“Abandonment Psychotherapy” for Suicidal Patients with Borderline Personality Disorder: Long-Term Outcome

Burnand, Yvonne; Andréoli, A.; Frambati, Laura; Manning, Donna; Canuto, Alessandra; Frances, Allen

doi:10.1159/000475885

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…Borderline personality disorder (BPD) is a common, debilitating and costly mental disorder. 1 2 A broad range of effective psychotherapeutic approaches exist, [3][4][5] but fewer than one in four patients with BPD have access to them. 6 Current efforts to reduce this treatment gap focus on increasing access to psychosocial treatments for patients with BPD, 7 for example, through expanding the availability of liaison psychiatry services for patients presenting to the emergency department following self-harm.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness and safety of the adjunctive use of an internet-based self-management intervention for borderline personality disorder in addition to care as usual: results from a randomised controlled trial

et al. 2021

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ImportanceBorderline personality disorder (BPD) is a severe mental disorder that is often inadequately treated.ObjectiveTo determine if adding a self-management intervention to care as usual (CAU) is effective and safe.DesignRandomised, controlled, rater-blind trial. Duration of treatment and assessments: 12 months.SettingSecondary care, recruited mainly via the internet.ParticipantsPatients with BPD and BPD Severity Index (BPDSI) of at least 15.InterventionsCAU by treating psychiatrist and/or psychotherapist alone or adjunctive use of an internet-based self-management intervention that is based on schema therapy (priovi).Main outcome measureOutcomes were assessed by trained raters. The primary outcome was change in BPDSI. The safety outcome was the number of serious adverse events (SAEs). The primary outcome time point was 12 months after randomisation.ResultsOf 383 participants assessed for eligibility, 204 were included (91.7% female, mean age: 32.4 years; 74% were in psychotherapy and 26% were in psychiatric treatment). The slope of BPDSI change did not differ significantly between groups from baseline to 12 months (F3,248= 1.857, p=0.14). At 12 months, the within-group effect sizes were d=1.38 (95% CI 1.07 to 1.68) for the intervention group and d=1.02 (95% CI 0.73 to 1.31) for the control group. The between-group effect size was d=0.27 (95% CI 0.00 to 0.55) in the intention-to-treat sample and d=0.39 (95% CI 0.09 to 0.68) for those who used the intervention for at least 3 hours (per-protocol sample). We found no significant differences in SAEs.ConclusionsWe have not found a significant effect in favour of the intervention. This might be due to the unexpectedly large effect in the group receiving CAU by a psychiatrist and/or psychotherapist alone.Trial registrationNCT03418142.

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Section: Introductionmentioning

confidence: 99%

Effectiveness and safety of the adjunctive use of an internet-based self-management intervention for borderline personality disorder in addition to care as usual: results from a randomised controlled trial

et al. 2021

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Abandonment Psychotherapy and Psychosocial Functioning Among Suicidal Patients With Borderline Personality Disorder: A 3-Year Naturalistic Follow-Up

Andréoli¹,

Burnand²,

Frambati

et al. 2019

Journal of Personality Disorders

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The authors present the results from a 3-year follow-up among 170 patients who had participated in the original randomized study, which consisted of three treatment conditions: (a) 3-month abandonment psychotherapy (AP) delivered by certified psychotherapists, (b) AP delivered by nurses, and (c) treatment as usual in a psychiatric crisis center. All subjects were recruited at the emergency room after a suicide attempt and met diagnostic criteria for borderline personality disorder and major depression. Psychotic symptoms, bipolar disorder, and mental retardation were exclusion criteria. At 3-year follow-up, 134 (78.8%) subjects had blind, reliable assessment by clinical psychologists. The intent-to-treat analysis indicated that those patients who had received AP during acute treatment had better global functioning, improved work adjustment, and less unemployment/disability at 3-year follow-up. No differences were found as a function of type of therapist delivering AP. The data confirm that short-term AP gains in psychosocial functioning are sustained over the longer term.

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“Abandonment Psychotherapy” for Suicidal Patients with Borderline Personality Disorder: Long-Term Outcome

Cited by 2 publications

References 8 publications

Effectiveness and safety of the adjunctive use of an internet-based self-management intervention for borderline personality disorder in addition to care as usual: results from a randomised controlled trial

Effectiveness and safety of the adjunctive use of an internet-based self-management intervention for borderline personality disorder in addition to care as usual: results from a randomised controlled trial

Abandonment Psychotherapy and Psychosocial Functioning Among Suicidal Patients With Borderline Personality Disorder: A 3-Year Naturalistic Follow-Up

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