Cognitive therapy versus Rogerian supportive therapy in borderline personality disorder. Two-year follow-up of a controlled pilot study

To date, there have been no studies comparing cognitive therapy (CT) with Rogerian supportive therapy (RST) in borderline personality disorder. Sixty-five DSM-IV borderline personality disorder outpatients were recruited at 2 centres: Lyon and Marseille. Thirty-three patients were randomly allocated...

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Bibliographic Details
Published in:	Psychotherapy and psychosomatics Vol. 78; no. 5; p. 307
Main Authors:	Cottraux, Jean, Note, Ivan Druon, Boutitie, Florent, Milliery, Maud, Genouihlac, Virginie, Yao, Sai Nan, Note, Brigitte, Mollard, Evelyne, Bonasse, Françoise, Gaillard, Ségolène, Djamoussian, Diane, Guillard, Chantal de Mey, Culem, Alain, Gueyffier, François
Format:	Journal Article
Language:	English
Published:	Switzerland 01-01-2009
Subjects:	Adult Borderline Personality Disorder - complications Borderline Personality Disorder - diagnosis Borderline Personality Disorder - therapy Cognitive Therapy - methods Female Follow-Up Studies Humans Impulsive Behavior - complications Impulsive Behavior - psychology Impulsive Behavior - therapy Male Person-Centered Therapy - methods Pilot Projects Psychiatric Status Rating Scales - statistics & numerical data Quality of Life - psychology Suicide - prevention & control Treatment Outcome
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Summary:	To date, there have been no studies comparing cognitive therapy (CT) with Rogerian supportive therapy (RST) in borderline personality disorder. Sixty-five DSM-IV borderline personality disorder outpatients were recruited at 2 centres: Lyon and Marseille. Thirty-three patients were randomly allocated to CT and 32 to RST. The therapists were the same in both groups. Both treatments shared the same duration (1 year) and amount of therapy. Assessment by independent evaluators utilised the Clinical Global Impression (CGI) Scale, the Hamilton Depression Scale, Beck Depression Inventory, Beck Anxiety Inventory, Hopelessness Scale, Young Schema Questionnaire II, Eysenck Impulsivity Venturesomeness Empathy (IVE) Inventory, a self-harming behaviours checklist and scales measuring quality of life and the therapeutic relationship. The response criterion was a score of 3 or less on the CGI, associated with a Hopelessness Scale score of <8. No patient committed suicide during the trial. Fifty-one patients were evaluated at week 24, 38 at week 52 and 21 at week 104. Cognitive therapy retained the patients in therapy for a longer time. The response criterion found no significant between-group differences at any measurement point in the completers. However, at week 24, CT was better than RST on the Hopelessness Scale, IVE scale and regarding the therapeutic relationship. At week 104, the CGI improvement (patient and evaluator) was significantly better in CT than in RST. High baseline depression and impulsivity predicted dropouts. CT retained the patients in therapy longer, showed earlier positive effects on hopelessness and impulsivity, and demonstrated better long-term outcomes on global measures of improvement.
ISSN:	1423-0348
DOI:	10.1159/000229769