitz MR, Hope DA, Schneier FR, editors. Social phobia: diagnosis, assessment and treatment. New York: Guildford Press; 1995. p. 66–93. Clark DM, Wells A. A cognitive model of social phobia. In: Heimberg RG, Liebowitz MR, Hope DA, Schneier FR, editors. Social phobia: diagnosis, assessment and treatment. New York: Guildford Press; 1995. p. 66–93.
43.
Zurück zum Zitat Emmelkamp PM, Benner A, Kuipers A, Feiertag GA, Koster HC, van Apeldoorn FJ. Comparison of brief dynamic and cognitive-behavioural therapies in avoidant personality disorder. Br J Psychiatry. 2006;189:60–4.CrossRefPubMed Emmelkamp PM, Benner A, Kuipers A, Feiertag GA, Koster HC, van Apeldoorn FJ. Comparison of brief dynamic and cognitive-behavioural therapies in avoidant personality disorder. Br J Psychiatry. 2006;189:60–4.CrossRefPubMed
44.
Zurück zum Zitat Rees CS, Pritchard R. Brief cognitive therapy for avoidant personality disorder. Psychotherapy (Chic). 2015;52(1):45–55.CrossRef Rees CS, Pritchard R. Brief cognitive therapy for avoidant personality disorder. Psychotherapy (Chic). 2015;52(1):45–55.CrossRef
45.
Zurück zum Zitat Strauss JL, Hayes AM, Johnson SL, Newman CF, Brown GK, Barber JP, et al. Early alliance, alliance ruptures, and symptom change in a nonrandomized trial of cognitive therapy for avoidant and obsessive-compulsive personality disorders. J Consult Clin Psychol. 2006;74(2):337–45.PubMedCentralCrossRefPubMed Strauss JL, Hayes AM, Johnson SL, Newman CF, Brown GK, Barber JP, et al. Early alliance, alliance ruptures, and symptom change in a nonrandomized trial of cognitive therapy for avoidant and obsessive-compulsive personality disorders. J Consult Clin Psychol. 2006;74(2):337–45.PubMedCentralCrossRefPubMed
46.
Zurück zum Zitat Borge FM, Hoffart A, Sexton H, Clark DM, Markowitz JC, McManus F. Residential cognitive therapy versus residential interpersonal therapy for social phobia: a randomized clinical trial. J Anxiety Disord. 2008;22(6):991–1010.CrossRefPubMed Borge FM, Hoffart A, Sexton H, Clark DM, Markowitz JC, McManus F. Residential cognitive therapy versus residential interpersonal therapy for social phobia: a randomized clinical trial. J Anxiety Disord. 2008;22(6):991–1010.CrossRefPubMed
47.
Zurück zum Zitat Abbass A, Sheldon A, Gyra J, Kalpin A. Intensive short-term dynamic psychotherapy for DSM-IV personality disorders: a randomized controlled trial. J Nerv Ment Dis. 2008;196(3):211–6.CrossRefPubMed Abbass A, Sheldon A, Gyra J, Kalpin A. Intensive short-term dynamic psychotherapy for DSM-IV personality disorders: a randomized controlled trial. J Nerv Ment Dis. 2008;196(3):211–6.CrossRefPubMed
48.
Zurück zum Zitat Barber JP, Morse JQ, Krakauer ID, Chittams J, Crits-Christoph K. Change in obsessive-compulsive and avoidant personality disorders following time-limited supportive-expressive therapy. Psychotherapy (Chic). 1997;34(2):133–43.CrossRef Barber JP, Morse JQ, Krakauer ID, Chittams J, Crits-Christoph K. Change in obsessive-compulsive and avoidant personality disorders following time-limited supportive-expressive therapy. Psychotherapy (Chic). 1997;34(2):133–43.CrossRef
49.
