Effectiveness of iconic therapy for the reduction of borderline personality disorder symptoms among suicidal youth: study protocol for a randomised controlled trial

Hurtado-Santiago, Silvia; Guzmán‐Parra, José; Bersabé, Rosa; Mayoral, Fermín

doi:10.1186/s12888-018-1857-x

Cited by 4 publications

(5 citation statements)

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“…Generally, evidence on the differential effectiveness of psychological interventions is very poor. Considering the large overlap between supportive and Iconic Therapy, with shared focus on psychoeducation and similar ways of planning and structuring their programs (see Table 2 of the study protocol) [ 31 ], the medium effect size of the difference (d = 0.43) between the two therapy groups in BSL- 23 mean scores at 12 months is remarkable. More studies are needed to determine which factors are responsible for the improvement of outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…The total sample size was then determined at 52 participants, but only 40 individuals could finally be recruited. More details about the trial have been published previously in the study protocol [ 31 ]. In short, the study was conducted at the University Regional Hospital of Malaga during January 2016 and July 2017.…”

Section: Methodsmentioning

confidence: 99%

“…As in IT, the second part of the program consisted of three group sessions and a variable number of individual face-to-face sessions conducted by the principal investigator. More information about the content of both IT and SI is given in the previously published protocol [ 31 ].…”

Section: Methodsmentioning

confidence: 99%

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Iconic Therapy for the reduction of borderline personality disorder symptoms among suicidal youth: a preliminary study

et al. 2022

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Background Iconic therapy (IT) is a new therapy that uses images to teach skills with the aim of improving the symptoms of borderline personality disorder. Preliminary results are promising, and there is indication that IT may be effective. The purpose of this preliminary study was to test the effectiveness of IT compared to a psychological supportive intervention (SI). Methods The study was carried out at the University Regional Hospital of Malaga. Young patients (N = 40; 15–30 years) with suicidal or parasuicidal behavior and borderline personality traits were randomized into IT (N = 20) or SI (N = 20). The main outcome variable was a change in the symptoms of borderline personality disorder (BSL-23) at the end of treatment. The secondary outcome variables were suicidal ideation and behavior, self-harm, the need for medication, the number of visits to mental health professionals, maladaptive behavior, satisfaction with therapy and perceived improvement, both at the end of the intensive treatment and at the 12-month follow-up. Results As expected, the two therapies produced a reduction in BPD symptoms at 10 weeks post-treatment and at the 12-month follow-up. Contrary to expectation, there were no statistically significant differences in the effectiveness of the two therapies (p > 0.05). However, at the 12-month follow-up, the effect sizes for the difference between the effectiveness of the two therapy groups on BSL-23 scores (d = 0.33) and on maladjustment to daily life (d = 0.39) was found to exceed the commonly used convention for a small effect (d = 0.20). Besides, participants in the IT group showed greater satisfaction with therapy than those who received SI. The mean difference between groups was statistically significant after the 10-week treatment period (p < .01), with a large effect size (d = 1.11). Nevertheless, this difference was not maintained at the 12-month follow-up (p > .05), although the effect size for this analysis (d = 0.34) was found to exceed a small effect. Conclusions This preliminary study did not find a statistically significant difference in the effectiveness of the two therapies, probably due to the small sample of participants, but there are some indicators (effect sizes) suggesting that perhaps IT may be superior for reducing BPD symptoms and maladjustment in daily life. Future studies with larger samples and comparisons with established treatments for borderline personality disorder are necessary to confirm that IT effects are significant and persistent in the long term. Trial registration ClinicalTrials.gov identifier: NCT03011190. First posted 05/01/2017. Last update posted 15/05/2018.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Iconic Therapy for the reduction of borderline personality disorder symptoms among suicidal youth: a preliminary study

et al. 2022

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“…The total sample size was then determined at 52 participants, but only 40 individuals could finally be recruited. More details about the trial have been published previously in the study protocol (18). In short, the study was conducted at the University Regional Hospital of Malaga during January 2016 and July 2017.…”

