Clinical Trial: Cognitive Therapy Versus Supportive Therapy in Borderline Personality Disorder

Study Status: Completed
Recruit Status: Unknown status
Study Type: Interventional

Official Title: Cognitive Therapy Versus Supportive Therapy in Borderline Personality Disorder

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 Summary:

  • 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

Sponsor: Hospices Civils de Lyon

Current Primary Outcome: 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)

Original Primary Outcome:

  • CGI: Improvement (1-7) : score 3 ( a little better) associated with a
  • hopelessness scale score < 8 (this means that the suicide risk is low)


Current Secondary Outcome:

  • 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)


Original Secondary Outcome:

  • CGI severity and improvement
  • Hamilton depression
  • Beck Depression Inventory
  • Hopelessness
  • Young: Schema Questionnaire II
  •  SCID II PQ
  •  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) :


Information By: Hospices Civils de Lyon

Dates:
Date Received: August 18, 2005
Date Started: March 2001
Date Completion:
Last Updated: April 26, 2007
Last Verified: April 2007