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Medientyp:
E-Artikel
Titel:
Cognitive therapy v. usual treatment for borderline personality disorder: prospective 6-year follow-up
Beteiligte:
Davidson, Kate M.;
Tyrer, Peter;
Norrie, John;
Palmer, Stephen J.;
Tyrer, Helen
Erschienen:
Royal College of Psychiatrists, 2010
Erschienen in:British Journal of Psychiatry
Sprache:
Englisch
DOI:
10.1192/bjp.bp.109.074286
ISSN:
0007-1250;
1472-1465
Entstehung:
Anmerkungen:
Beschreibung:
<jats:sec><jats:title>Background</jats:title><jats:p>Longer-term follow-up of patients with borderline personality disorder have found favourable clinical outcomes, with long-term reduction in symptoms and diagnosis.</jats:p></jats:sec><jats:sec><jats:title>Aims</jats:title><jats:p>We examined the 6-year outcome of patients with borderline personality disorder who were randomised to 1 year of cognitive–behavioural therapy for personality disorders (CBT–PD) or treatment as usual (TAU) in the BOSCOT trial, in three centres across the UK (trial registration: ISRCTN86177428).</jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p>In total, 106 participants met criteria for borderline personality disorder in the original trial. Patients were interviewed at follow-up by research assistants masked to the patient's original treatment group, CBT–PD or TAU, using the same measures as in the original randomised trial. Statistical analyses of data for the group as a whole are based on generalised linear models with repeated measures analysis of variance type models to examine group differences.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Follow-up data were obtained for 82% of patients at 6 years. Over half the patients meeting criteria for borderline personality disorder at entry into the study no longer did so 6 years later. The gains of CBT–PD over TAU in reduction of suicidal behaviour seen after 1-year follow-up were maintained. Length of hospitalisation and cost of services were lower in the CBT–PD group compared with the TAU group.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Although the use of CBT–PD did not demonstrate a statistically significant cost-effective advantage, the findings indicate the potential for continued long-term cost-offsets that accrue following the initial provision of 1 year of CBT–PD. However, the quality of life and affective disturbance remained poor.</jats:p></jats:sec>