Zurück zum Zitat Svartberg M, Stiles TC, Seltzer MH. Randomized, controlled trial of the effectiveness of short-term dynamic psychotherapy and cognitive therapy for cluster C personality disorders. Am J Psychiatry. 2004;161(5):810–7.CrossRefPubMed Svartberg M, Stiles TC, Seltzer MH. Randomized, controlled trial of the effectiveness of short-term dynamic psychotherapy and cognitive therapy for cluster C personality disorders. Am J Psychiatry. 2004;161(5):810–7.CrossRefPubMed
50.
Zurück zum Zitat Leichsenring F, Salzer S. A unified protocol for the transdiagnostic psychodynamic treatment of anxiety disorders: an evidence-based approach. Psychotherapy (Chic). 2014;51(2):224–45.CrossRef Leichsenring F, Salzer S. A unified protocol for the transdiagnostic psychodynamic treatment of anxiety disorders: an evidence-based approach. Psychotherapy (Chic). 2014;51(2):224–45.CrossRef
51.
Zurück zum Zitat Luborsky L, Mark D. Short-term supportive-expressive psychoanalytic psychotherapy. In: Crits-Christoph P, Barber JP, Crits-Christoph P, Barber JP, editors. Handbook of short-term dynamic psychotherapy. New York, NY, US: Basic Books; 1991. p. 110–36. Luborsky L, Mark D. Short-term supportive-expressive psychoanalytic psychotherapy. In: Crits-Christoph P, Barber JP, Crits-Christoph P, Barber JP, editors. Handbook of short-term dynamic psychotherapy. New York, NY, US: Basic Books; 1991. p. 110–36.
52.
Zurück zum Zitat Young JE, Klosko JS, Weishaar ME. Schema therapy: a practitioner’s guide. New York, NY, US: Guilford Press; 2003. Young JE, Klosko JS, Weishaar ME. Schema therapy: a practitioner’s guide. New York, NY, US: Guilford Press; 2003.
53.
Zurück zum Zitat Arntz A. Schematherapie für Cluster-C-Persönlichkeitsstörungen. Z Psychiatr Psychol Psychother. 2011;59(3):195–204. Arntz A. Schematherapie für Cluster-C-Persönlichkeitsstörungen. Z Psychiatr Psychol Psychother. 2011;59(3):195–204.
54.
Zurück zum Zitat Weertman A, Arntz A. Effectiveness of treatment of childhood memories in cognitive therapy for personality disorders: a controlled study contrasting methods focusing on the present and methods focusing on childhood memories. Behav Res Ther. 2007;45(9):2133–43.CrossRefPubMed Weertman A, Arntz A. Effectiveness of treatment of childhood memories in cognitive therapy for personality disorders: a controlled study contrasting methods focusing on the present and methods focusing on childhood memories. Behav Res Ther. 2007;45(9):2133–43.CrossRefPubMed
55.••
Zurück zum Zitat Bamelis LL, Evers SM, Spinhoven P, Arntz A. Results of a multicenter randomized controlled trial of the clinical effectiveness of schema therapy for personality disorders. Am J Psychiatry. 2014;171(3):305–22. This study demonstrated that a greater proportion of patients with Cluster C personality disorder treated with schema therapy recovered in comparison to clarification-oriented psychotherapy and treatment as usual. CrossRefPubMed Bamelis LL, Evers SM, Spinhoven P, Arntz A. Results of a multicenter randomized controlled trial of the clinical effectiveness of schema therapy for personality disorders. Am J Psychiatry. 2014;171(3):305–22. This study demonstrated that a greater proportion of patients with Cluster C personality disorder treated with schema therapy recovered in comparison to clarification-oriented psychotherapy and treatment as usual. CrossRefPubMed
56.
Zurück zum Zitat Skewes SA, Samson RA, Simpson SG, van Vreeswijk M. Short-term group schema therapy for mixed personality disorders: a pilot study. Front Psychol. 2014;5:1592.PubMedCentralPubMed Skewes SA, Samson RA, Simpson SG, van Vreeswijk M. Short-term group schema therapy for mixed personality disorders: a pilot study. Front Psychol. 2014;5:1592.PubMedCentralPubMed
58.
