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Therapist Adherence to Good Psychiatric Practice in a Short-Term Treatment for Borderline Personality Disorder

Kolly, Stéphane MD; Despland, Jean-Nicolas MD; de Roten, Yves PhD; Marquet, Pierre MD, PhD; Kramer, Ueli PhD

The Journal of Nervous and Mental Disease: July 2016 - Volume 204 - Issue 7 - p 489–493
doi: 10.1097/NMD.0000000000000481
Original Articles
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Therapist adherence describes the quality of interventions according to the imperatives of a treatment model. We examined the relationship between therapist adherence and symptom change in the context of a short-term treatment with respect good psychiatric management (GPM) principles. Based on a parent trial, borderline personality disorder patients (N = 40) benefited from a 10-session intervention. Adherence to GPM was assessed using a GPM Adherence Scale (GPMAS). The psychometric properties of the GPMAS were excellent, and the adherence to GPM explained 16% of the general symptom improvement (t(1) = 2.38, β = 0.40, p = 0.02) and 23% of the borderline symptom improvement (t(1) = 2.46, β = 0.48, p = 0.02). Because GPM adherence predicts the outcome after only 10 sessions, GPMAS is a valuable measure early on in psychiatric practice as part of an initial step to longer-term treatment, to quickly detect problems and correct them.

*Service of General Psychiatry, †Institute of Psychotherapy, and ‡Neurosciences Center of Psychiatry, Department of Psychiatry-CHUV, University of Lausanne, Switzerland; §Department of Psychiatry, University of Laval, Quebec; and ∥Clinical Psychology, University of Windsor, Ontario, Canada.

Send reprint requests to Stéphane Kolly, MD, Consultations de Chauderon, Department of Psychiatry-CHUV, University of Lausanne, Av. d'Echallens 9, CH-1004 Lausanne, Switzerland. E-mail: Stephane.Kolly@chuv.ch.

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