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Cognitive Therapy Versus Supportive Therapy in Borderline Personality Disorder

Not Applicable
Conditions
Borderline Personality Disorder
Registration Number
NCT00131781
Lead Sponsor
Hospices Civils de Lyon
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

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
70
Inclusion Criteria
  • DSM-4 DIBR >=8 (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Diagnostic inventory for borderline-revised)
Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
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 Outcome Measures
NameTimeMethod
Handicap (Sheehan)
CGI severity and improvement
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)
Eysenck: impulsivity scale
Checklist: impulsive risky behaviors
Quality of life
Time: Pre test, six months, post test and one year post treatment follow-up
Therapeutic relationship evaluation scale (patients and therapists)

Trial Locations

Locations (1)

Hopital Pierre Wertheimer

🇫🇷

Bron, France

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