Abstract：
:To determine whether ambulatory psychotherapy targeted to abandonment experiences and fears can reduce suicidality and improve outcome in borderline patients referred to the emergency room with major depressive disorder and self-destructive behavior severe enough to require medical/surgical treatment and a brief psychiatric hospitalization. A total of 170 subjects were randomized at hospital discharge into three treatment groups: treatment as usual (TAU), abandonment psychotherapy delivered by certified psychotherapists, and abandonment psychotherapy delivered by nurses. Assessments were performed before randomization and at 3-month follow-up. Continued suicidality and other outcome measures were significantly worse in the treatment-as-usual as compared to both abandonment psychotherapy groups, but there were no differences between the two psychotherapy groups. These results suggest the efficacy of manualized psychotherapy that specifically targets the abandonment fears and experiences that are so common as precipitants to suicidal and self-destructive acts in borderline patients. It does not appear that formal psychotherapy training is associated with better outcomes.
journal_name
J Pers Disordjournal_title
Journal of personality disordersauthors
Andreoli A,Burnand Y,Cochennec MF,Ohlendorf P,Frambati L,Gaudry-Maire D,Di Clemente T,Hourton G,Lorillard S,Canuto A,Frances Adoi
10.1521/pedi_2015_29_196subject
Has Abstractpub_date
2016-04-01 00:00:00pages
271-87issue
2eissn
0885-579Xissn
1943-2763journal_volume
30pub_type
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