Psychoeducation and Problem Solving (PEPS) Therapy for Adults With Personality Disorder: A Pragmatic Randomized-Controlled Trial

Mary McMurran; Florence Day; Joseph Reilly; Juan Delport; Paul McCrone; Diane Whitham; Wei Tan; Conor Duggan; Alan A Montgomery; Hywel C Williams; Clive E Adams; Huajie Jin; Paul Moran; Mike J Crawford

doi:10.1521/pedi_2017_31_286

Psychoeducation and Problem Solving (PEPS) Therapy for Adults With Personality Disorder: A Pragmatic Randomized-Controlled Trial

Mary McMurran, Florence Day, Joseph Reilly, Juan Delport, Paul McCrone, Diane Whitham, Wei Tan, Conor Duggan, Alan A Montgomery, Hywel C Williams, Clive E Adams, Huajie Jin, Paul Moran, Mike J Crawford

Research output: Contribution to journal › Article (Academic Journal) › peer-review

5 Citations (Scopus)

Abstract

We compared psychoeducation and problem solving (PEPS) therapy against usual treatment in a multisite randomized-controlled trial. The primary outcome was social functioning. We aimed to recruit 444 community-dwelling adults with personality disorder; however, safety concerns led to an early cessation of recruitment. A total of 154 people were randomized to PEPS and 152 to usual treatment. Follow-up at 72 weeks was completed for 68%. PEPS therapy was no more effective than usual treatment for improving social functioning (adjusted difference in mean Social Functioning Questionnaire scores = -0.73; 95% CI [-1.83, 0.38]; p = 0.19). PEPS therapy is not an effective treatment for improving social functioning of adults with personality disorder living in the community.

Original language	English
Pages (from-to)	810-826
Number of pages	17
Journal	Journal of Personality Disorders
Volume	31
Issue number	6
DOIs	https://doi.org/10.1521/pedi_2017_31_286
Publication status	Published - 17 May 2017

Keywords

Adult
Female
Humans
Male
Personality Disorders/therapy
Pilot Projects
Problem Solving/physiology
Psychotherapy/methods
Treatment Outcome

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McMurran, M., Day, F., Reilly, J., Delport, J., McCrone, P., Whitham, D., Tan, W., Duggan, C., Montgomery, A. A., Williams, H. C., Adams, C. E., Jin, H., Moran, P., & Crawford, M. J. (2017). Psychoeducation and Problem Solving (PEPS) Therapy for Adults With Personality Disorder: A Pragmatic Randomized-Controlled Trial. Journal of Personality Disorders, 31(6), 810-826. https://doi.org/10.1521/pedi_2017_31_286

McMurran, Mary ; Day, Florence ; Reilly, Joseph ; Delport, Juan ; McCrone, Paul ; Whitham, Diane ; Tan, Wei ; Duggan, Conor ; Montgomery, Alan A ; Williams, Hywel C ; Adams, Clive E ; Jin, Huajie ; Moran, Paul ; Crawford, Mike J. / Psychoeducation and Problem Solving (PEPS) Therapy for Adults With Personality Disorder : A Pragmatic Randomized-Controlled Trial. In: Journal of Personality Disorders. 2017 ; Vol. 31, No. 6. pp. 810-826.

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title = "Psychoeducation and Problem Solving (PEPS) Therapy for Adults With Personality Disorder: A Pragmatic Randomized-Controlled Trial",

abstract = "We compared psychoeducation and problem solving (PEPS) therapy against usual treatment in a multisite randomized-controlled trial. The primary outcome was social functioning. We aimed to recruit 444 community-dwelling adults with personality disorder; however, safety concerns led to an early cessation of recruitment. A total of 154 people were randomized to PEPS and 152 to usual treatment. Follow-up at 72 weeks was completed for 68%. PEPS therapy was no more effective than usual treatment for improving social functioning (adjusted difference in mean Social Functioning Questionnaire scores = -0.73; 95% CI [-1.83, 0.38]; p = 0.19). PEPS therapy is not an effective treatment for improving social functioning of adults with personality disorder living in the community.",

keywords = "Adult, Female, Humans, Male, Personality Disorders/therapy, Pilot Projects, Problem Solving/physiology, Psychotherapy/methods, Treatment Outcome",

author = "Mary McMurran and Florence Day and Joseph Reilly and Juan Delport and Paul McCrone and Diane Whitham and Wei Tan and Conor Duggan and Montgomery, {Alan A} and Williams, {Hywel C} and Adams, {Clive E} and Huajie Jin and Paul Moran and Crawford, {Mike J}",

year = "2017",

month = may,

day = "17",

doi = "10.1521/pedi_2017_31_286",

language = "English",

volume = "31",

pages = "810--826",

journal = "Journal of Personality Disorders",

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McMurran, M, Day, F, Reilly, J, Delport, J, McCrone, P, Whitham, D, Tan, W, Duggan, C, Montgomery, AA, Williams, HC, Adams, CE, Jin, H, Moran, P & Crawford, MJ 2017, 'Psychoeducation and Problem Solving (PEPS) Therapy for Adults With Personality Disorder: A Pragmatic Randomized-Controlled Trial', Journal of Personality Disorders, vol. 31, no. 6, pp. 810-826. https://doi.org/10.1521/pedi_2017_31_286

Psychoeducation and Problem Solving (PEPS) Therapy for Adults With Personality Disorder : A Pragmatic Randomized-Controlled Trial. / McMurran, Mary; Day, Florence; Reilly, Joseph; Delport, Juan; McCrone, Paul; Whitham, Diane; Tan, Wei; Duggan, Conor; Montgomery, Alan A; Williams, Hywel C; Adams, Clive E; Jin, Huajie; Moran, Paul; Crawford, Mike J.

In: Journal of Personality Disorders, Vol. 31, No. 6, 17.05.2017, p. 810-826.

Research output: Contribution to journal › Article (Academic Journal) › peer-review

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AU - Delport, Juan

AU - McCrone, Paul

AU - Whitham, Diane

AU - Tan, Wei

AU - Duggan, Conor

AU - Montgomery, Alan A

AU - Williams, Hywel C

AU - Adams, Clive E

AU - Jin, Huajie

AU - Moran, Paul

AU - Crawford, Mike J

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AB - We compared psychoeducation and problem solving (PEPS) therapy against usual treatment in a multisite randomized-controlled trial. The primary outcome was social functioning. We aimed to recruit 444 community-dwelling adults with personality disorder; however, safety concerns led to an early cessation of recruitment. A total of 154 people were randomized to PEPS and 152 to usual treatment. Follow-up at 72 weeks was completed for 68%. PEPS therapy was no more effective than usual treatment for improving social functioning (adjusted difference in mean Social Functioning Questionnaire scores = -0.73; 95% CI [-1.83, 0.38]; p = 0.19). PEPS therapy is not an effective treatment for improving social functioning of adults with personality disorder living in the community.

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KW - Female

KW - Humans

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KW - Personality Disorders/therapy

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KW - Problem Solving/physiology

KW - Psychotherapy/methods

KW - Treatment Outcome

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SN - 0885-579X

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