Section: Methods and Materials 21 Proceduresmentioning

confidence: 99%

“…As in IT, the second part of the programme consisted of three group sessions and a variable number of individual face-to-face sessions conducted by the principal investigator. More information about the content of both IT and SI is given in the previously published protocol (18).…”

Section: Psychological Supportive Interventionmentioning

confidence: 99%

Iconic therapy for the reduction of borderline personality disorder symptoms among suicidal youth: A randomized controlled trial study

Hurtado-Santiago

Guzmán‐Parra

Mayoral

et al. 2021

Preprint

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Background: Iconic therapy (IT) is a new therapy that uses images to teach skills with the aim of improving the symptoms of borderline personality disorder. Preliminary results are promising and the indication is that Iconic Therapy may be effective. The purpose of this randomized clinical trial was to test the effectiveness of IT compared to a psychological supportive intervention (SI).Methods: The study was carried out at the University Regional Hospital of Malaga. Young patients (N=40; 15–30 years) with suicidal or parasuicidal behavior and borderline personality traits were randomized into IT (N = 20) or SI (N = 20). The main outcome variable was a change in the symptoms of borderline personality disorder (BSL-23) at the end of treatment. The secondary outcome variables were suicidal ideation and behaviour, self-harm, the need for medication, the number of visits to mental health professionals, maladaptive behaviour, satisfaction with therapy and perceived improvement, both at the end of the intensive treatment and at the 12-month follow-up.Results: There were no significant differences between the two therapies regarding reduction of the BSL-23 score. The two therapies showed statistically significant results both at the end of intensive treatment (IT: d = 0.50; SI: d = 0.45) and at the 12-month follow-up (IT: d = 1.09; SI: d = 0.80). In the secondary outcome measures, IT showed statistically significant superiority with respect to SI in satisfaction with therapy at the end of treatment (p = 0.002).Conclusions: Although the results suggest certain superiority of Iconic therapy, it is remarkable the necessity of future studies with larger samples and comparisons with established treatments for borderline personality disorder. Clinical Trial Registration: www.ClinicalTrials.gov, identifier NCT03011190.

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Psychological therapies for people with borderline personality disorder

Storebø

Stoffers‐Winterling

Völlm

et al. 2020

Cochrane Database of Systematic Reviews

232

244

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This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To assess the beneficial and harmful effects of psychological therapies for people with borderline personality disorder (BPD). B A C K G R O U N D Description of the condition Borderline personality disorder (BPD) is a condition first recognised in the 20th century (Gunderson 2009). Historically, the term BPD was coined by Adolph Stern to describe a condition in the 'borderland' between psychosis and neurosis (Stern 1938). Subsequent psychoanalytic contributions (especially that of Kernberg 1975) have reaffirmed this distinction, emphasising that the capacity to test reality remains grossly intact but is subject to subtle distortions, especially under stress. According to current diagnostic criteria, BPD is characterised by a pervasive pattern of instability in affect regulation, impulse control , interpersonal relationships, and self-image (APA 2013; WHO 1993). Clinical hallmarks include emotional dysregulation, impulsive aggression, repeated self-injury, and chronic suicidal tendencies (Fonagy 2009; Lieb 2004). Whereas some authors have suggested that it is a variant of affective disorders (Akiskal 2004), others claim that it is only the causes of these diseases that partially overlap in BPD (Paris 2007). Despite the difficulties in defining and delimiting the condition, BPD is still being widely researched. Its importance stems from the considerable psychological suffering of the persons concerned (

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Effectiveness of iconic therapy for the reduction of borderline personality disorder symptoms among suicidal youth: study protocol for a randomised controlled trial

Cited by 4 publications

References 43 publications

Iconic Therapy for the reduction of borderline personality disorder symptoms among suicidal youth: a preliminary study

Iconic Therapy for the reduction of borderline personality disorder symptoms among suicidal youth: a preliminary study

Iconic therapy for the reduction of borderline personality disorder symptoms among suicidal youth: A randomized controlled trial study

Psychological therapies for people with borderline personality disorder

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