Low intensity psychological support for people with personality disorder: Randomised controlled trial

2017 ◽  
Author(s):  
Amy Claringbold
Keyword(s):  
Randomised Controlled Trial ◽  
Personality Disorder ◽  
Controlled Trial ◽  
Psychological Support ◽  
Low Intensity ◽  
Randomised Controlled

scholarly journals Structured Psychological Support for people with personality disorder: feasibility randomised controlled trial of a low-intensity intervention

BJPsych Open ◽  
2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Mike J. Crawford ◽  
Lavanya Thana ◽  
Jennie Parker ◽  
Oliver Turner ◽  
Aidan Carney ◽  
...  
Keyword(s):  
Mental Health ◽  
Personality Disorder ◽  
Controlled Trial ◽  
Randomised Trial ◽  
Psychological Support ◽  
Feasibility Trial ◽  
Satisfaction With Care ◽  
Treatment As Usual ◽  
Low Intensity ◽  
Randomised Controlled

Background National guidance cautions against low-intensity interventions for people with personality disorder, but evidence from trials is lacking. Aims To test the feasibility of conducting a randomised trial of a low-intensity intervention for people with personality disorder. Method Single-blind, feasibility trial (trial registration: ISRCTN14994755). We recruited people aged 18 or over with a clinical diagnosis of personality disorder from mental health services, excluding those with a coexisting organic or psychotic mental disorder. We randomly allocated participants via a remote system on a 1:1 ratio to six to ten sessions of Structured Psychological Support (SPS) or to treatment as usual. We assessed social functioning, mental health, health-related quality of life, satisfaction with care and resource use and costs at baseline and 24 weeks after randomisation. Results A total of 63 participants were randomly assigned to either SPS (n = 33) or treatment as usual (n = 30). Twenty-nine (88%) of those in the active arm of the trial received one or more session (median 7). Among 46 (73%) who were followed up at 24 weeks, social dysfunction was lower (−6.3, 95% CI −12.0 to −0.6, P = 0.03) and satisfaction with care was higher (6.5, 95% CI 2.5 to 10.4; P = 0.002) in those allocated to SPS. Statistically significant differences were not found in other outcomes. The cost of the intervention was low and total costs over 24 weeks were similar in both groups. Conclusions SPS may provide an effective low-intensity intervention for people with personality disorder and should be tested in fully powered clinical trials.

scholarly journals Correction to: Rehabilitation Exercise and psycholoGical support After covid-19 InfectioN’ (REGAIN): a structured summary of a study protocol for a randomised controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Gordon McGregor ◽  
Harbinder Sandhu ◽  
Julie Bruce ◽  
Bartholomew Sheehan ◽  
David McWilliams ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Study Protocol ◽  
Controlled Trial ◽  
Psychological Support ◽  
Randomised Controlled ◽  
Rehabilitation Exercise

An amendment to this paper has been published and can be accessed via the original article.

scholarly journals Highlights of this issue

2013 ◽  
Vol 203 (6) ◽  
pp. A22-A22
Author(s):  
Kimberlie Dean
Keyword(s):  
Eating Disorders ◽  
Randomised Controlled Trial ◽  
Anxiety Disorders ◽  
Early Life ◽  
Controlled Trial ◽  
Childhood Anxiety ◽  
Childhood Anxiety Disorders ◽  
Low Intensity ◽  
Randomised Controlled ◽  
Diagnostic Outcomes

Interventions throughout early life - antenatally, in childhood and in adolescenceTwo papers in the Journal this month describe trials of interventions targeting young people – one focused on treating anxiety disorders in childhood and another on preventing eating disorders in adolescence. While CBT for childhood anxiety disorders is known to be effective, its availability is limited. Thirlwall et al (pp. 436–444) conducted a randomised controlled trial of low-intensity guided parent-delivered CBT in a sample of children with anxiety disorders referred by primary or secondary care to a specialist clinic. Compared with waiting-list controls, the children receiving the full intervention demonstrated superior diagnostic outcomes, whereas those receiving a brief version of the intervention showed no improvements. In a linked editorial, Cartwright-Hatton (pp. 401–402) highlights the prevalence of childhood anxiety disorders, the implications of failing to treat them and the evidence supporting their treatability. She also points to the implications of findings from Thirlwall et al indicating that therapists need not be highly trained or experienced to achieve significant results.

scholarly journals Transference-focused psychotherapy v. treatment by community psychotherapists for borderline personality disorder: randomised controlled trial

2010 ◽  
Vol 196 (5) ◽  
pp. 389-395 ◽  
Author(s):  
Stephan Doering ◽  
Susanne Hörz ◽  
Michael Rentrop ◽  
Melitta Fischer-Kern ◽  
Peter Schuster ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Randomised Controlled Trial ◽  
Personality Disorder ◽  
Psychosocial Functioning ◽  
Controlled Trial ◽  
Borderline Personality ◽  
Patient Treatment ◽  
Significant Group ◽  
Randomised Controlled ◽  
Transference Focused Psychotherapy

BackgroundTransference-focused psychotherapy is a manualised treatment for borderline personality disorder.AimsTo compare transference-focused psychotherapy with treatment by experienced community psychotherapists.MethodIn a randomised controlled trial (NCT00714311) 104 female out-patients were treated for 1 year with either transference-focused psychotherapy or by an experienced community psychotherapist.ResultsSignificantly fewer participants dropped out of the transference-focused psychotherapy group (38.5% v. 67.3%) and also significantly fewer attempted suicide (d = 0.8, P = 0.009). Transference-focused psychotherapy was significantly superior in the domains of borderline symptomatology (d = 1.6, P = 0.001), psychosocial functioning (d = 1.0, P = 0.002), personality organisation (d = 1.0, P = 0.001) and psychiatric in-patient admissions (d = 0.5, P = 0.001). Both groups improved significantly in the domains of depression and anxiety and the transference-focused psychotherapy group in general psychopathology, all without significant group differences (d = 0.3–0.5). Self-harming behaviour did not change in either group.ConclusionsTransference-focused psychotherapy is more efficacious than treatment by experienced community psychotherapists in the domains of borderline symptomatology, psychosocial functioning, and personality organisation. Moreover, there is preliminary evidence for a superiority in the reduction of suicidality and need for psychiatric in-patient treatment.

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