Comparison of the effectiveness of psychoanalytic psychotherapy based on object relationships and Acceptance and commitment therapy (Act) on personality organization, neuroticism, defensive styles and impulsivity of individuals with borderline personality disorder
Comparison of the effectiveness of analytical psychotherapy based on object relationships and commitment and acceptance therapy based on personality organization, neuroticism, defensive styles, impulsivity and identity styles of people with borderline personality disorder.
Design
All patients referred to the outpatient department of Zare Psychiatric Hospital in Sari city and the treatment clinic of Maneh House in Sari city who have borderline personality disorder. Selected by available sampling. In this way, a structured interview for SCID-5-PD personality disorders was taken among the people who referred to the clinic of Zare Hospital in Sari and the treatment clinic of Maneh House in Sari due to behavioral problems and was confirmed by a psychiatrist. There are 12 people in each group, 6 for object relationship psychotherapy (focus on transfer) and 6 for commitment and acceptance psychotherapy.
Settings and conduct
The study was performed in Shari city clinic and was held once a week
Participants/Inclusion and exclusion criteria
1- Having a diagnosis of borderline personality disorder: a) by a psychiatrist b) by a structured clinical interview questionnaire for personality disorders
2- Being at least 20 and at most 40 years old
3- Having at least a diploma
4 - No serious thoughts of harm to yourself or others
5- Absence of psychosis
6- Absence of restrictive and chronic physical disorders (chronic liver, kidney and heart failure)
Intervention groups
Transference-oriented psychotherapy intervention consists of 50 individual sessions with the aim of transference-oriented TFP psychotherapy.
Acceptance and commitment therapy intervention consisted of 40 individual sessions using specific ACT techniques.
Main outcome variables
organization of personality, impulsivity, defensive and mental styles.
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20131007014928N7
Registration date:2021-03-23, 1400/01/03
Registration timing:prospective
Last update:2021-03-23, 1400/01/03
Update count:0
Registration date
2021-03-23, 1400/01/03
Registrant information
Name
Mehdi Pourasghar
Name of organization / entity
Mazandaran University of Medical Sciences
Country
Iran (Islamic Republic of)
Phone
+98 11 3327 3024
Email address
m.pourasghar@mazums.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2021-03-04, 1399/12/14
Expected recruitment end date
2021-04-03, 1400/01/14
Actual recruitment start date
2021-04-08, 1400/01/19
Actual recruitment end date
2021-04-19, 1400/01/30
Trial completion date
2021-04-19, 1400/01/30
Scientific title
Comparison of the effectiveness of psychoanalytic psychotherapy based on object relationships and Acceptance and commitment therapy (Act) on personality organization, neuroticism, defensive styles and impulsivity of individuals with borderline personality disorder
Public title
Comparison of the effectiveness of psychoanalytic psychotherapy based on object relationships and Acceptance and commitment therapy (Act) on personality organization, neuroticism, defensive styles and impulsivity of individuals with borderline personality disorder
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
1- Having a diagnosis of borderline personality disorder: a) by a psychiatrist b) by a structured clinical interview questionnaire for personality disorders
2- Being at least 20 and at most 40 years old
3- Having at least a diploma
4 - No serious thoughts of harm to yourself or others
5 - No psychosis
6- Absence of restrictive and chronic physical disorders (chronic liver, kidney and heart failure)
Exclusion criteria:
1- The occurrence of thoughts of self-harm or uncontrollable others during treatment
2- Occurrence of delusional disorders or other cognitive disorders during treatment
3- Tendency to leave the plan at any stage of treatment
Age
From 20 years old to 40 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
6
Actual sample size reached:
6
Randomization (investigator's opinion)
Randomized
Randomization description
Simple Accident, By drawing lots, she writes the names of the people on a piece of paper, pours them into two containers, then puts each piece of paper in a treatment, and finally the names are opened and selected for each treatment.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
birjand university of medical sciences
Street address
South Khorasan, Birjand, Ghaffari St., Central Organization of Birjand University of Medical Sciences
City
birjand
Province
North Khorasan
Postal code
۹۷۱۷۸۵۳۵۷۷
Approval date
2020-08-16, 1399/05/26
Ethics committee reference number
IR.BUMS.REC.1399.245
Health conditions studied
1
Description of health condition studied
borderline personality disorder
ICD-10 code
F60.3
ICD-10 code description
Borderline personality disorder
Primary outcomes
1
Description
Personality Organization
Timepoint
Beginning of the study, Session 20, End of the study, Two months follow-up
Method of measurement
Kornberg Personality Organization Questionnaire
2
Description
Impulsivity
Timepoint
Beginning of the study, Session 20, End of the study, Two months follow-up
Method of measurement
Bartlett Impulsivity Questionnaire
3
Description
Defensive Styles
Timepoint
Beginning of the study, Session 20, End of the study, Two months follow-up
Method of measurement
Defense Styles Questionnaire
4
Description
neuroticism
Timepoint
Beginning of the study, Session 20, End of the study, Two months follow-up
Method of measurement
Neo Five Personality Factors Questionnaire
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group:Transference-oriented psychotherapy intervention group includes 50 individual sessions with the aim of TFP-focused psychotherapy of identity consolidation.(Integrating the relationships of annoying and idealized internal objects isolated in transmission in order to achieve a consistent, realistic, and coherent experience of self and others)This inner state of identity consolidation is associated with the regulation of emotion and positive relationships based on cooperation with others
Category
Treatment - Other
2
Description
Intervention group: The acceptance and commitment therapy intervention group consisted of 40 individual sessions using specific ACT techniques.The main purpose of ACT is to increase psychological flexibility.This implies life skills in the present moment to perform behaviors that fit the patient's values.Psychological flexibility is created through ACT processes.