Randomized Controlled Trial of Web-Based Psychoeducation for Women With Borderline Personality Disorder
| Autor: | Mary C. Zanarini, Garrett M. Fitzmaurice, Christina M. Temes, Lindsey C. Conkey |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Psychotherapist medicine.medical_treatment Impulsivity Severity of Illness Index Article law.invention Young Adult 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Randomized controlled trial Borderline Personality Disorder Rating scale law Outcome Assessment Health Care Severity of illness medicine Psychoeducation Humans Borderline personality disorder Internet business.industry medicine.disease Telemedicine 030227 psychiatry Psychotherapy Psychiatry and Mental health Female medicine.symptom business Psychosocial 030217 neurology & neurosurgery Clinical psychology Psychopathology |
| Zdroj: | The Journal of Clinical Psychiatry. 79 |
| ISSN: | 0160-6689 |
| DOI: | 10.4088/jcp.16m11153 |
| Popis: | Objective To determine if internet-based psychoeducation for borderline personality disorder is effective in reducing symptom severity and improving psychosocial functioning. Methods Eighty women who met DSM-IV criteria for borderline personality disorder were randomly assigned either to the internet-based psychoeducation treatment group (n = 40) or to the internet-based control group with no psychoeducation (n = 40). Recruitment was conducted from July 2013 to March 2015. Subjects participated in 15 assessment periods that were divided into an acute phase (weeks 1-12) and a maintenance phase (months 6, 9, and 12). Main outcomes were assessed using the Zanarini Rating Scale for Borderline Personality Disorder. Results In the acute phase, women in the treatment group were found to have a significant decline in their scores on all 10 outcomes studied, while women in the control group had a significant decline on 7 of these outcomes. Two between-group differences were found to be significant-those in the treatment group reported a significantly greater decline in their impulsivity (z = -1.98, P = .048) and a significantly greater increase in their psychosocial functioning (z = -1.97, P = .049) than those in the control group. In the maintenance phase, those in the treatment group were found to have a significant decline in their scores on 9 of the 10 outcomes studied, while those in the control group had a significant decline in 3 of these outcomes. In terms of between-group differences, those in the treatment group reported a significantly greater decline in all 5 studied areas of borderline psychopathology: affective symptoms (z = -2.31, P = .021), cognitive symptoms (z = -3.20, P = .001), impulsivity (z = -2.44, P = .015), interpersonal difficulties (z = -2.15, P = .032), and overall borderline personality disorder symptoms (z = -2.11, P = .035). Conclusions Taken together, these results suggest that internet-based psychoeducation is an effective form of early treatment for reducing the symptom severity of borderline personality disorder for periods up to 1 year. Trial registration ClinicalTrials.gov identifier: NCT01719731. |
| Databáze: | OpenAIRE |
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