文档介绍：ORIGINAL ARTICLE
Outpatient Psychotherapy
for Borderline Personality Disorder
Randomized Trial of Schema-Focused Therapy
vs Transference-Focused Psychotherapy
Josephine Giesen-Bloo, MSc; Richard van Dyck, MD, PhD; Philip Spinhoven, PhD; Willem van Tilburg, MD, PhD;
Carmen Dirksen, PhD; Thea van Asselt, MSc; Ismay Kremers, PhD; Marjon Nadort, MSc; Arnoud Arntz, PhD
Context: Borderline personality disorder is a severe and Results: Data on 44 SFT patients and 42 TFP patients
chronic psychiatric condition, prevalent throughout health were available. The sociodemographic and clinical char-
care settings. Only limited effects of current treatments acteristics of the groups were similar at baseline. Sur-
have been documented. vival analyses revealed a higher dropout risk for TFP
patients than for SFT patients (P=.01). Using an intention-
Objective: pare the effectiveness of schema- to-treat approach, statistically and clinically significant
focused therapy (SFT) and psychodynamically based improvements were found for both treatments on all mea-
transference-focused psychotherapy (TFP) in patients with sures after 1-, 2-, and 3-year treatment periods. After 3
borderline personality disorder. years of treatment, survival analyses demonstrated that
significantly more SFT patients recovered (relative
Design: A multicenter, randomized, 2-group design. risk=; P=.04) or showed reliable clinical improve-
ment (relative risk=; P=.009) on the Borderline Per-
Setting: Four munity mental health centers. sonality Disorder Severity Index, fourth version. Robust
analysis of covariance (ANCOVA) showed that they also
Participants: Eighty-eight patients with a Borderline Per- improved more in general psychopathologic dysfunc-
sonality Disorder Severity Index, fourth version, score tion and measures of SFT/TFP personality concepts
greater than a predetermined cutoff score. (). Finally, SFT patients showed greater in-
creases in quality of life than