Neuropsychology Clinical Trial
Official title:
Randomized Controlled Trial Comparing the Effects on Psychosocial Functioning of Cognitive Rehabilitation Versus Psychoeducation in Borderline Personality Disorder
Study design was a multicenter, randomized, rater-blind clinical trial. There were two-parallel arms (1:1) to evaluate functional, clinical and cognitive efficacy of a specific cognitive rehabilitation group intervention (CR) compared with a psychoeducational group intervention (PE) in subjects with Borderline Personality Disorder (BPD).
To ensure the reliability among centers regarding the evaluation and the treatment fidelity,
two meetings were organized before the start of the study to train therapists in the
evaluations and interventions.
Clinical and neuropsychological evaluations before interventions were administered in
different days since they lasted in general more than one hour each one and the effect of
fatigue or boredom might affect the results. Clinical interviews were performed by
experienced psychiatrists and psychologists during 3 months to ensure the follow-up of all
participants prospectively. The following sociodemographic and clinical variables were
collected: age at recruitment, gender, education level, occupational status, and
pharmacological treatment. All participants were then randomized to receive CR or PE in a
1:1 ratio stratified by center, age, and education level. Randomization was accomplished
with the use of computer-generated sequence.
During the study, subjects did not receive any other individual or group psychotherapy. All
patients continued pharmacological treatment if it had been initiated prior to inclusion.
Type and doses of medication could not be modified during the study period. Both
interventions were applied in a group format and were conducted by two psychologists with
experience in managing patients with BPD. Subjects were instructed not to disclose any
information about the intervention to maintain blind conditions. Participants were evaluated
at baseline, after completion of the intervention, and six months after the end of the
interventions.
The study was conducted in accordance with the ethical principles of the Declaration of
Helsinki and the approval of the Ethical Committee for this study was obtained. All subjects
received extensive information about the study and provided written informed consent before
they were enrolled in the study.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Investigator, Outcomes Assessor), Primary Purpose: Treatment
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