Zurück zum Zitat Dimaggio G, D’Urzo M, Pasinetti M, Salvatore G, Lysaker PH, Catania D, et al. Metacognitive interpersonal therapy for co-occurrent avoidant personality disorder and substance abuse. J Clin Psychol. 2015;71(2):157–66.CrossRefPubMed Dimaggio G, D’Urzo M, Pasinetti M, Salvatore G, Lysaker PH, Catania D, et al. Metacognitive interpersonal therapy for co-occurrent avoidant personality disorder and substance abuse. J Clin Psychol. 2015;71(2):157–66.CrossRefPubMed
59.
Zurück zum Zitat Pos AE. Emotion focused therapy for avoidant personality disorder: pragmatic considerations for working with experientially avoidant clients. J Contemp Psychother. 2014;44(2):127–39.CrossRef Pos AE. Emotion focused therapy for avoidant personality disorder: pragmatic considerations for working with experientially avoidant clients. J Contemp Psychother. 2014;44(2):127–39.CrossRef
60.
Zurück zum Zitat Chan CC, Bach PA, Bedwell JS. An integrative approach using third-generation cognitive-behavioral therapies for avoidant personality disorder. Clinical Case Studies. 2015;1–16. Chan CC, Bach PA, Bedwell JS. An integrative approach using third-generation cognitive-behavioral therapies for avoidant personality disorder. Clinical Case Studies. 2015;1–16.
61.
Zurück zum Zitat Gilbert SE, Gordon KC. Interpersonal psychotherapy informed treatment for avoidant personality disorder with subsequent depression. Clinical Case Studies. 2012;12(2):111–2.CrossRef Gilbert SE, Gordon KC. Interpersonal psychotherapy informed treatment for avoidant personality disorder with subsequent depression. Clinical Case Studies. 2012;12(2):111–2.CrossRef
62.
Zurück zum Zitat Brown EJ, Heimberg RG, Juster HR. Social phobia subtype and avoidant personality-disorder—effect on severity of social phobia, impairment, and outcome of cognitive-behavioral treatment. Behav Ther. 1995;26(3):467–86.CrossRef Brown EJ, Heimberg RG, Juster HR. Social phobia subtype and avoidant personality-disorder—effect on severity of social phobia, impairment, and outcome of cognitive-behavioral treatment. Behav Ther. 1995;26(3):467–86.CrossRef
63.
Zurück zum Zitat Feske U, Perry KJ, Chambless DL, Renneberg B, Goldstein AJ. Avoidant personality disorder as a predictor for treatment outcome among generalized social phobics. J Pers Disord. 1996;10(2):174–84.CrossRef Feske U, Perry KJ, Chambless DL, Renneberg B, Goldstein AJ. Avoidant personality disorder as a predictor for treatment outcome among generalized social phobics. J Pers Disord. 1996;10(2):174–84.CrossRef
64.
Zurück zum Zitat Hope DA, Herbert JD, White C. Diagnostic subtype, avoidant personality-disorder, and efficacy of cognitive-behavioral group-therapy for social phobia. Cognit Ther Res. 1995;19(4):399–417.CrossRef Hope DA, Herbert JD, White C. Diagnostic subtype, avoidant personality-disorder, and efficacy of cognitive-behavioral group-therapy for social phobia. Cognit Ther Res. 1995;19(4):399–417.CrossRef
65.
Zurück zum Zitat Huppert JD, Strunk DR, Ledley DR, Davidson JR, Foa EB. Generalized social anxiety disorder and avoidant personality disorder: structural analysis and treatment outcome. Depress Anxiety. 2008;25(5):441–8.CrossRefPubMed Huppert JD, Strunk DR, Ledley DR, Davidson JR, Foa EB. Generalized social anxiety disorder and avoidant personality disorder: structural analysis and treatment outcome. Depress Anxiety. 2008;25(5):441–8.CrossRefPubMed
66.
