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Cited by 99Personality Disorders and PsychopathologyPsychotherapy Techniques and ApplicationsBipolar Disorder and Treatment

Cognitive therapy versus rogerian supportive therapy in borderline personality disorder

Cottraux, Jean, Note, Ivan Druon, Boutitie, Florent, Milliery, Maud, Genouihlac, Virginie, Yao, Sai Nan, Note, Brigitte, Mollard, Evelyne +6 more·2009·Psychotherapy and Psychosomatics
DOI 10.1159/000229769
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Abstract

Background: To date, there have been no studies comparing cognitive therapy (CT) with Rogerian supportive therapy (RST) in borderline personality disorder. Method: Sixty-five DSM-IV borderline personality disorder outpatients were recruited at 2 centres: Lyon and Marseille. Thirty-three patients were randomly allocated to CT and 32 to RST. The therapists were the same in both groups. Both treatments shared the same duration (1 year) and amount of therapy. Assessment by independent evaluators utilised the Clinical Global Impression (CGI) Scale, the Hamilton Depression Scale, Beck Depression Inventory, Beck Anxiety Inventory, Hopelessness Scale, Young Schema Questionnaire II, Eysenck Impulsivity Venturesomeness Empathy (IVE) Inventory, a self-harming behaviours checklist and scales measuring quality of life and the therapeutic relationship. The response criterion was a score of 3 or less on the CGI, associated with a Hopelessness Scale score of <8. Results: No patient committed suicide during the trial. Fifty-one patients were evaluated at week 24, 38 at week 52 and 21 at week 104. Cognitive therapy retained the patients in therapy for a longer time. The response criterion found no significant between-group differences at any measurement point in the completers. However, at week 24, CT was better than RST on the Hopelessness Scale, IVE scale and regarding the therapeutic relationship. At week 104, the CGI improvement (patient and evaluator) was significantly better in CT than in RST. High baseline depression and impulsivity predicted dropouts. Conclusions: CT retained the patients in therapy longer, showed earlier positive effects on hopelessness and impulsivity, and demonstrated better long-term outcomes on global measures of improvement.

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  • Compared to CCT, CT was superior for impulsivity, suicidality, anxiety and mental health status with very small to moderate effects.

    “As compared to CCT, results indicated a superiority of CT over CCT for the outcomes of impulsivity, suicidality, anxiety and mental health status with very small to moderate effects”

    From Psychological therapies for people with borderline personality disorder. (2012) · cites this paper as Cottraux 2009

  • Cognitive Therapy (CT) compared with CCT and IPT yielded no statistically significant differences for any outcome.

    “Both comparisons yielded no statistically significant differences for any outcome.”

    From Psychological therapies for people with borderline personality disorder. (2012) · cites this paper as Cottraux 2009

  • Compared to CCT, CCT was superior for parasuicidality (moderate effect) and depression (very small effect).

    “and superiority of CCT for parasuicidality (moderate effect) and depression (very small effect).”

    From Psychological therapies for people with borderline personality disorder. (2012) · cites this paper as Cottraux 2009

  • DBT was superior to CCT for suicidality (SMD -0.87, N = 24, 95% CI -1.71 to -0.02, Analysis 3.4).

    “Reported data indicate large to very large statistically significant differences between both groups for impulsive symptom cluster outcomes, all favouring DBT over CCT (impulsivity: SMD -1.05, N = 24, 95% CI -1.92 to -0.19, Analysis 3.3; suicidality: SMD -0.87, N = 24, 95% CI -1.71 to -0.02, Analysis 3.4; parasuicidality: SMD -1.28, N = 24, 95% CI -2.17 to -0.38, Analysis 3.5).”

    From Psychological therapies for people with borderline personality disorder. (2012) · cites this paper as Cottraux 2009

  • DBT was superior to CCT for parasuicidality (SMD -1.28, N = 24, 95% CI -2.17 to -0.38, Analysis 3.5).

    “Reported data indicate large to very large statistically significant differences between both groups for impulsive symptom cluster outcomes, all favouring DBT over CCT (impulsivity: SMD -1.05, N = 24, 95% CI -1.92 to -0.19, Analysis 3.3; suicidality: SMD -0.87, N = 24, 95% CI -1.71 to -0.02, Analysis 3.4; parasuicidality: SMD -1.28, N = 24, 95% CI -2.17 to -0.38, Analysis 3.5).”

    From Psychological therapies for people with borderline personality disorder. (2012) · cites this paper as Cottraux 2009

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Authors
Cottraux, J., Note, I. D., Boutitie, F., Milliery, M., Genouihlac, V., Yao, S. N., Note, B., Mollard, E., Bonasse, F., Gaillard, S., Djamoussian, D., de Mey Guillard, C., Culem, A., & Gueyffier, F.
Affiliations
  • Hospices Civils de Lyon (FR)
  • Assistance Publique Hôpitaux de Marseille (FR)
  • Inserm (FR)
ORCID
Venue
Psychotherapy and Psychosomatics
Publisher
S. Karger AG
Published
2009
Volume
78
Issue
5
Pages
307-316
ISSN
  • 0033-3190 (ISSN-L)
  • 1423-0348
DOI
10.1159/000229769
OpenAlex
W2010650731
Cited by
99
References
29
Citations by year
2026: 1 · 2025: 2 · 2024: 4 · 2023: 3 · 2022: 5 · 2021: 7 · 2020: 8 · 2019: 5 · 2018: 4 · 2017: 11 · 2016: 6 · 2015: 3 · 2014: 5 · 2013: 8 · 2012: 7
FWCI
9.57
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Psychotherapy and Psychosomatics (publishedVersion)
  • PubMed (publishedVersion)
  • HAL (submittedVersion)
Funders
Hospices Civils de Lyon
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
Keywords
borderline personality disorder, cognitive therapy, psychotherapy comparison, treatment discontinuation, hopelessness, impulsivity, therapeutic relationship, quality of life, self-harm, depression, long-term treatment outcomes
MeSH terms
Suicide Prevention, Adult, Borderline Personality Disorder, Female, Follow-Up Studies, Humans, Impulsive Behavior, Male, Person-Centered Psychotherapy, Pilot Projects, Psychiatric Status Rating Scales, Quality of Life, Cognitive Behavioral Therapy, Treatment Outcome

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