Cognitive Therapy Versus Supportive Therapy in Borderline Personality Disorder

Study Overview
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Brief Summary
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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
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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

Official Title
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Cognitive Therapy Versus Supportive Therapy in Borderline Personality Disorder

Conditions
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Borderline Personality Disorder

Intervention / Treatment
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* Behavioral: Cognitive Therapy
* Behavioral: Supportive Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: DSM-4 DIBR >=8 (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Diagnostic inventory for borderline-revised)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Design Details

Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: Cognitive Therapy|nan|
|Behavioral: Supportive Therapy|nan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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) |  |  | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Borderline personality disorder, Controlled trials, Cognitive Therapy, Supportive Therapy, suicide, impulsivity