The shorter the better? A follow-up analysis of 10-session psychiatric treatment including the motive-oriented therapeutic relationship for borderline personality disorder.

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State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_4A080BB02924
Type
Article: article from journal or magazin.
Collection
Publications
Title
The shorter the better? A follow-up analysis of 10-session psychiatric treatment including the motive-oriented therapeutic relationship for borderline personality disorder.
Journal
Psychotherapy research
Author(s)
Kramer U., Stulz N., Berthoud L., Caspar F., Marquet P., Kolly S., De Roten Y., Despland J.N.
ISSN
1468-4381 (Electronic)
ISSN-L
1050-3307
Publication state
Published
Issued date
05/2017
Peer-reviewed
Oui
Volume
27
Number
3
Pages
362-370
Language
english
Notes
Publication types: Journal Article ; Randomized Controlled Trial
Publication Status: ppublish
Abstract
There is little research on short-term treatments for borderline personality disorder (BPD). While the core changes may occur only in long-term treatments, short-term treatments may enable the study of early generic processes of engagement in therapy and thus inform about effective treatment components. It was shown that a 10-session version of a psychiatric treatment was effective in reducing borderline symptoms at the end of this treatment [Kramer, U., Kolly, S., Berthoud, L., Keller, S., Preisig, M., Caspar, F., … Despland, J.-N. (2014). Effects of motive-oriented therapeutic relationship in a ten-session general psychiatric treatment for borderline personality disorder: A randomized controlled trial. Psychotherapy and Psychosomatics, 83, 176-186.]. Also, it was demonstrated in a randomized design that adding the motive-oriented therapeutic relationship (MOTR), following an individualized case formulation based on Plan Analysis, further increased general outcome after session 10 and had a positive effect on the early changes in self-esteem and alliance.
The present study focuses on the follow-up period after this initial treatment, examining treatment density and outcomes after 6 months and service utilization after 12 months. Outcome was measured using the OQ-45.
Results on a sub-sample of N = 40 patients with available OQ-45 data at follow-up (n = 21 for MOTR-treatment, n = 19 for comparison treatment) showed maintenance of gains over the follow-up period, which did not differ between both conditions. It appeared for this sample that MOTR treatments, while using the same number of sessions, lasted more weeks (i.e., lower treatment density, defined as the number of sessions per week), when compared to the treatments without MOTR. Density marginally predicted symptom reduction at follow-up. Patients in MOTR treatments had a greater likelihood of entering structured psychotherapy after the initial sessions than patients in the comparison group.
These results are overall consistent with earlier studies on short-term treatments for BPD and underline the importance of individualizing interventions, by using case formulations that rely on idiographic methods and integrative concepts.

Keywords
Adult, Borderline Personality Disorder/therapy, Follow-Up Studies, Humans, Mental Health Services/utilization, Motivation, Outcome and Process Assessment (Health Care), Professional-Patient Relations, Psychotherapy/methods, borderline personality disorder, dosage, follow-up, motive-oriented therapeutic relationship, outcome, plan analysis, psychiatric treatment, service utilization
Pubmed
Web of science
Open Access
Yes
Create date
11/10/2016 16:30
Last modification date
20/08/2019 14:57
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