Cognitive Therapy Versus Supportive Therapy in Borderline Personality Disorder
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Borderline Personality Disorder
- Sponsor
- Hospices Civils de Lyon
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- 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)
- Last Updated
- 19 years ago
Overview
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
Investigators
Eligibility Criteria
Inclusion Criteria
- •DSM-4 DIBR \>=8 (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Diagnostic inventory for borderline-revised)
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
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 Outcomes
- 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
- Handicap (Sheehan)
- Time: Pre test, six months, post test and one year post treatment follow-up
- Therapeutic relationship evaluation scale (patients and therapists)