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Effects of motive-oriented therapeutic relationship in a ten-session general psychiatric treatment of borderline personality disorder: a randomized controlled trial.
Effects of motive-oriented therapeutic relationship in a ten-session general psychiatric treatment of borderline personality disorder: a randomized controlled trial.
- Source :
-
Psychotherapy and psychosomatics [Psychother Psychosom] 2014; Vol. 83 (3), pp. 176-86. Date of Electronic Publication: 2014 Apr 17. - Publication Year :
- 2014
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Abstract
- Background: Motive-oriented therapeutic relationship (MOTR) was postulated to be a particularly helpful therapeutic ingredient in the early treatment phase of patients with personality disorders, in particular with borderline personality disorder (BPD). The present randomized controlled study using an add-on design is the first study to test this assumption in a 10-session general psychiatric treatment with patients presenting with BPD on symptom reduction and therapeutic alliance.<br />Methods: A total of 85 patients were randomized. They were either allocated to a manual-based short variant of the general psychiatric management (GPM) treatment (in 10 sessions) or to the same treatment where MOTR was deliberately added to the treatment. Treatment attrition and integrity analyses yielded satisfactory results.<br />Results: The results of the intent-to-treat analyses suggested a global efficacy of MOTR, in the sense of an additional reduction of general problems, i.e. symptoms, interpersonal and social problems (F1, 73 = 7.25, p < 0.05). However, they also showed that MOTR did not yield an additional reduction of specific borderline symptoms. It was also shown that a stronger therapeutic alliance, as assessed by the therapist, developed in MOTR treatments compared to GPM (Z55 = 0.99, p < 0.04).<br />Conclusions: These results suggest that adding MOTR to psychiatric and psychotherapeutic treatments of BPD is promising. Moreover, the findings shed additional light on the perspective of shortening treatments for patients presenting with BPD.<br /> (© 2014 S. Karger AG, Basel.)
- Subjects :
- Adult
Analysis of Variance
Borderline Personality Disorder psychology
Female
Humans
Intention to Treat Analysis statistics & numerical data
Male
Self Report
Single-Blind Method
Borderline Personality Disorder therapy
Cooperative Behavior
Motivation
Outcome Assessment, Health Care statistics & numerical data
Professional-Patient Relations
Psychotherapy methods
Subjects
Details
- Language :
- English
- ISSN :
- 1423-0348
- Volume :
- 83
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Psychotherapy and psychosomatics
- Publication Type :
- Academic Journal
- Accession number :
- 24752034
- Full Text :
- https://doi.org/10.1159/000358528