Borderline Personality Disorder Clinical Trial
Official title:
Dialectical Behavior Therapy vs Enhanced Usual Care for Suicidal and Self-harming Adolescents. Outcomes in Adult Life 10 Years Posttreatment
NCT number | NCT04298190 |
Other study ID # | ES641048 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | May 15, 2022 |
Est. completion date | April 30, 2023 |
Verified date | October 2023 |
Source | Oslo University Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of the study is to evaluate the long-term efficacy of dialectical behavior therapy (DBT) in treatment of adolescents with deliberate self harm compared to enhanced usual care (EUC). This study follows-up 77 patients in the ages of 12-18 yrs who have been included in an RCT of DBT-A vs EUC. The main inclusion criterion for this study was repetitive self-harm behaviour. The patients were randomly allocated to receive 16 weeks of outpatient DBT or EUC in child and adolescent psychiatric clinics in Oslo. Participants have been assessed so far on six different time-points: baseline (before starting treatment), 9 weeks, 15 weeks, 19 weeks, 71 weeks and 3 years after start of the treatment. In the current project patients will be assessed a 7th time 10 years after treatment completion. It is hypothesized that compared with participants who had received EUC in the original trial during their adolescence participants who had received DBT-A will: A) report a significantly lower frequency of episodes of self-harm, both last year and over the extended 10-year follow-up interval. B) be significantly less impaired with respect to social, family and occupational functioning and report a higher quality of life. C) have retained significantly fewer diagnostic criteria of BPD and have less severe borderline features according to dimensional measures and have significantly fewer signs of emotion dysregulation.
Status | Completed |
Enrollment | 61 |
Est. completion date | April 30, 2023 |
Est. primary completion date | April 30, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 22 Years to 30 Years |
Eligibility | The inclusion criteria for the initial study were: 1. History of repeated self-harm (last episode within last 4 months) and 2. Age between 12 and 18 years and 3. Satisfied at least 2 criteria of DSM-IV Borderline Personality Disorder (BPD) (as measured by the SCIDII) (in addition to the self-destructive criterion) - alternatively at least 1 criterion of DSM-IV BPD plus at least 2 threshold level criteria and 4. Written informed consent from patient and parent(s) to participate in the study and 5. Patient fluently Norwegian speaking Exclusion Criteria: 1. Psychotic disorders or 2. Anorexia nervosa or 3. Severe substance dependence disorders or 4. Mental retardation (IQ less than 70) or 5. Asperger syndrome/autism - |
Country | Name | City | State |
---|---|---|---|
Norway | National Centre for Suicide Research and Prevention Unit/University of Oslo | Oslo |
Lead Sponsor | Collaborator |
---|---|
Oslo University Hospital | University of Oslo |
Norway,
Linehan, M.M. (1993a). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press
Linehan, M.M. (1993b). Skills training manual for treating borderline personality disorder. New York: Guilford Press
Miller, A.L., Rathus J.H., Linehan, M.M. (2007). Dialectical behavioral therapy with suicidal adolescents. New York: Guilford Press
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Frequency of subsequent episodes of self-harm | Measured by the Linehan Parasuicide Count (LPC) | 10 years | |
Secondary | Severity of suicidal ideation | Measured by the Suicidal Ideation Questionnaire Jr (SIQ-Jr). Scale range: min= 0, max = 90. High values represent a worse outcome. | 10 years | |
Secondary | Self-reported evel of depressive symptoms | Measured by the Moods and feelings questionnaire (MFQ). Scale range: min = 0, max = 26. High levels represent a worse outcome | 10 years | |
Secondary | Researcher rated level of depressive symptoms | Measured by the Montgomery Asberg Depression Rating Scale (MADRS). Scale range: min=0, max=60. High levels represent a worse outcome | 10 years | |
Secondary | Frequency of subsequent emergency room visits, hospitalizations and use of additional treatments due to risk of self-harm behaviour | Measured through and interview specifically developed for the purpose and through linkage with the Norwegian Patient Register | 10 years |
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