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Sponsors and Collaborators: |
University of Aberdeen Wellcome Trust University of Glasgow University of London University of York |
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Information provided by: | University of Aberdeen |
ClinicalTrials.gov Identifier: | NCT00538135 |
The aim of the study was to investigate if the addition of cognitive behavioural therapy to treatment as usual (CBT plus TAU) in participants with borderline personality disorder would decrease the number of participants with emergency (i.e. unplanned) psychiatric or accident and emergency room contact or episode of deliberate self-harm over twelve months treatment and twelve months follow-up, compared with treatment as usual (TAU). The study also examined whether CBT plus TAU would lead to superior improvement in quality of life, social, cognitive and mental health functioning than TAU alone.
Condition | Intervention | Phase |
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Borderline Personality Disorder |
Behavioral: Cognitive Behavioural Therapy Other: Treatment as usual |
Phase III |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Single Blind (Outcomes Assessor), Active Control, Parallel Assignment, Efficacy Study |
Official Title: | BOSCOT: A Randomised Control Trial of Cognitive Behavioural Therapy Plus Treatment as Usual Versus Treatment as Usual in the Treatment of Borderline Personality Disorder |
Enrollment: | 106 |
Study Start Date: | February 2002 |
Study Completion Date: | March 2005 |
Arms | Assigned Interventions |
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1: Experimental
Cognitive Behaviour Therapy plus Treatment as Usual (CBT plus TAU) for borderline personality disorder. CBT is a structured, time limited, psycho-social intervention developed to treat Cluster B personality disorder. Patients are encouraged to engage in treatment through a formulation of their problems within a cognitive framework. Interventions focus on the patient's beliefs and behaviour that impair social and adaptive functioning. Thirty sessions of CBT over one year, each lasting up to one hour, are required to work on long-standing problems and develop new ways of thinking and behaving. Priority is given to behaviours that cause harm to self or others. In addition, participants received the usual treatment they would have received if the trial had not been in place |
Behavioral: Cognitive Behavioural Therapy
Other: Treatment as usual
Standard National Health Service treatment as usual for borderline personality disorder
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2: Active Comparator
Treatment as Usual. All participants received the standard treatment (TAU) they would have received if the trial had not been in place. Although standard treatment may vary across the three sites, and depend on the specific problems of the individual participant, it was thought that all participants would be in contact with mental health services and would have some contact with Accident and Emergency services for repeated self-harm episodes. TAU will be documented carefully after each patient exits the trial. |
Other: Treatment as usual
Standard National Health Service treatment as usual for borderline personality disorder
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The trial is being carried out in three centres in the UK: Glasgow, London and Ayrshire (Ayrshire and Arran). Treatment as Usual (TAU) therefore reflected what is likely to be available in the UK.
Patients were eligible if they satisfied the following criteria:
Exclusion criteria were as follows:
Ages Eligible for Study: | 18 Years to 65 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
United Kingdom, Strathclyde | |
Psychological Medicine | |
Glasgow, Strathclyde, United Kingdom, G12 0XH |
Principal Investigator: | Kate Davidson, PhD | University of Glasgow |
Study ID Numbers: | 064027/Z/01/Z |
Study First Received: | September 29, 2007 |
Last Updated: | September 29, 2007 |
ClinicalTrials.gov Identifier: | NCT00538135 |
Health Authority: | United Kingdom: Research Ethics Committee; United Kingdom: National Health Service |
randomised controlled trial borderline personality disorder cognitive behavioural therapy treatment as usual |
Mental Disorders Borderline Personality Disorder Personality Disorders |
Pathologic Processes Disease |