{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T14:42:20Z","timestamp":1782139340559,"version":"3.54.5"},"reference-count":58,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T00:00:00Z","timestamp":1757548800000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Avoidant personality disorder (AvPD) is a prevalent condition characterized by low self\u2010esteem and social withdrawal. Nonetheless, targeted psychotherapy remains limited. This study aimed to examine short\u2010term metacognitive interpersonal therapy in group (MIT\u2010G) tailored for AvPD and to compare the outcomes of patients receiving this treatment with patients participating in outpatient group therapies within specialized mental health services for personality disorders (representing best available practice).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The study had a quasi\u2010experimental design and included 56 patients with AvPD who participated in MIT\u2010G. The comparison group was derived from the Norwegian Network for Personality Disorders (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009154). Assessments for the MIT\u2010G group were conducted before and after treatment and at a 6\u2010month follow\u2010up. Outcome measures included personality functioning, alexithymia, symptoms of anxiety and depression, work\/social functioning and group relationships.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Significant, moderate improvements were found across all outcome measures in the MIT\u2010G group. Enhancement in personality functioning was greater, and group relationships, specifically regarding group cohesion and perceptions of positive work, were rated more satisfactory than in the comparison group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings suggest that MIT\u2010G contributes to significant clinical improvements among patients with AvPD. The greater enhancement of personality functioning may link to better group relationships. Limitations include the nonrandomised design, unable to draw causal inferences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cpp.70149","type":"journal-article","created":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T01:05:31Z","timestamp":1757639131000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Metacognitive Interpersonal Therapy in Group for Avoidant Personality Disorder\u2014A Comparison With Best Available Practice"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-2175-9132","authenticated-orcid":false,"given":"Siri","family":"Omvik","sequence":"first","affiliation":[{"name":"Kronstad District Psychiatric Center Haukeland University Hospital HF  Bergen Norway"},{"name":"Western Norway University of Applied Sciences  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnheid","family":"Kvamme","sequence":"additional","affiliation":[{"name":"Kronstad District Psychiatric Center Haukeland University Hospital HF  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"Assmus","sequence":"additional","affiliation":[{"name":"Department for Research and Innovation, Division of Mental Health and Addiction Haukeland University Hospital HF  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9221-4249","authenticated-orcid":false,"given":"Elfrida","family":"Kvarstein","sequence":"additional","affiliation":[{"name":"Department for Research and Innovation, Division of Mental Health and Addiction Oslo University Hospital HF  Oslo Norway"},{"name":"Institute of Clinical Medicine University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geir","family":"Pedersen","sequence":"additional","affiliation":[{"name":"Department for Research and Innovation, Division of Mental Health and Addiction Oslo University Hospital HF  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kjell\u2010Einar","family":"Zahl","sequence":"additional","affiliation":[{"name":"Follo District Psychiatric Center Akershus University Hospital HF  Ski Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.29399\/npa.28368"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022\u20103999(94)90005\u20101"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/aphw.12120"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/pst0000173"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010024\u201006083\u20106"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.583"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2019.1587193"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.22151"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781315744124"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780429350894"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-813521-1.00008-4"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10879\u2010016\u20109342\u20107"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi_2013_27_109"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12075"},{"key":"e_1_2_8_16_1","volume-title":"Structured Clinical Interview for DSM\u20105 Personality Disorders (SCID\u20105\u2010PD)","author":"First M. 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