NCT00131781UnknownNot Applicable
Cognitive Therapy Versus Supportive Therapy in Borderline Personality Disorder
Conditions
Trial Snapshot
- Phase
- Not Applicable
- 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)
Study 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
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Masking
- Single
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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)
Investigators
Study Sites (1)
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