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