Efficacy of cognitive rehabilitation on psychosocial functioning in Borderline Personality Disorder : a randomized controlled trial
Pascual, Juan Carlos (Institut d'Investigació Biomèdica Sant Pau)
Palomares, Nerea (Centro de Investigación Biomédica en Red de Salud Mental)
Ibáñez, Ángela (Universidad de Alcalá)
Portella Moll, Maria J., 1975- (Institut d'Investigació Biomèdica Sant Pau)
Arza, Rocío (Centro de Investigación Biomédica en Red de Salud Mental)
Reyes, Raquel (Hospital Universitario Ramón y Cajal (Madrid))
Feliu-Soler, Albert (Institut d'Investigació Biomèdica Sant Pau)
Díaz-Marsá, Marina (Centro de Investigación Biomédica en Red de Salud Mental)
Saiz-Ruiz, Jerónimo (Universidad de Alcalá)
Soler, Joaquim (Institut d'Investigació Biomèdica Sant Pau)
Carrasco, Jose L. (Centro de Investigación Biomédica en Red de Salud Mental)
Universitat Autònoma de Barcelona

Date:	2015
Abstract:	Follow-up studies revealed that subjects with borderline personality disorder (BPD) present high rates of clinical remission, although psychosocial functioning often remains impaired. The aim of this study is to evaluate the efficacy of a cognitive rehabilitation intervention versus a psychoeducational program on psychosocial functioning in subjects with BPD. A multicenter, randomized, and positive-controlled clinical trial was conducted. Seventy outpatients with BPD were randomized to cognitive rehabilitation or psychoeducational group interventions. Participants were evaluated after completion of the intervention period (16 weeks) and after the follow-up period (6 months). Psychosocial functioning, clinical and neuropsychological outcomes were evaluated. No main effects of group or group x time were observed on functionality but a significant effect of time was found. Post-hoc analyses showed that only cognitive rehabilitation increased psychosocial functioning significantly at endpoint. Psychoeducation showed a significant enhancement of depressive symptoms. Cognitive rehabilitation and psychoeducational interventions appeared to show good efficacy in improving disabilities in daily life in subjects with BPD. These interventions are easily implemented in mental health settings and have the advantage of improving general functioning and clinical symptoms. Clinicaltrials. gov:. Registered 9 January 2014 The online version of this article (doi:10. 1186/s12888-015-0640-5) contains supplementary material, which is available to authorized users.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Borderline personality disorder ; Cognitive rehabilitation ; Psychoeducation ; Psychosocial functioning
Published in:	BMC Psychiatry, Vol. 15 (october 2015) , ISSN 1471-244X

DOI: 10.1186/s12888-015-0640-5
PMID: 26487284

9 p, 800.2 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
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