Psychodynamic Therapy For Co-occurring Borderline Personality Disorder and Alcohol Use Disorder

Study Overview
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Brief Summary
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The purpose of the study is to determine the feasibility and effectiveness of a modified form of psychodynamic psychotherapy for persons suffering from co-occurring borderline personality disorder and an alcohol use disorder.

Detailed Description
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Borderline Personality Disorder (BPD) is a condition that can cause significant distress and increased risk of death. Many persons with BPD also have an alcohol use disorder (AUD) and there is evidence that this can worsen the outcome and course of both disorders. A manual-based form of psychodynamic therapy (PT), labeled dynamic deconstructive psychotherapy, has been developed for particularly challenging patients with BPD, especially those with co-occurring substance use disorders. It aims to remediate specific neurocognitive capacities that are responsible for processing of emotional experiences, and so diminishes symptoms of BPD and promotes the development of a coherent and differentiated self-structure. PT has been shown to be helpful for BPD, but has not been tested for people who have BPD with co-occurring substance use disorders. The proposed study is a randomized controlled trial of PT for persons with BPD and co-occurring AUD that will generate some initial data that can be used to determine the need and feasibility for further outcome studies. Participants are randomized to either a study group receiving weekly PT or to a control group receiving usual care. Enrollment is 15 participants in each group. The study group will receive 12-18 months of PT, with naturalistic follow-up. Outcome measures are administered by a research assistant at enrollment, 3 months, 6 months, 9 months, 12 months, and 30 months. The investigators anticipate that the PT group will show trends towards better retention in treatment and greater reduction in parasuicides, alcohol misuse, and institutional care. If so, this would have important and positive implications for the large group of patients who suffer from BPD and co-occurring AUD.

Official Title
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Psychodynamic Therapy for Patients With Borderline Personality Disorder and Alcohol Abuse

Conditions
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Borderline Personality Disorder, Alcohol Use Disorder

Intervention / Treatment
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* Behavioral: Psychodynamic Therapy
* Behavioral: Optimized Community Care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age between 18 and 45 years Meets diagnostic criteria for borderline personality disorder and for active alcohol abuse or dependence At least average intelligence Exclusion Criteria: Meets diagnostic criteria for schizophrenia, or schizoaffective disorder

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: dynamic deconstructive psychotherapy<br>weekly individual psychotherapy of 50 minute duration lasting 12-18 months | Behavioral: Psychodynamic Therapy<br>* Dynamic deconstructive psychotherapy is a time-limited (12-18 month) manual-based form of psychodynamic therapy that aims to remediate specific neurocognitive capacities responsible for processing of emotional experiences.<br>* Other names: Dynamic Deconstructive Psychotherapy;|
| Active Comparator: optimized community care<br>eclectic weekly individual and group psychotherapy, as well as drug and alcohol rehabilitation | Behavioral: Optimized Community Care<br>* individual and group psychotherapy in a private practice, clinic, and/or rehab setting, with an eclectic orientation<br>* Other names: Treatment as Usual;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| episodes of parasuicide, alcohol intoxication, institutional care |  | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| depression, dissociation, core symptoms of borderline pd, perceived social support |  | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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borderline, alcohol, substance, psychodynamic, psychotherapy, psychoanalytic