Effects of motive-oriented therapeutic relationship in a ten-session general psychiatric treatment of borderline personality disorder: a randomized controlled trial.

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Version: Author's accepted manuscript
Serval ID
serval:BIB_01F264B2831C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Effects of motive-oriented therapeutic relationship in a ten-session general psychiatric treatment of borderline personality disorder: a randomized controlled trial.
Journal
Psychotherapy and Psychosomatics
Author(s)
Kramer U., Kolly S., Berthoud L., Keller S., Preisig M., Caspar F., Berger T., de Roten Y., Marquet P., Despland J.N.
ISSN
1423-0348 (Electronic)
ISSN-L
0033-3190
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
83
Number
3
Pages
176-186
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
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. 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. 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). 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. © 2014 S. Karger AG, Basel.
Pubmed
Web of science
Open Access
Yes
Create date
09/05/2014 15:26
Last modification date
20/08/2019 13:24
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