{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T06:01:54Z","timestamp":1788415314692,"version":"build-2803163510"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,7,6]],"date-time":"2022-07-06T00:00:00Z","timestamp":1657065600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Histrionic personality disorder (HPD) with a lifetime prevalence rate of 1.8% is an under\u2010researched psychiatric diagnosis. The present study therefore aimed to investigate both the processes and outcomes of psychotherapy for HPD in a non\u2010controlled study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 159 patients diagnosed with HPD were recruited and received clarification\u2010oriented psychotherapy. Sessions 15, 20, and 25 were video\u2010recorded and analysed using the Process\u2010Content\u2010Relationship Scale. Therapy outcome was assessed with symptom measures at intake and discharge. Hierarchical linear modelling was applied to estimate the changes in the psychotherapeutic outcome and associations with patient and therapist process developments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Improvements in relationship processes of patients and therapists were systematically related to outcome while only partial relationships were found on the levels of process and content.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The present study represents the first systematic insight into core changes in patients with HPD undergoing psychotherapy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cpp.2769","type":"journal-article","created":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T14:10:25Z","timestamp":1656684625000},"page":"64-72","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Change processes in psychotherapy for patients presenting with histrionic personality disorder"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9187-1025","authenticated-orcid":false,"given":"Anna","family":"Babl","sequence":"first","affiliation":[{"name":"Adelphi University  Garden City New York USA"},{"name":"University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Mart\u00edn","family":"G\u00f3mez Penedo","sequence":"additional","affiliation":[{"name":"University of Buenos Aires (CONICET)  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Berger","sequence":"additional","affiliation":[{"name":"University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noemi","family":"Schneider","sequence":"additional","affiliation":[{"name":"University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rainer","family":"Sachse","sequence":"additional","affiliation":[{"name":"Institute for Psychological Psychotherapy University of Bochum  Bochum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5603-0394","authenticated-orcid":false,"given":"Ueli","family":"Kramer","sequence":"additional","affiliation":[{"name":"Lausanne University Hospital  Lausanne Switzerland"},{"name":"University of Windsor  Windsor Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,7,6]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2009.11.009"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2013.12040518"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4615-3008-4_16"},{"key":"e_1_2_7_5_1","first-page":"603","volume-title":"Oxford library of psychology. 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