TY - JOUR PY - 2006// TI - Aripiprazole in the treatment of patients with borderline personality disorder: a double-blind, placebo-controlled study JO - American journal of psychiatry A1 - Nickel, Marius K. A1 - Muehlbacher, Moritz A1 - Nickel, Cerstin A1 - Kettler, Christian A1 - Pedrosa Gil, Francisco A1 - Bachler, Egon A1 - Buschmann, Wiebke A1 - Rother, Nadine A1 - Fartacek, Reinhold A1 - Egger, Christoph A1 - Anvar, Javaid A1 - Rother, Wolfhardt K. A1 - Loew, Thomas H. A1 - Kaplan, Patrick SP - 833 EP - 838 VL - 163 IS - 5 N2 - OBJECTIVE: Aripiprazole is a relatively new atypical antipsychotic agent that has been successfully employed in therapy for schizophrenia and schizoaffective disorders. A few neuroleptics have been used in therapy for patients with borderline personality disorder, which is associated with severe psychopathological symptoms. Aripiprazole, however, has not yet been tested for this disorder, and the goal of this study was to determine whether aripiprazole is effective in the treatment of several domains of symptoms of borderline personality disorder. METHOD: Subjects meeting criteria for the Structured Clinical Interview for DSM-III-R Personality Disorders for borderline personality disorder (43 women and 9 men) were randomly assigned in a 1:1 ratio to 15 mg/day of aripiprazole (N=26) or placebo (N=26) for 8 weeks. Primary outcome measures were changes in scores on the symptom checklist (SCL-90-R), the Hamilton Depression Rating Scale (HAM-D), the Hamilton Anxiety Rating Scale (HAM-A), and the State-Trait Anger Expression Inventory and were assessed weekly. Side effects and self-injury were assessed with a nonvalidated questionnaire. RESULTS: According to the intent-to-treat principle, significant changes in scores on most scales of the SCL-90-R, the HAM-D, the HAM-A, and all scales of the State-Trait Anger Expression Inventory were observed in the subjects treated with aripiprazole after 8 weeks. Self-injury occurred in the groups. The reported side effects were headache, insomnia, nausea, numbness, constipation, and anxiety. CONCLUSIONS: Aripiprazole appears to be a safe and effective agent in the treatment of patients with borderline personality disorder.
Language: en
LA - en SN - 0002-953X UR - http://dx.doi.org/10.1176/ajp.2006.163.5.833 ID - ref1 ER -