Citation

Klein JP, Hauer A, Berger T, Fassbinder E, Schweiger U, Jacob G. Front. Psychiatry 2018; 9(SEP).

Copyright

(Copyright © 2018, Frontiers Media)

DOI

10.3389/fpsyt.2018.00439

PMID

unavailable

Abstract

INTRODUCTION: Borderline Personality Disorder (BPD) is a prevalent condition that is often under-treated. This is partly because very few psychotherapists offer treatment for this disabling disorder. Internet-based self-management interventions could contribute to reducing the treatment gap but-mainly due to safety concerns-these have never been tested for BPD in controlled trials.

METHODS: Patients with BPD will be recruited primarily via the internet and randomized to two groups: care as usual (CAU) alone) or the self-management intervention priovi® in addition to CAU. At the end of the diagnostic interview, all participants will discuss an emergency plan. The main outcome measure is the clinician-rated symptom severity using the BPD Severity Index (BPDSI). Secondary outcome measures include a range of self-reported scales, an SCID-diagnosis of BPD and several safety parameters including serious adverse events (e.g., a life-threatening event, hospitalization or suicide attempt).

DISCUSSION: This trial will evaluate the effectiveness of the self-management intervention, priovi, in reducing symptoms of BPD. It will also assess the safety of its use in this target population. If successful,this intervention would be the first comprehensive internet intervention for the treatment of BPD and complement the wide range of internet interventions effective in treating other mental disorders, particularly depression and anxiety disorders. Copyright © 2018 Klein, Hauer, Berger, Fassbinder, Schweiger and Jacob.

Language: en

Keywords

adult; human; Internet; safety; psychotherapy; randomized controlled trial; emergency care; Psychotherapy; Telemedicine; controlled study; self report; borderline state; sensitivity analysis; risk reduction; Article; therapy effect; adverse outcome; Randomized controlled trial; clinical outcome; behavior disorder assessment; Borderline Personality Disorder Severity Index; internet based self management intervention; Schema therapy