Outcome of Crisis Intervention for Subjects With Borderline Personality Disorder or Post-Traumatic Stress Disorder

The recruitment status of this study is unknown because the information has not been verified recently.
Verified December 2005 by Laddis, Andreas, M.D..
Recruitment status was  Not yet recruiting
Information provided by:
Laddis, Andreas, M.D.
ClinicalTrials.gov Identifier:
First received: December 21, 2005
Last updated: February 17, 2006
Last verified: December 2005

December 21, 2005
February 17, 2006
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  • Brief Psychiatric Rating Scale (BPRS) scores
  • Scores on Client Observation and Client Interview, tools designed for this study
  • BPRS scores
  • Scores with Client Observation and Client Interview, tools designed for this study
Complete list of historical versions of study NCT00269139 on ClinicalTrials.gov Archive Site
  • Patient interview and ratings for the value of the clinicians' interventions
  • Staff interview and ratings for their own interventions
Same as current
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Outcome of Crisis Intervention for Subjects With Borderline Personality Disorder or Post-Traumatic Stress Disorder
Study of Outcome With an Intervention From the Cape Cod Model of Psychotherapy for Subjects in a Behavioral Crisis and With the Diagnosis of Borderline Personality Disorder (BPD) or Post-Traumatic Stress Disorder (PTSD)

Dr. Laddis will test a hypothesis about the nature and the management of behavioral crises in patients with borderline personality disorder (BPD) or post-traumatic stress disorder (PTSD). The term "behavioral crisis" is used strictly for periods of uncontrollable urges to repeat mental or outward activity, e.g., flashbacks, cutting, binging on food, drugs or sex, with no intervals to rethink one's priorities or to consider others' direction.

The clinical hypothesis states, in two steps, that:

  1. the perception of a life crisis precedes and then underlies every behavioral crisis;
  2. the behavioral crisis resolves promptly and all symptoms end if the clinicians engage the patient about his management of the life crisis that underlies the symptoms.

Subjects in the experimental group will be treated by Dr. Laddis after their admission to a crisis stabilization unit (CSU) or to an inpatient unit (IPU) for a behavioral crisis. Subjects will be included at random, as assigned to Dr. Laddis according to his routine duties at those units.

Subjects in the control group will receive treatment for behavioral crisis according to the preference of the clinical staff at other comparable units. That treatment will constitute "treatment as usual". Clinicians in the control settings will not be informed about the experimental hypothesis, the clinical intervention and the contingent outcomes.

The subjects will be tested for the results of treatment 12-24 hours after composition of a treatment plan. The testing will be done with the Brief Psychiatric Rating Scale (BPRS), as well as with a set of criteria devised by Dr. Laddis to measure the outward behavior and the mental events during behavioral crisis. The patients and the attending frontline staff will be interviewed also about their beliefs in regard to what, among the clinicians' interventions, made a difference for the course of the behavioral crisis, for better or for worse. The raters will be trained for interrater reliability and they will not be informed about the hypothesis.

Phase 1
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
  • Borderline Personality Disorder
  • Post-Traumatic Stress Disorders
Behavioral: Crisis resolution
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*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
Not yet recruiting
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Inclusion Criteria:

  • Diagnosed with BPD or PTSD, with a structured interview according to the current diagnostic manual
  • In behavioral crisis

Exclusion Criteria:

  • Brain damage
  • Currently intoxicated with alcohol or drugs or in withdrawal
19 Years to 65 Years
Contact: Andreas Laddis, MD 508-320-7895 andreas.laddis@dmh.state.ma.us
United States
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Laddis, Andreas, M.D.
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Principal Investigator: Andreas Laddis, MD Cape Cod and Islands Community Mental Health Center
Laddis, Andreas, M.D.
December 2005

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP