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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.

Authors :
Kramer U
Kolly S
Berthoud L
Keller S
Preisig M
Caspar F
Berger T
de Roten Y
Marquet P
Despland JN
Source :
Psychotherapy and psychosomatics [Psychother Psychosom] 2014; Vol. 83 (3), pp. 176-86. Date of Electronic Publication: 2014 Apr 17.
Publication Year :
2014

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.)

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