Effects of substance use disorder on treatment process and outcome in a ten-session psychiatric treatment for borderline personality disorder

Substance Abuse Treatment, Prevention, and Policy
Louise PenzenstadlerUeli Kramer

Abstract

Dual diagnosis is common in Borderline Personality Disorder (BPD), one of the most common being Substance Use Disorder (SUD). Previous studies have shown that general psychiatric management (GPM) was effective in reducing borderline symptoms. In the present study, we tested whether the short GPM was as effective in the BPD + SUD as in the BPD group. We analysed a group of 99 patients presenting a BPD. 51 of these patients presented a SUD. The BPD group and the BPD + SUD group received a manual-based short variant of the GPM treatment. Previous studies have shown that a 10-session version of GPM was effective in reducing borderline symptoms at the end of the treatment (Psychother Psychosom 83:176-86, 2014). We found no significant difference in the reduction of general symptoms, which diminished in both groups. The specific borderline symptoms were also reduced in both groups, but there was a slightly higher reduction of the borderline symptoms in the SUD group. The therapeutic alliance progressed positively in all groups. Moreover, the alliance increased more over time in the SUD group. The short variant of GPM seems to be effective in BPD treatment independently from the presence of SUD. Therefore, this treatment could be an e...Continue Reading

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Citations

Oct 28, 2019·Current Opinion in Psychiatry·Sivasankaran Balaratnasingam, Aleksandar Janca
Oct 3, 2019·Current Opinion in Psychiatry·Nathan D L Smith, Linda B Cottler
Aug 29, 2018·Social Psychiatry and Psychiatric Epidemiology·Chian-Jue KuoChiao-Chicy Chen

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