Psychoeducation of Borderline Patients
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Purpose
Recent research suggests that BPD is a common, serious but treatable disorder with a better than previously recognized prognosis. Despite these findings, many patients with BPD are not given the borderline diagnosis by the mental health professionals treating them. It is also true that many newly diagnosed borderline patients are not provided with up-to-date information on the disorder even though psychoeducation has been found to be a useful form of treatment for other serious psychiatric illnesses.
The investigators have conducted a preliminary randomized trial of psychoeducation for BPD that found that those provided with immediate psychoeducation had a significantly greater reduction in two core symptoms of BPD--general impulsivity and stormy relationships--than those with delayed psychoeducation.
However, both instruction and assessment of change over time were conducted in person by paraprofessionals. The importance of the current study is that it will allow the investigators to develop and test the efficacy of an internet-based program of psychoeducation for BPD that will be both cost efficient and easy to disseminate widely, particularly to underserved populations.
| Condition | Intervention |
|---|---|
|
Borderline Personality Disorder |
Behavioral: Education Behavioral: Non-Education |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Psychoeducation of Borderline Patients |
- Zanarini Rating Scale for Borderline Personality Disorder [ Time Frame: Change from baseline through weeks 2-12, 6 month follow-up, 9 month follow-up, 12 month follow-up ] [ Designated as safety issue: No ]A dimensional self-report measure of the nine DSM-IV symptoms of BPD
- Borderline Evaluation of Severity over Time [ Time Frame: Change from baseline through weeks 2-12, 6 month follow-up, 9 month follow-up, 12 month follow-up ] [ Designated as safety issue: No ]A self-report that measures change in severity of borderline psychopathology
- Sheehan Disability Scale [ Time Frame: Change from baseline through weeks 2-12, 6 month follow-up, 9 month follow-up, 12 month follow-up ] [ Designated as safety issue: No ]A self-report measure used to assess psychosocial impairment
- Weissman's Social Adjustment Scale [ Time Frame: Change from baseline through weeks 4,8,12, 6 month follow-up, 9 month follow-up, 12 month follow-up ] [ Designated as safety issue: No ]A self-report measure used to assess psychosocial impairment
- Clinically Useful Depression Outcome Scale [ Time Frame: Change from baseline through weeks 2-12, 6 month follow-up, 9 month follow-up, 12 month follow-up ] [ Designated as safety issue: No ]A self-report designed to assess sensitivity to change in depression symptoms
- Clinically Useful Anxiety Outcome Scale [ Time Frame: Change from baseline through weeks 2-12, 6 month follow-up, 9 month follow-up, 12 month follow-up ] [ Designated as safety issue: No ]A self-report designed to assess sensitivity to change in anxiety symptoms
| Estimated Enrollment: | 80 |
| Study Start Date: | May 2013 |
| Estimated Study Completion Date: | January 2015 |
| Estimated Primary Completion Date: | January 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Placebo Comparator: Non-Education
This group will not receive the psychosocial education.
|
Behavioral: Non-Education
This group will not receive the psychoeducation
|
|
Active Comparator: Education
This group will receive the psychosocial education
|
Behavioral: Education
This group will receive the psychoeducation
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years to 30 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Female
- Ages 18 to 30
- Meets criteria for Borderline Personality Disorder
- Intelligence Quotient must be 71 or higher
Exclusion Criteria:
- Males
- Schizophrenia
- Schizoaffective Disorder
- Bipolar I
- Serious Substance Use Disorder
- Subjects cannot be in treatment at baseline
Contacts and Locations| Contact: Michelle Wedig, PhD. | 617-855-3362 | mwedig@mclean.harvard.edu |
| United States, Massachusetts | |
| McLean Hospital | Not yet recruiting |
| Belmont, Massachusetts, United States, 02478 | |
| Contact: Michelle Wedig, PhD. 617-855-3362 mwedig@mclean.harvard.edu | |
| Principal Investigator: | Mary C Zanarini, Ed.D. | Mclean Hospital |
More Information
No publications provided
| Responsible Party: | Mary Zanarini, Professor of Psychology, Mclean Hospital |
| ClinicalTrials.gov Identifier: | NCT01719731 History of Changes |
| Other Study ID Numbers: | 1R34MH095818 |
| Study First Received: | October 26, 2012 |
| Last Updated: | March 25, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Mclean Hospital:
|
BPD |
Additional relevant MeSH terms:
|
Borderline Personality Disorder Personality Disorders Mental Disorders |
ClinicalTrials.gov processed this record on May 23, 2013