Borderline Personality Disorder
Conditions
Keywords
Borderline personality disorder, Controlled trials, Cognitive Therapy, Supportive Therapy, suicide, impulsivity
Brief summary
This is a randomised trial comparing cognitive therapy and supportive therapy administered along one year in borderline personality disorder. The follow-up is one year after treatments end. The therapists were the same in the two groups. Patients received one session a week during six months and one session every two weeks during the next six months
Detailed description
* Cognitive Therapy * Structured session * Conceptualization of the case with the patient * Cognitive methods * Guided discovery of the schemas * Work on life-scenarios * From scenarios to schemas * Empathic confrontation to the schemas * Building new schemas (Core belief work-sheet) * Affective methods: role playing * Interpersonal methods: counter transference issues * Behavioral experiment * Problem solving * Consolidation methods * Patients and therapists had manuals * Supportive Therapy * Therapist: active listening (face to face) * Empathy * Unconditional positive regard * Reformulation and clarification * Reflection of the patient's feelings * Reassurance * Therapist emphasizes the importance to ventilate problems * Therapist answers some factual questions * Therapist politely ignore or refuse requests for advice and directive attitudes * Therapist demonstrates warmth and genuineness * Patients and therapists had manuals
Interventions
BEHAVIORALCognitive Therapy
BEHAVIORALSupportive Therapy
Sponsors
Hospices Civils de Lyon
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
SINGLE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Inclusion criteria
* DSM-4 DIBR \>=8 (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Diagnostic inventory for borderline-revised)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical Global Impression (CGI): Improvement (1-7): score 3 ( a little better) associated with a hopelessness scale score < 8 (this means that the suicide risk is low) | — |
Secondary
| Measure | Time frame |
|---|---|
| Hamilton depression | — |
| Beck Depression Inventory | — |
| Hopelessness | — |
| Young: Schema Questionnaire II | — |
| Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Personality Disorders Personality Questionnaire (SCID II PQ) | — |
| Minnesota Multiphasic Personality Inventory (MMPI) (minimult) | — |
| CGI severity and improvement | — |
| Checklist: impulsive risky behaviors | — |
| Quality of life | — |
| Handicap (Sheehan) | — |
| Time: Pre test, six months, post test and one year post treatment follow-up | — |
| Therapeutic relationship evaluation scale (patients and therapists) | — |
| Eysenck: impulsivity scale | — |
Countries
France
Outcome results
None listed