Effectiveness of Autobiographical Rewriting Workshops on the Socio-Professional Functioning of Patients With Borderline Personality Disorder Undergoing Third-Wave Cognitive and Behavioral Therapy: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 140
- 主要终点
- Improvement in Social Functioning
研究概览
简要总结
This study evaluates the effectiveness of autobiographical rewriting workshops combined with third-wave Cognitive Behavioral Therapy (CBT) in improving social and professional functioning in individuals with Borderline Personality Disorder (BPD). BPD affects approximately 2 to 6% of the general population and is frequently associated with suicidal behaviors, unstable relationships, and low self-esteem. This disorder is often linked to early traumatic experiences that impact autobiographical memory and self-perception. While Dialectical Behavioral Therapy (DBT) is a standard treatment for BPD, it does not fully address all the needs of patients.
The aim of this study is to determine whether autobiographical rewriting, which allows individuals to restructure and reinterpret their memories in a more resilient way, can improve autobiographical memory, self-esteem, and reduce emotional symptoms. Participants will be randomized into two groups: one group will undergo autobiographical rewriting workshops in addition to third-wave CBT sessions, while the other group will participate in non-specific writing sessions also in addition to third-wave CBT sessions. The study will compare the two groups to evaluate the effectiveness of autobiographical rewriting workshops in enhancing social and professional well-being.
Expected outcomes include improvements in interpersonal relationships, greater professional stability, and a reduction in emotional symptoms assessed immediately post-intervention, then 3 months and 6 months after. This study may offer a complementary therapeutic approach to existing treatments, helping patients manage their symptoms more effectively and improve their quality of life.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subjects with borderline personality disorder (assessed by SCID-2),
- •Subjects aged between 18 and 45 years (inclusive).
排除标准
- •Psychotic disorder (assessed by SCID),
- •Subjects deprived of their liberty (by judicial or administrative decision, or involuntary hospitalization),
- •Subjects under legal protection (guardianship, curatorship, or judicial protection),
- •Subjects not affiliated with a social security,
- •Pregnant or breastfeeding women,
- •Inability to understand the nature, purpose, and methodology of the study,
- •Inability to understand, speak, or write French,
- •Failure to provide informed oral consent to participate in the study.
结局指标
主要结局
Improvement in Social Functioning
时间窗: immediate post-intervention
The change in the score on the Social Functioning Questionnaire (SFQ) will be assessed between pre-intervention and post-intervention immediately, and compared between the two groups. The SFQ measures social functioning over the past two weeks, with 16 items divided into 8 domains: professional activities, daily life tasks, leisure, family and couple relationships, extrafamily relationships, financial and administrative management, general health, and community life and information. For each domain, participants assess the frequency and satisfaction of their activities
次要结局
- Autobiographical Memory(6 months post-intervention)
- Improvement in Social Functioning(6 months post-intervention)
- Borderline Symptom Severity(6 months post-intervention)
- Self-Concept Clarity(6 months post-intervention)
- Self-Defining Future Projections(6 months post-intervention)
- Self-Esteem(6 months post-intervention)
- Reflective Emotions (Shame)(6 months post-intervention)
- Sense of Coherence(6 months post-intervention)
- Self-Representation (Ontological Addiction Scale)(6 months post-intervention)