Lise Laporte1, Joel Paris2, Tanya Bergevin3, Ronald Fraser4, Jean-François Cardin5. 1. Psychiatry, McGill University Health Centre, Montreal, Quebec, Canada. 2. Institute of Community and Family Psychiatry, McGill University, Montreal, Canada. 3. Psychology, McGill University Health Centre, Montreal, Quebec, Canada. 4. Psychiatry, McGill University, Montreal, Quebec, Canada. 5. Centre integre universitaire de sante et de services sociaux du Centre-Sud-de-l'Ile-de-Montreal, Institut universitaire Jeunes en difficulté, Montreal, Quebec, Canada.
Abstract
OBJECTIVE: This study examines the clinical outcomes of two clinics for borderline personality disorder (BPD) in a naturalistic setting, offering a stepped care model with both short-term (ST) treatment lasting 12 weeks and extended care (EC) up to 24 months. METHODS: A total of 479 patients attending the ST clinic and 145 attending the EC clinic were assessed on depression, impulsivity, self-esteem, emotion dysregulation, substance abuse, self-harm and suicidality. RESULTS: There were significant reductions in all symptoms in both clinics with the exception that substance abuse was only reduced in the EC clinic. On all symptoms, no significant differences in magnitude of changes were observed between patients who stayed in EC clinic for 6-12 months in comparison to those who stayed for 18-24 months. CONCLUSIONS: These results support the concept that for the majority of patients with BPD, brief treatment can be effective. While some patients still need longer treatment, the results are encouraging for brief treatment as a first step for the majority of patients with BPD. While this study adds to the weight of evidence to support ST interventions for patients with BPD, further research using a control group is needed.
OBJECTIVE: This study examines the clinical outcomes of two clinics for borderline personality disorder (BPD) in a naturalistic setting, offering a stepped care model with both short-term (ST) treatment lasting 12 weeks and extended care (EC) up to 24 months. METHODS: A total of 479 patients attending the ST clinic and 145 attending the EC clinic were assessed on depression, impulsivity, self-esteem, emotion dysregulation, substance abuse, self-harm and suicidality. RESULTS: There were significant reductions in all symptoms in both clinics with the exception that substance abuse was only reduced in the EC clinic. On all symptoms, no significant differences in magnitude of changes were observed between patients who stayed in EC clinic for 6-12 months in comparison to those who stayed for 18-24 months. CONCLUSIONS: These results support the concept that for the majority of patients with BPD, brief treatment can be effective. While some patients still need longer treatment, the results are encouraging for brief treatment as a first step for the majority of patients with BPD. While this study adds to the weight of evidence to support ST interventions for patients with BPD, further research using a control group is needed.
Authors: Elizabeth Huxley; Kate L Lewis; Adam D Coates; Wayne M Borg; Caitlin E Miller; Michelle L Townsend; Brin F S Grenyer Journal: BMC Psychiatry Date: 2019-11-06 Impact factor: 3.630
Authors: Sarah Ledden; Luke Sheridan Rains; Merle Schlief; Phoebe Barnett; Brian Chi Fung Ching; Brendan Hallam; Mia Maria Günak; Thomas Steare; Jennie Parker; Sarah Labovitch; Sian Oram; Steve Pilling; Sonia Johnson Journal: BMC Psychiatry Date: 2022-09-05 Impact factor: 4.144
Authors: Martin Lambert; Anne Karow; Jürgen Gallinat; Daniel Lüdecke; Vivien Kraft; Anja Rohenkohl; Romy Schröter; Constanze Finter; Anna-Katharina Siem; Lisa Tlach; Nathalie Werkle; Susann Bargel; Gunda Ohm; Martin Hoff; Helmut Peter; Martin Scherer; Claudia Mews; Susanne Pruskil; Johannes Lüke; Martin Härter; Jörg Dirmaier; Michael Schulte-Markwort; Bernd Löwe; Peer Briken; Heike Peper; Michael Schweiger; Mike Mösko; Thomas Bock; Martin Wittzack; Hans-Jochim Meyer; Arno Deister; Rolf Michels; Stephanie Herr; Alexander Konnopka; Hannah König; Karl Wegscheider; Anne Daubmann; Antonia Zapf; Judith Peth; Hans-Helmut König; Holger Schulz Journal: BMJ Open Date: 2020-05-04 Impact factor: 2.692