%0 Journal Article
%T Transference-focused psychotherapy v. treatment by community psychotherapists for borderline personality disorder: randomised controlled trial
%J British journal of psychiatry
%D 2010
%A Doering, Stephan
%A Hörz, Susanne
%A Rentrop, Michael
%A Fischer-Kern, Melitta
%A Schuster, Peter
%A Benecke, Cord
%A Buchheim, Anna
%A Martius, Philipp
%A Buchheim, Peter
%V 196
%N 5
%P 389-395
%X BACKGROUND: Transference-focused psychotherapy is a manualised treatment for borderline personality disorder. AIMS: To compare transference-focused psychotherapy with treatment by experienced community psychotherapists. METHOD: In a randomised controlled trial (NCT00714311) 104 female out-patients were treated for 1 year with either transference-focused psychotherapy or by an experienced community psychotherapist. RESULTS: Significantly fewer participants dropped out of the transference-focused psychotherapy group (38.5% v. 67.3%) and also significantly fewer attempted suicide (d = 0.8, P = 0.009). Transference-focused psychotherapy was significantly superior in the domains of borderline symptomatology (d = 1.6, P = 0.001), psychosocial functioning (d = 1.0, P = 0.002), personality organisation (d = 1.0, P = 0.001) and psychiatric in-patient admissions (d = 0.5, P = 0.001). Both groups improved significantly in the domains of depression and anxiety and the transference-focused psychotherapy group in general psychopathology, all without significant group differences (d = 0.3-0.5). Self-harming behaviour did not change in either group. CONCLUSIONS: Transference-focused psychotherapy is more efficacious than treatment by experienced community psychotherapists in the domains of borderline symptomatology, psychosocial functioning, and personality organisation. Moreover, there is preliminary evidence for a superiority in the reduction of suicidality and need for psychiatric in-patient treatment.<p /> <p>Language: en</p>
%G en
%I Royal College of Psychiatry
%@ 0007-1250
%U http://dx.doi.org/10.1192/bjp.bp.109.070177