Cramer V, Torgersen S, Kringlen E. Personality disorders and quality of life. A population study. Compr Psychiatry. 2006;47(3):178–84.
Article
PubMed
Google Scholar
Ullrich S, Farrington DP, Coid JW. Dimensions of DSM-IV personality disorders and life-success. J Pers Disord. 2007;21(6):657–63.
Article
PubMed
Google Scholar
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.
Article
PubMed
Google Scholar
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.
Article
PubMed
Google Scholar
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.
Article
PubMed
Google Scholar
Torgersen S. The nature (and nurture) of personality disorders. Scand J Psychol. 2009;50(6):624–32.
Article
PubMed
Google Scholar
Zimmerman M, Rothschild L, Chelminski I. The prevalence of DSM-IV personality disorders in psychiatric outpatients. Am J Psychiatry. 2005;162(10):1911–8.
Article
PubMed
Google Scholar
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: Author; 2013.
Google Scholar
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.
Article
PubMed
Google Scholar
Hofmann SG, Newman MG, Ehlers A, Roth WT. Psychophysiological differences between subgroups of social phobia. J Abnorm Psychol. 1995;104(1):224–31.
Article
CAS
PubMed
Google Scholar
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.
Article
CAS
PubMed
Google Scholar
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.
Article
PubMed
Google Scholar
Alden LE, Laposa JM, Taylor CT, Ryder AG. Avoidant personality disorder: current status and future directions. J Pers Disord. 2002;16(1):1–29.
Article
PubMed
Google Scholar
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.
Article
PubMed
Google Scholar
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.
Google Scholar
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.
PubMed Central
Article
PubMed
Google Scholar
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.
Article
PubMed
Google Scholar
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.
Article
CAS
PubMed
Google Scholar
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.
Chapter
Google Scholar
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.
Article
PubMed
Google Scholar
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.
Article
CAS
PubMed
Google Scholar
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.
Article
PubMed
Google Scholar
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.
PubMed Central
Article
PubMed
Google Scholar
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.
PubMed Central
Article
PubMed
Google Scholar
Lenzenweger MF. Stability and change in personality disorder features: the Longitudinal Study of Personality Disorders. Arch Gen Psychiatry. 1999;56(11):1009–15.
Article
CAS
PubMed
Google Scholar
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.
PubMed Central
Article
PubMed
Google Scholar
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.
Article
CAS
PubMed
Google Scholar
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.
Article
PubMed
Google Scholar
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.
PubMed Central
Article
PubMed
Google Scholar
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.
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.
PubMed Central
Article
PubMed
Google Scholar
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.
PubMed Central
Article
CAS
PubMed
Google Scholar
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.
Article
CAS
PubMed
Google Scholar
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
Google Scholar
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.
Article
CAS
PubMed
Google Scholar
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.
PubMed Central
Article
PubMed
Google Scholar
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.
Article
PubMed
Google Scholar
Renneberg B, Goldstein AJ, Phillips D, Chambless DL. Intensive behavioral group treatment of avoidant personality-disorder. Behav Ther. 1990;21(3):363–77.
Article
Google Scholar
Alden L. Short-term structured treatment for avoidant personality-disorder. J Consult Clin Psychol. 1989;57(6):756–64.
Article
CAS
PubMed
Google Scholar
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.
CAS
PubMed
Google Scholar
Beck AT, Freeman AM. Cognitive therapy of personality disorders. New York, NY, US: Guilford Press; 1990.
Google Scholar
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.
Google Scholar
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.
Article
PubMed
Google Scholar
Rees CS, Pritchard R. Brief cognitive therapy for avoidant personality disorder. Psychotherapy (Chic). 2015;52(1):45–55.
Article
Google Scholar
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.
PubMed Central
Article
PubMed
Google Scholar
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.
Article
PubMed
Google Scholar
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.
Article
PubMed
Google Scholar
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.
Article
Google Scholar
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.
Article
PubMed
Google Scholar
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.
Article
Google Scholar
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.
Google Scholar
Young JE, Klosko JS, Weishaar ME. Schema therapy: a practitioner’s guide. New York, NY, US: Guilford Press; 2003.
Google Scholar
Arntz A. Schematherapie für Cluster-C-Persönlichkeitsstörungen. Z Psychiatr Psychol Psychother. 2011;59(3):195–204.
Google Scholar
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.
Article
PubMed
Google Scholar
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.
Article
PubMed
Google Scholar
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.
PubMed Central
PubMed
Google Scholar
Group schema therapy versus group cognitive behavioral therapy for social anxiety disorder with comorbid avoidant personality disorder [database on the Internet]. in Trialregister.nl [Internet]. NTR number: NTR3921. 2013. Available from: Available online at: http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=3921. Accessed:
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.
Article
PubMed
Google Scholar
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.
Article
Google Scholar
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.
Gilbert SE, Gordon KC. Interpersonal psychotherapy informed treatment for avoidant personality disorder with subsequent depression. Clinical Case Studies. 2012;12(2):111–2.
Article
Google Scholar
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.
Article
Google Scholar
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.
Article
Google Scholar
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.
Article
Google Scholar
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.
Article
PubMed
Google Scholar
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.
Article
PubMed
Google Scholar
Liebowitz MR, Gorman JM, Fyer AJ, Klein DF. Social phobia. Review of a neglected anxiety disorder. Arch Gen Psychiatry. 1985;42(7):729–36.
Article
CAS
PubMed
Google Scholar
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.
Article
Google Scholar
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.
Article
PubMed
Google Scholar
Ahmed U, Gibbon S, Jones Hannah F, Huband N, Ferriter M, Völlm Birgit A et al. Psychological interventions for avoidant personality disorder. Cochrane Database Syst Rev. 2014 doi:10.1002/14651858.CD009549.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