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Community Ment Health J. 2016 Feb;52(2):216-27. doi: 10.1007/s10597-015-9866-4. Epub 2015 Apr 1.

Comparing Effectiveness of Treatments for Borderline Personality Disorder in Communal Mental Health Care: The Oulu BPD Study.

Author information

1
Social and Health Services, Mental Health Services, P.O. Box 13, 90015, Oulu City, Finland. virpi.leppanen@ouka.fi.
2
Department of Psychiatry, Oulu University Hospital, P.O. Box 26, 90029, Oulu City, Finland. helina.hakko@oulu.fi.
3
Health Economics, Department of Public Health, University of Helsinki, P.O. Box 41, 00014, Helsinki, Finland. harri.sintonen@helsinki.fi.
4
Institute of Clinical Medicine, Department of Psychiatry, Central Finland Health Care District, Jyväskylä Central Hospital, University of Eastern Finland, Matarankatu 6 B, 40100, Jyväskylä, Finland. sari.lindeman@uef.fi.

Abstract

The implementation of effective psychotherapies in community mental health care is challenging. This study aimed to create a well-structured and easily applicable treatment model for patients with severe borderline personality disorder (BPD). We integrated a schema therapy based psycho-educational group into an available individual therapy. Two groups were formed: (1) community treatment by experts (CTBE) patients (n = 24) receiving new treatment and (2) treatment as usual (TAU) patients (n = 47). Changes in symptoms were measured by Borderline Personality Disorder Severity Index-IV interview and quality of life by the 15D health-related quality of life questionnaire. After 1 year the CTBE patients showed a significant reduction in a wider range of BPD symptoms and better quality of life than TAU patients. The results of this study are encouraging. A well-structured treatment model was successfully implemented into community mental health care with improved patient adherence to treatment and superior treatment outcomes compared to TAU patients.

KEYWORDS:

Borderline personality disorder; Cognitive therapy; General mental health services; Randomized trial

PMID:
25824852
DOI:
10.1007/s10597-015-9866-4
[Indexed for MEDLINE]

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