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1
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- Cognitive Behaviour Therapy vs Analytical Psychotherapy
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2
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3
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- Screening: SCID I & II, ADHD (®kid-SCID),
DES (® SCID-D), BPDSI
- Treatments: for 3 years 2 sessions a week
- Assessments: for 3 years every 3 months and
a 1 year follow up
- Outcome measures:
* Severity of BPD pathology (BPDSI and BPDchecklist)
* Quality of Life (WHOQOL and EuroQoL)
* Health care costs & Societal costs (interview and
direct costs)
- Treatment Integrity Check:
* Audio tapes of sessions (adherence and quality)
* Local intervision and national supervision
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4
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5
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6
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- 88 patients of CMH centers
(Amsterdam, Leiden and Maastricht)
- BPD diagnosis (DSM-IV)
Sex 85 Female 3 Male
Age 30.5 year ± 7.99
Educational level 3.94 (range 0-7) ± 1.93
BPDSI score 33.76 ±
7.97
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7
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- 88 patients included
- 1 patient untraceable
- 72 patients (41 CBT, 31 APT): 4 - 19 months in therapy
- 15 drop outs Þ
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8
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9
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10
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11
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12
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13
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14
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- Patient flow:
Therapies accessible for large group of BPD patients.
- Drop out rate £ 4
months of therapy:
Patients can be motivated for and show trust/faith in
long term outpatient treatments.
APT: 20.9 % comparable with published rates.
CBT: none £ 4 months therapy.
- Preliminary results at 1 year:
Improvement in severity & frequency of
BPD related complaints.
Improvement in Quality of Life (WHO definition).
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Notes
