Narrative Exposure Therapy in Women With Borderline Personality Disorder and Posttraumatic Stress Disorder
NCT ID: NCT02517723
Last Updated: 2021-10-08
Study Results
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Basic Information
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COMPLETED
NA
67 participants
INTERVENTIONAL
2014-04-30
2020-01-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
FACTORIAL
TREATMENT
SINGLE
Study Groups
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SIC + NET
Waiting List + Standard Inpatient Care + Narrative Exposure Therapy
Narrative Exposure Therapy
Narrative Exposure Therapy (NET) is based on Testimony Therapy in combination with cognitive behavioural exposure techniques and elements of client-centered counselling. The clients can restore their autobiographic memories about their traumatic experiences. In this way fragmentary memories are transformed into a coherent narrative structure. This practice enables the processing of painful emotions and the construction of clear contingencies of dangerous and safe conditions, generally leading to significant emotional recovery. Therapeutic aims are the reduction of PTSD-Symptomload via activation of fear-network and habituation of fear and the placement of traumatic experiences in a reconstructed, detailed and consistent autobiography.
NET will be applied in eight sessions (90-120min/session) in a standardized, manualized manner.
Standard Inpatient Care
Unspecific group therapy that is identical in both groups (music therapy etc.)
Waiting List
Treatment as usual in the community (no DBT, no exposure of trauma memories)
SIC + DBT
Waiting List + Standard Inpatient Care + Dialectical Behavior Therapy
Dialectical Behavior Therapy
Dialectical behavior therapy is a cognitive behavioral treatment program developed by Marsha Linehan to treat suicidal clients meeting criteria for BPD. It directly targets suicidal behavior, behaviors that interfere with treatment delivery, and other dangerous, severe, or destabilizing behaviors.
Via standard DBT patients improve behavioral capabilities, motivation for skillful behavior, generalization of gains to the natural environment, structuring the treatment environment so that it reinforces functional rather than dysfunctional behaviors. It also targets the therapist capabilities and motivation to treat patients effectively. Patients get weekly individual psychotherapy (1 h/wk), group skills training (3.75 h/wk), a weekly therapist consultation team meetings.
Standard Inpatient Care
Unspecific group therapy that is identical in both groups (music therapy etc.)
Waiting List
Treatment as usual in the community (no DBT, no exposure of trauma memories)
Interventions
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Narrative Exposure Therapy
Narrative Exposure Therapy (NET) is based on Testimony Therapy in combination with cognitive behavioural exposure techniques and elements of client-centered counselling. The clients can restore their autobiographic memories about their traumatic experiences. In this way fragmentary memories are transformed into a coherent narrative structure. This practice enables the processing of painful emotions and the construction of clear contingencies of dangerous and safe conditions, generally leading to significant emotional recovery. Therapeutic aims are the reduction of PTSD-Symptomload via activation of fear-network and habituation of fear and the placement of traumatic experiences in a reconstructed, detailed and consistent autobiography.
NET will be applied in eight sessions (90-120min/session) in a standardized, manualized manner.
Dialectical Behavior Therapy
Dialectical behavior therapy is a cognitive behavioral treatment program developed by Marsha Linehan to treat suicidal clients meeting criteria for BPD. It directly targets suicidal behavior, behaviors that interfere with treatment delivery, and other dangerous, severe, or destabilizing behaviors.
Via standard DBT patients improve behavioral capabilities, motivation for skillful behavior, generalization of gains to the natural environment, structuring the treatment environment so that it reinforces functional rather than dysfunctional behaviors. It also targets the therapist capabilities and motivation to treat patients effectively. Patients get weekly individual psychotherapy (1 h/wk), group skills training (3.75 h/wk), a weekly therapist consultation team meetings.
Standard Inpatient Care
Unspecific group therapy that is identical in both groups (music therapy etc.)
Waiting List
Treatment as usual in the community (no DBT, no exposure of trauma memories)
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* DSM-IV-TR diagnoses of BPD and PTSD
* legal competence
* none or stable medication
* illegal drug abstinence for at least the last 6 months
* capacity to consent and contract
Exclusion Criteria
* simultaneous consumption of drugs
* simultaneous participation in other treatment-studies
* pregnancy or breastfeeding
* lack of capability to negotiate a no-suicide agreement
* suicide attempt or attempts during the 8 weeks prior to start of treatment
* perpetrator-contact
* Body Mass Index (BMI) \< 16
18 Years
65 Years
FEMALE
No
Sponsors
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Evangelisches Krankenhaus Bielefeld gGmbH
OTHER
Responsible Party
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Prof. Dr. med. Martin Driessen
Martin Driessen, Prof. Dr. med.
Principal Investigators
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Carolin Steuwe, M.Sc.
Role: STUDY_DIRECTOR
Clinic of Psychiatry, Evangelisches Krankenhaus Bielefeld
Martin Driessen, Prof. Dr. med.
Role: PRINCIPAL_INVESTIGATOR
Clinic of Psychiatry, Evangelisches Krankenhaus Bielefeld
Locations
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Clinic of Psychiatry, Evangelisches Krankenhaus Bielefeld
Bielefeld, , Germany
Countries
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References
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Steuwe C, Berg M, Beblo T, Driessen M. Narrative Exposure Therapy in Patients With Posttraumatic Stress Disorder and Borderline Personality Disorder in a Naturalistic Residential Setting: A Randomized Controlled Trial. Front Psychiatry. 2021 Nov 26;12:765348. doi: 10.3389/fpsyt.2021.765348. eCollection 2021.
Storebo OJ, Stoffers-Winterling JM, Vollm BA, Kongerslev MT, Mattivi JT, Jorgensen MS, Faltinsen E, Todorovac A, Sales CP, Callesen HE, Lieb K, Simonsen E. Psychological therapies for people with borderline personality disorder. Cochrane Database Syst Rev. 2020 May 4;5(5):CD012955. doi: 10.1002/14651858.CD012955.pub2.
Steuwe C, Rullkotter N, Ertl V, Berg M, Neuner F, Beblo T, Driessen M. Effectiveness and feasibility of Narrative Exposure Therapy (NET) in patients with borderline personality disorder and posttraumatic stress disorder - a pilot study. BMC Psychiatry. 2016 Jul 20;16:254. doi: 10.1186/s12888-016-0969-4.
Other Identifiers
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NET_BPS+PTBS
Identifier Type: -
Identifier Source: org_study_id
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