Zurück zum Zitat Oosterbaan DB, van Balkom AJ, Spinhoven P, de Meij TG, van Dyck R. The influence on treatment gain of comorbid avoidant personality disorder in patients with social phobia. J Nerv Ment Dis. 2002;190(1):41–3.CrossRefPubMed Oosterbaan DB, van Balkom AJ, Spinhoven P, de Meij TG, van Dyck R. The influence on treatment gain of comorbid avoidant personality disorder in patients with social phobia. J Nerv Ment Dis. 2002;190(1):41–3.CrossRefPubMed
67.
Zurück zum Zitat Liebowitz MR, Gorman JM, Fyer AJ, Klein DF. Social phobia. Review of a neglected anxiety disorder. Arch Gen Psychiatry. 1985;42(7):729–36.CrossRefPubMed Liebowitz MR, Gorman JM, Fyer AJ, Klein DF. Social phobia. Review of a neglected anxiety disorder. Arch Gen Psychiatry. 1985;42(7):729–36.CrossRefPubMed
68.
Zurück zum Zitat Herbert JD, Gaudiano BA, Rheingold AA, Myers VH, Dalrymple K, Nolan EM. Social skills training augments the effectiveness of cognitive behavioral group therapy for social anxiety disorder. Behav Ther. 2005;36(2):125–38.CrossRef Herbert JD, Gaudiano BA, Rheingold AA, Myers VH, Dalrymple K, Nolan EM. Social skills training augments the effectiveness of cognitive behavioral group therapy for social anxiety disorder. Behav Ther. 2005;36(2):125–38.CrossRef
69.•
Zurück zum Zitat Renner F, van Goor M, Huibers M, Arntz A, Butz B, Bernstein D. Short-term group schema cognitive-behavioral therapy for young adults with personality disorders and personality disorder features: associations with changes in symptomatic distress, schemas, schema modes and coping styles. Behav Res Ther. 2013;51(8):487–92. This pilot study determined the effects of group schema therapy in patients with personality disorder. Global distress and underlying vulnerabilities in terms of maladaptive schemas decreased from pre- to post-treatment. CrossRefPubMed Renner F, van Goor M, Huibers M, Arntz A, Butz B, Bernstein D. Short-term group schema cognitive-behavioral therapy for young adults with personality disorders and personality disorder features: associations with changes in symptomatic distress, schemas, schema modes and coping styles. Behav Res Ther. 2013;51(8):487–92. This pilot study determined the effects of group schema therapy in patients with personality disorder. Global distress and underlying vulnerabilities in terms of maladaptive schemas decreased from pre- to post-treatment. CrossRefPubMed
70.
71.
Zurück zum Zitat Ahmed U, Gibbon S, Jones Hannah F, Huband N, Ferriter M, Völlm Birgit A et al. Pharmacological interventions for avoidant personality disorder. Cochrane Database Syst Rev. 2014 doi:10.1002/14651858.CD009304.pub2 Ahmed U, Gibbon S, Jones Hannah F, Huband N, Ferriter M, Völlm Birgit A et al. Pharmacological interventions for avoidant personality disorder. Cochrane Database Syst Rev. 2014 doi:10.​1002/​14651858.​CD009304.​pub2
Metadaten
Titel
Avoidant Personality Disorder: a Current Review
verfasst von
Anna Weinbrecht
Lars Schulze
Johanna Boettcher
Babette Renneberg
Publikationsdatum
01.03.2016
Verlag
Springer US
Erschienen in
Current Psychiatry Reports / Ausgabe 3/2016
Print ISSN: 1523-3812
Elektronische ISSN: 1535-1645
DOI
https://doi.org/10.1007/s11920-016-0665-6

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