Evaluation of AIT Study

NCT ID: NCT02518906

Last Updated: 2021-04-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-30

Study Completion Date

2020-11-30

Brief Summary

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Specialized treatment of personality disorders (PD) in youth has been neglected for a long time, because these disorders were not diagnosed before the age of 18. Since 2013 the age threshold has been dropped in the Diagnostic and Statistical Manual (DSM)-5, and such change is also announced for the International Classification of Diseases (ICD)-11. There is broad consensus from both scientific evidence and clinical experience that specialized early interventions in adolescents with PD are urgently needed.

In the last decades a number of specialized psychotherapeutic treatment programs have been developed. Despite their conceptual differences, many of the treatment models have shown significant effects in the treatment of PD in adults. However, the treatment of adolescents with PD remains difficult and further enhancement and development of treatments is needed.

Given the different therapeutic approaches available, the present project aims to go beyond the comparison of integral therapeutic models in the classical outcome study design. While outcome research is important to build on the evidence of the effectiveness of an intervention, it contributes little to its understanding and refinement. The aim of the present multi-center project is to compare two therapeutic methods used in routine care:

* Adolescent Identity Treatment (AIT)
* Dialectic Behavioral Treatment for Adolescents (DBT-A)

Treatments will be performed at different study centers and compared using the same measures of outcome. The main outcome will be psychosocial functioning.

Additionally, the psychotherapy process will be investigated to explore specific and unspecific mechanisms of the therapeutic process, its outcome and mediators.

Detailed Description

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Conditions

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Personality Disorders Borderline Personality Disorder

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Adolescent Identity Treatment

Psychotherapeutic treatment performed routinely at the centres in Basel and Santiago de Chile

Group Type EXPERIMENTAL

Adolescent Identity Treatment

Intervention Type BEHAVIORAL

Integrative Approach for the treatment of adolescents with Personality Disorder.

Manual was published in 2013.

DBT-A

Psychotherapeutic treatment performed routinely at the centre in Heidelberg

Group Type EXPERIMENTAL

DBT-A

Intervention Type BEHAVIORAL

Dialectic Behavioral Treatment for Adolescents is the most commonly used Approach for the Treatment of adolescents with Boderline Personality Disorder

Interventions

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Adolescent Identity Treatment

Integrative Approach for the treatment of adolescents with Personality Disorder.

Manual was published in 2013.

Intervention Type BEHAVIORAL

DBT-A

Dialectic Behavioral Treatment for Adolescents is the most commonly used Approach for the Treatment of adolescents with Boderline Personality Disorder

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Identity Diffusion (AIDA T-score \> 60)
* borderline Criteria (SKID-II)

Exclusion Criteria

* intelligence quotient (IQ) \< 80
* psychotic disorder
* pervasive developmental disorders
* heavy and persistent substance abuse
* major somatic or neurological disease
* hospital treatment
Minimum Eligible Age

13 Years

Maximum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Heidelberg University

OTHER

Sponsor Role collaborator

Pontificia Universidad Catolica de Chile

OTHER

Sponsor Role collaborator

Klaus Schmeck

OTHER

Sponsor Role lead

Responsible Party

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Klaus Schmeck

Professor of Child and Adolescent Psychiatry

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Klaus Schmeck, Prof.

Role: STUDY_DIRECTOR

University Basel

Locations

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Millennium Institute for Research in Depression and Personality - Pontificia Universidad Católica de Chile

Santiago, , Chile

Site Status

Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg

Heidelberg, , Germany

Site Status

Psychiatric Universitiy Hospital Basel

Basel, , Switzerland

Site Status

Countries

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Chile Germany Switzerland

References

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Schmeck K, Weise S, Schluter-Muller S, Birkholzer M, Furer L, Koenig J, Krause M, Lerch S, Schenk N, Valdes N, Zimmermann R, Kaess M. Effectiveness of adolescent identity treatment (AIT) versus DBT-a for the treatment of adolescent borderline personality disorder. Personal Disord. 2023 Mar;14(2):148-160. doi: 10.1037/per0000572. Epub 2022 May 19.

Reference Type DERIVED
PMID: 35587408 (View on PubMed)

Zimmermann R, Furer L, Schenk N, Koenig J, Roth V, Schluter-Muller S, Kaess M, Schmeck K. Silence in the psychotherapy of adolescents with borderline personality pathology. Personal Disord. 2021 Mar;12(2):160-170. doi: 10.1037/per0000402. Epub 2020 Apr 23.

Reference Type DERIVED
PMID: 32324008 (View on PubMed)

Other Identifiers

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EAST

Identifier Type: -

Identifier Source: org_study_id

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