Effectiveness of Adolescent Identity Treatment (AIT) Versus DBT-A for the Treatment of Adolescent Borderline Personality Disorder

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dc.contributor.authorSchmeck, Klaus
dc.contributor.authorWeise, Sindy
dc.contributor.authorSchlueter-Mueller, Susanne
dc.contributor.authorBirkhoelzer, Marc
dc.contributor.authorFuerer, Lukas
dc.contributor.authorKoenig, Julian
dc.contributor.authorKrause, Mariane
dc.contributor.authorLerch, Stefan
dc.contributor.authorSchenk, Nathalie
dc.contributor.authorValdes, Nelson
dc.contributor.authorZimmermann, Ronan
dc.contributor.authorKaess, Michael
dc.date.accessioned2024-03-06T15:37:08Z
dc.date.available2024-03-06T15:37:08Z
dc.date.issued2022
dc.description.abstractBorderline 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.
dc.description.funderNational Fund for Research and Development in Health (Fundo Nacional de Investigacion y Desarrollo en Salud)
dc.description.funderNational Research and Development Agency (Agencia Nacional de Investigacion y Desarrollo de Chile) -Millennium Science Initiative Program/Millennium Institute for Research on Depression and Personality
dc.format.extent18 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1037/per0000572
dc.identifier.eissn1949-2723
dc.identifier.issn1949-2715
dc.identifier.pubmedidMEDLINE:34927594
dc.identifier.urihttps://doi.org/10.1037/per0000572
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/84262
dc.identifier.wosidWOS:000797159100001
dc.information.autorucFacultad de Ciencias Sociales; Krause Jacob, Mariane; S/I; 58559
dc.issue.numero3
dc.language.isoen
dc.nota.accesoSin adjunto
dc.pagina.final96
dc.pagina.inicio81
dc.revistaPSYCHOTHERAPY RESEARCH
dc.rightsregistro bibliográfico
dc.subjectpersonality disorders
dc.subjectadolescents
dc.subjectpsychotherapy
dc.subjectpsychotherapy outcome research
dc.subjectpsychosocial functioning
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleEffectiveness of Adolescent Identity Treatment (AIT) Versus DBT-A for the Treatment of Adolescent Borderline Personality Disorder
dc.typeartículo
dc.volumen15
sipa.codpersvinculados58559
sipa.indexWOS
sipa.trazabilidadCarga WOS-SCOPUS;06-03-2024
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