Borderline Personality Disorder
Conditions
Keywords
Borderline personality disorder
Brief summary
In patients with schizophrenia, 'atypical' antipsychotics such as clozapine may be effective in the treatment of psychosis. In patients with borderline personality disorder (BPD), as far as the investigators know, no well designed controlled studies have been performed on the effect of one of the newer atypical antipsychotics on psychotic symptoms. It is of interest to investigate the benefit of quetiapine treatment in these types of patients. Quetiapine possibly gives less side-effects because of the expected lack of elevated prolactin levels, which is of importance in this patient group, overrepresented by young females. In this double blind, randomized, placebo controlled, 8 week, parallel group, multi-center study, quetiapine (in flexible doses between 200 mg/day and 600 mg/day) will be compared with the placebo.
Interventions
flexible doses from 200 mg to 600 mg
placebo
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with BPD according to Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition (DSM-IV)/Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II) including criterion 9: transient, stress related paranoid ideation or severe dissociative symptoms. * In- or outpatients
Exclusion criteria
* Depressive disorder * Bipolar disorder * Schizoaffective disorder/schizophrenia/delusional disorder/schizotypal personality disorder * Alcohol- or substance dependence * Quetiapine doses \>100mg od use in the past Somatic: * History of trauma capitis * Visual and auditive disorders * Neurological disorders (epilepsy) * Pregnancy * No adequate contraception * History of cardial complaints/cardiological disorder * Known sensitivity for quetiapine
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To explore in patients with BPD the effect of quetiapine on psychotic-like symptoms and severity of psychiatric symptoms | assessed at each visit for 8 weeks |
Secondary
| Measure | Time frame |
|---|---|
| To explore the effect of quetiapine on mood, anger, impulsiveness, hostility and anxiety in patients with BPD | assessed at each visit for 8 weeks |
Countries
Netherlands