Research ExplorerPublicationsImpulsiveness in borderline personality disorder predicts th...

Impulsiveness in borderline personality disorder predicts the long-term outcome of a psychodynamic treatment programme

Standard

Impulsiveness in borderline personality disorder predicts the long-term outcome of a psychodynamic treatment programme. / Wrege, Johannes S; Busmann, Mareike; Meyer, Andrea H; Euler, Sebastian; Lang, Undine E; Walter, Marc.

In: CLIN PSYCHOL PSYCHOT, Vol. 28, No. 3, e02564, 05.2021, p. 633-641.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Wrege, JS, Busmann, M, Meyer, AH, Euler, S, Lang, UE & Walter, M 2021, 'Impulsiveness in borderline personality disorder predicts the long-term outcome of a psychodynamic treatment programme', CLIN PSYCHOL PSYCHOT, vol. 28, no. 3, e02564, pp. 633-641. https://doi.org/10.1002/cpp.2526

APA

Wrege, J. S., Busmann, M., Meyer, A. H., Euler, S., Lang, U. E., & Walter, M. (2021). Impulsiveness in borderline personality disorder predicts the long-term outcome of a psychodynamic treatment programme. CLIN PSYCHOL PSYCHOT, 28(3), 633-641. [e02564]. https://doi.org/10.1002/cpp.2526

Vancouver

Wrege JS, Busmann M, Meyer AH, Euler S, Lang UE, Walter M. Impulsiveness in borderline personality disorder predicts the long-term outcome of a psychodynamic treatment programme. CLIN PSYCHOL PSYCHOT. 2021 May;28(3):633-641. e02564. https://doi.org/10.1002/cpp.2526

Bibtex

@article{dfad5cbcf2cd48228369fe49f1e9a796,
title = "Impulsiveness in borderline personality disorder predicts the long-term outcome of a psychodynamic treatment programme",
abstract = "Despite the preponderance of treatment outcome predictors in patients with borderline personality disorder (BPD), the predictive value of measures of impulsiveness is inconclusive. This naturalistic study consecutively included hospitalized patients with BPD (N = 99) who underwent a standardized and structured 12-week inpatient treatment programme, which integrated cognitive-behavioural and psychodynamic elements. The Brief Symptom Checklist (BSCL) was applied as outcome measure over four time points: pretreatment, posttreatment, first follow-up at 6 to 8 weeks and second follow-up at 1 year after discharge. Impulsiveness was measured using the Barratt Impulsiveness Scale (BIS) at the pretreatment time point. The BSCL significantly decreased between pretreatment and posttreatment, followed by an increase after posttreatment without reaching pretreatment extent. The temporal course of the BSCL significantly varied with pretreatment BIS in that patients with higher impulsiveness revealed a stronger re-increase of symptom severity from posttreatment to end of follow-up than those with lower impulsiveness. The least impulsive patients thereby showed no rebound effect. The robustness of the results was examined by cross-validation. The results indicate that irrespective of the level of impulsiveness, patients with BPD profit from a structured inpatient treatment. However, long-term treatment success was impaired in patients with high level of impulsiveness at pretreatment. Thus, self-ratings of impulsiveness in BPD patients can be utilized for treatment planning. After discontinuation of interventions, relapse prevention should be implemented early in high impulsive patients as symptoms recrudesce in the course after discharge.",
author = "Wrege, {Johannes S} and Mareike Busmann and Meyer, {Andrea H} and Sebastian Euler and Lang, {Undine E} and Marc Walter",
note = "{\textcopyright} 2020 John Wiley & Sons, Ltd.",
year = "2021",
month = may,
doi = "10.1002/cpp.2526",
language = "English",
volume = "28",
pages = "633--641",
journal = "CLIN PSYCHOL PSYCHOT",
issn = "1063-3995",
publisher = "John Wiley and Sons Ltd",
number = "3",

}

RIS

TY - JOUR

T1 - Impulsiveness in borderline personality disorder predicts the long-term outcome of a psychodynamic treatment programme

AU - Wrege, Johannes S

AU - Busmann, Mareike

AU - Meyer, Andrea H

AU - Euler, Sebastian

AU - Lang, Undine E

AU - Walter, Marc

N1 - © 2020 John Wiley & Sons, Ltd.

PY - 2021/5

Y1 - 2021/5

N2 - Despite the preponderance of treatment outcome predictors in patients with borderline personality disorder (BPD), the predictive value of measures of impulsiveness is inconclusive. This naturalistic study consecutively included hospitalized patients with BPD (N = 99) who underwent a standardized and structured 12-week inpatient treatment programme, which integrated cognitive-behavioural and psychodynamic elements. The Brief Symptom Checklist (BSCL) was applied as outcome measure over four time points: pretreatment, posttreatment, first follow-up at 6 to 8 weeks and second follow-up at 1 year after discharge. Impulsiveness was measured using the Barratt Impulsiveness Scale (BIS) at the pretreatment time point. The BSCL significantly decreased between pretreatment and posttreatment, followed by an increase after posttreatment without reaching pretreatment extent. The temporal course of the BSCL significantly varied with pretreatment BIS in that patients with higher impulsiveness revealed a stronger re-increase of symptom severity from posttreatment to end of follow-up than those with lower impulsiveness. The least impulsive patients thereby showed no rebound effect. The robustness of the results was examined by cross-validation. The results indicate that irrespective of the level of impulsiveness, patients with BPD profit from a structured inpatient treatment. However, long-term treatment success was impaired in patients with high level of impulsiveness at pretreatment. Thus, self-ratings of impulsiveness in BPD patients can be utilized for treatment planning. After discontinuation of interventions, relapse prevention should be implemented early in high impulsive patients as symptoms recrudesce in the course after discharge.

AB - Despite the preponderance of treatment outcome predictors in patients with borderline personality disorder (BPD), the predictive value of measures of impulsiveness is inconclusive. This naturalistic study consecutively included hospitalized patients with BPD (N = 99) who underwent a standardized and structured 12-week inpatient treatment programme, which integrated cognitive-behavioural and psychodynamic elements. The Brief Symptom Checklist (BSCL) was applied as outcome measure over four time points: pretreatment, posttreatment, first follow-up at 6 to 8 weeks and second follow-up at 1 year after discharge. Impulsiveness was measured using the Barratt Impulsiveness Scale (BIS) at the pretreatment time point. The BSCL significantly decreased between pretreatment and posttreatment, followed by an increase after posttreatment without reaching pretreatment extent. The temporal course of the BSCL significantly varied with pretreatment BIS in that patients with higher impulsiveness revealed a stronger re-increase of symptom severity from posttreatment to end of follow-up than those with lower impulsiveness. The least impulsive patients thereby showed no rebound effect. The robustness of the results was examined by cross-validation. The results indicate that irrespective of the level of impulsiveness, patients with BPD profit from a structured inpatient treatment. However, long-term treatment success was impaired in patients with high level of impulsiveness at pretreatment. Thus, self-ratings of impulsiveness in BPD patients can be utilized for treatment planning. After discontinuation of interventions, relapse prevention should be implemented early in high impulsive patients as symptoms recrudesce in the course after discharge.

U2 - 10.1002/cpp.2526

DO - 10.1002/cpp.2526

M3 - SCORING: Journal article

C2 - 33119970

VL - 28

SP - 633

EP - 641

JO - CLIN PSYCHOL PSYCHOT

JF - CLIN PSYCHOL PSYCHOT

SN - 1063-3995

IS - 3

M1 - e02564

ER -