Efficacy of cognitive rehabilitation on psychosocial functioning in Borderline Personality Disorder

Follow-up studies revealed that subjects with borderline personality disorder (BPD) present high rates of clinical remission, although psychosocial functioning often remains impaired. The aim of this study is to evaluate the efficacy of a cognitive rehabilitation intervention versus a psychoeducatio...

Descripción completa

Detalles Bibliográficos
Autores: Pascual, Juan Carlos|||0000-0001-8039-9346, Palomares, Nerea, Ibáñez, Ángela, Portella Moll, Maria J., 1975-|||0000-0002-2007-9516, Arza, Rocío, Reyes, Raquel, Feliu-Soler, Albert|||0000-0003-2810-7670, Díaz-Marsá, Marina|||0000-0003-1364-3163, Saiz-Ruiz, Jerónimo|||0000-0001-9625-167X, Soler, Joaquim|||0000-0001-8077-3641, Carrasco, Jose L.|||0000-0003-1481-3574
Tipo de recurso: artículo
Fecha de publicación:2015
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:254468
Acceso en línea:https://ddd.uab.cat/record/254468
https://dx.doi.org/urn:doi:10.1186/s12888-015-0640-5
Access Level:acceso abierto
Palabra clave:Borderline personality disorder
Cognitive rehabilitation
Psychoeducation
Psychosocial functioning
Descripción
Sumario:Follow-up studies revealed that subjects with borderline personality disorder (BPD) present high rates of clinical remission, although psychosocial functioning often remains impaired. The aim of this study is to evaluate the efficacy of a cognitive rehabilitation intervention versus a psychoeducational program on psychosocial functioning in subjects with BPD. A multicenter, randomized, and positive-controlled clinical trial was conducted. Seventy outpatients with BPD were randomized to cognitive rehabilitation or psychoeducational group interventions. Participants were evaluated after completion of the intervention period (16 weeks) and after the follow-up period (6 months). Psychosocial functioning, clinical and neuropsychological outcomes were evaluated. No main effects of group or group x time were observed on functionality but a significant effect of time was found. Post-hoc analyses showed that only cognitive rehabilitation increased psychosocial functioning significantly at endpoint. Psychoeducation showed a significant enhancement of depressive symptoms. Cognitive rehabilitation and psychoeducational interventions appeared to show good efficacy in improving disabilities in daily life in subjects with BPD. These interventions are easily implemented in mental health settings and have the advantage of improving general functioning and clinical symptoms. Clinicaltrials.gov:. Registered 9 January 2014 The online version of this article (doi:10.1186/s12888-015-0640-5) contains supplementary material, which is available to authorized users.