Universität zu Köln

Schmeck, Klaus ORCID: 0000-0003-3114-902X, Weise, Sindy, Schlueter-Mueller, Susanne, Birkhoelzer, Marc, Fuerer, Lukas, Koenig, Julian ORCID: 0000-0003-1009-9625, Krause, Mariane, Lerch, Stefan, Schenk, Nathalie, Valdes, Nelson, Zimmermann, Ronan and Kaess, Michael ORCID: 0000-0003-0031-7764 . Effectiveness of Adolescent Identity Treatment (AIT) Versus DBT-A for the Treatment of Adolescent Borderline Personality Disorder. Personal. Disord.. WASHINGTON: EDUCATIONAL PUBLISHING FOUNDATION-AMERICAN PSYCHOLOGICAL ASSOC. ISSN 1949-2723

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Abstract

Borderline personality disorder (BPD) is among the most severe mental health problems with long-lasting deterioration of functioning. According to a Cochrane review, evidence for methods focused on treatment for adolescent BPD patients is very limited. Aims of the study were to demonstrate the noninferiority of adolescent identity treatment (AIT) compared with dialectical behavior therapy for adolescents (DBT-A), and that intensive early treatment of BPD leads to significant improvement of psychosocial and personality functioning in adolescent patients. In a nonrandomized controlled trial using a noninferiority approach, we compared 37 patients treated with DBT-A with 23 patients treated with AIT. Both treatments included 25 weekly individual psychotherapy sessions and five to eight family sessions. Patients were assessed at four timepoints: baseline, posttreatment, 1- and 2-year follow-up. Primary outcome was psychosocial functioning at 1-year follow-up. We performed both intention-to-treat analyses and per-protocol analyses (completers). Baseline characteristics of both groups were not significantly different except for age and self-injurious behavior. In all, six AIT patients (26%) and 10 DBT-A patients (27%) dropped out of treatment. Both DBT-A and AIT significantly improved adolescents' psychosocial functioning (AIT: d = 1.82; DBT-A: d = 1.73) and personality functioning. BPD criteria and depression were significantly reduced by both treatments. Overall, AIT was found to be not inferior to DBT-A and even more efficient in reducing BPD criteria. Both treatments are highly effective in improving psychosocial functioning and personality functioning in adolescent BPD patients. AIT is a promising approach and not inferior to DBT-A in respect to treatment efficiency.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Schmeck, Klaus UNSPECIFIED orcid.org/0000-0003-3114-902X UNSPECIFIED Weise, Sindy UNSPECIFIED UNSPECIFIED UNSPECIFIED Schlueter-Mueller, Susanne UNSPECIFIED UNSPECIFIED UNSPECIFIED Birkhoelzer, Marc UNSPECIFIED UNSPECIFIED UNSPECIFIED Fuerer, Lukas UNSPECIFIED UNSPECIFIED UNSPECIFIED Koenig, Julian UNSPECIFIED orcid.org/0000-0003-1009-9625 UNSPECIFIED Krause, Mariane UNSPECIFIED UNSPECIFIED UNSPECIFIED Lerch, Stefan UNSPECIFIED UNSPECIFIED UNSPECIFIED Schenk, Nathalie UNSPECIFIED UNSPECIFIED UNSPECIFIED Valdes, Nelson UNSPECIFIED UNSPECIFIED UNSPECIFIED Zimmermann, Ronan UNSPECIFIED UNSPECIFIED UNSPECIFIED Kaess, Michael UNSPECIFIED orcid.org/0000-0003-0031-7764 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-687598
DOI:	10.1037/per0000572
Journal or Publication Title:	Personal. Disord.
Publisher:	EDUCATIONAL PUBLISHING FOUNDATION-AMERICAN PSYCHOLOGICAL ASSOC
Place of Publication:	WASHINGTON
ISSN:	1949-2723
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language DIALECTICAL BEHAVIOR-THERAPY; SELF-HARMING BEHAVIOR; GLOBAL ASSESSMENT; PSYCHOMETRIC PROPERTIES; EARLY INTERVENTION; PSYCHOTHERAPY; ATTAINMENT; STABILITY; COMMUNITY; RECOVERY Multiple languages Psychology, Clinical Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/68759