Journal article

Early intervention for adolescents with borderline personality disorder: Quasi-experimental comparison with treatment as usual

AM Chanen, H Jackson, LK McCutcheon, M Jovev, P Dudgeon, HP Yuen, D Germano, H Nistico, E McDougall, C Weinstein, V Clarkson, PD McGorry

Australian and New Zealand Journal of Psychiatry | Published : 2009

Abstract

Objective: The aim of the present study was to compare the effectiveness of specialized team-based early intervention for borderline personality disorder (BPD) with treatment as usual. Method: In a quasi-experimental design, 32 outpatients who received historical treatment as usual (H-TAU) were compared with 78 participants from a recently published randomized controlled trial of cognitive analytic therapy (CAT; n = 41) versus manualized good clinical care (GCC; n = 37), conducted in a specialized early intervention service for BPD (the Helping Young People Early (HYPE) programme). All participants were 15-18-year-old outpatients who fulfilled 2-9 DSM-IV BPD criteria. It was predicted that, ..

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Grants

Awarded by National Health and Medical Research Council


Funding Acknowledgements

This work was supported by grants 98-0198 from the Victorian Health Promotion Foundation, Melbourne, Australia and grant 990748 from the National Health and Medical Research Council, Canberra, Australia. ORYGEN Research Centre is supported by the Colonial Foundation, Melbourne, Australia. The authors thank all participants in this study and the staff of ORYGEN Youth Health. Particular thanks go to Dr Anthony Ryle, Dr Ian Kerr, Ms Eva Burns-Lundgren, Dr Dawn Bennett, Dr Jackie Withers and the Association for Cognitive Analytic Therapy (UK) for training and supervision in CAT. Thanks also go to Assoc. Professor John Gleeson for supervision of Standardized Good Clinical Care, Dr Andrew Court for independent psychiatric assessments, Dr Carol Hulbert, Ms Helen Mildred and Dr Denise Charman for advice on the implementation of the study and to Professor Anthony Jorm and Dr Sarah Hetrick for comments on an earlier version of this manuscript. The funding organizations played no part in the design and conduct of the study or the collection, management, analysis and interpretation of the data or in the preparation, review or approval of the manuscript.