The effects of borderline pathology on short-term psychodynamic psychotherapy for depression

Psychotherapy Research

Volumn 17, Issue 2, 2007, Pages 172-184

  Hilsenroth, Mark ^a   Defife, Jared ^b   Blake, Margaret ^c   Cromer, Thomas ^a  

^a ADELPHI UNIVERSITY   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c MANHATTAN PSYCHIATRIC CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; BORDERLINE STATE; CLINICAL ARTICLE; COMORBIDITY; CONTROLLED STUDY; DEPRESSION; DYSTHYMIA; FEMALE; HUMAN; HUMAN RELATION; MALE; OUTPATIENT; PREVALENCE; PRIORITY JOURNAL; PSYCHODYNAMICS; PSYCHOTHERAPY; SHORT COURSE THERAPY; SYMPTOMATOLOGY;

EID: 33847300417     PISSN: 10503307     EISSN: 14684381     Source Type: Journal    
DOI: 10.1080/10503300600786748     Document Type: Article

References (78)

1. Ackerman, S.,.Hilsenroth, M.,.Baity, M. and Blagys, M. (2000) Interaction of therapeutic process and alliance during psychological assessment. Journal of Personality Assessment, 75, pp. 82-109.
2. (1994) Diagnostic and statistical manual of mental disorders, Author
3. Bagge, C.,.Nickell, A.,.Stepp, S.,.Durrett, C.,.Jackson, K. and Trull, T. (2004) Borderline personality disorder features predict negative outcomes 2 years later. Journal of Abnormal Psychology, 113, pp. 279-288.
4. Barber, J.,.Crits-Christoph, P. and Luborsky, L. (1996) Effects of therapist adherence and competence on patient outcome in brief dynamic therapy. Journal of Consulting and Clinical Psychology, 64, pp. 619-622.
5. Barkham, M.,.Shapiro, D.,.Hardy, G. and Rees, A. (1999) Psychotherapy in two-plus-one sessions: Outcomes of a randomized controlled trial of cognitive-behavioral and psychodynamic-interpersonal therapy for subsyndromal depression. Journal of Consulting and Clinical Psychology, 67, pp. 201-211.
6. Bateman, A. and Fonagy, P. (2004) Psychotherapy for borderline personality disorder. Mentalization-based treatment, Oxford University Press, Oxford, UK
7. Beck, A.,.Ward, C.,.Mendelson, M.,.Mock, J. and Erbaugh, J. (1961) An inventory for measuring depression. Archives of General Psychiatry, 4, pp. 561-571.
8. Blagys, M. and Hilsenroth, M. (2000) Distinctive features of short-term psychodynamic-interpersonal psychotherapy: A review of the comparative psychotherapy process literature. Clinical Psychology: Science and Practice, 7, pp. 167-188.
9. Blagys, M. and Hilsenroth, M. (2002) Distinctive features of short-term cognitive-behavioral psychotherapy: A review of the comparative psychotherapy process literature. Clinical Psychology Review, 22, pp. 671-706.
10. Blais, M.,.Matthews, J.,.Schouten, R.,.O'Keefe, S. and Summergrad, P. (1998) Stability and predictive value of self-report personality traits pre and post ECT: A preliminary study. Comprehensive Psychiatry, 39, pp. 231-236.
11. Book, H. (1998) How to practice brief psychodynamic psychotherapy: The Core Conflictual Relationship Theme method, American Psychological Association, Washington, DC
12. Brown, T. and Barlow, D. (2005) Dimensional versus categorical classification of mental disorders in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders and beyond. Journal of Abnormal Psychology, 114, pp. 551-556.
13. Cavanaugh, S. V.,.Furlanetto, L. M.,.Creech, S. D. and Powell, L. H. (2001) Medical illness, past depression, and present depression: A predictive triad for in-hospital mortality. American Journal of Psychiatry, 158, pp. 43-48.
14. Clarkin, J. F.,.Yeomans, F. and Kernberg, O. F. (1999) Psychotherapy of borderline personality disorder, Wiley, New York
15. Cohen, J. (1988) Statistical power analysis for the behavioral sciences, Academic Press
16. Derogatis, L. (1993) Brief Symptom Inventory, National Computer Systems, Minneapolis, MN
17. Diguer, L.,.Barber, J. and Luborsky, L. (1993) Three concomitants: Personality disorder, psychiatric severity, and outcome of dynamic psychotherapy of major depression. American Journal of Psychiatry, 150, pp. 1246-1248.
18. Druss, B.,.Rosenheck, R. and Sledge, W. (2000) Health and disability costs of depressive illness in a major U.S. corporation. American Journal of Psychiatry, 157, pp. 1274-1278.
19. Fergusson, D.,.Horwood, L.,.Ridder, E. and Beautrais, A. (2005) Subthreshold depression in adolescence and mental health outcomes in adulthood. Archives of General Psychiatry, 62, pp. 66-72.
20. Finn, S. and Tonsager, M. (1997) Information-gathering and therapeutic models of assessment: Complementary paradigms. Psychological Assessment, 9, pp. 374-385.
21. Fleiss, J. (1981) Statistical methods for rates and proportions, Wiley
22. Gabbard, G. (2001) Psychodynamic psychotherapy of borderline personality disorder: A contemporary approach. Bulletin of the Menninger Clinic, 65, pp. 41-57.
23. Gaston, L.,.Thompson, L.,.Gallagher, D.,.Cournoyer, L. and Gagnon, R. (1998) Alliance, technique, and their interactions in predicting outcome of behavioral, cognitive, and brief dynamic therapy. Psychotherapy Research, 8, pp. 190-209.
24. Grilo, C. M.,.Sanislow, C. A.,.Shea, M. T.,.Skodol, A. E.,.Stout, R. L. and Gunderson, J. G. (2005) Two-year prospective naturalistic study of remission from major depressive disorder as a function of personality disorder co-morbidity. Journal of Consulting and Clinical Psychology, 73, pp. 78-85.
25. Gunderson, J. (2001) Borderline personality disorder: A clinical guide, American Psychiatric Association, Washington, DC
26. Gunderson, J.,.Najavits, L.,.Leonhard, C.,.Sullivan, C. N. and Sabo, A. (1997) Ontogeny of the therapeutic alliance in borderline patients. Psychotherapy Research, 7, pp. 301-309.
27. Gunderson, J.,.Shea, M.,.Skodol, A.,.McGlashan, T.,.Morey, L. and Stout, R. (2000) The Collaborative Longitudinal Personality Disorders Study: Development, aims, design, and sample characteristics. Journal of Personality Disorders, 14, pp. 300-315.
28. Guthrie, E.,.Moorey, J.,.Margison, F.,.Barker, H.,.Palmer, S.,.McGrath, G.,.Tomenson, B. and Creed, F. (1999) Costeffectiveness of Brief Psychodynamic-Interpersonal Therapy in High Utilizers of Psychiatric Services. Archives of General Psychiatry, 56, pp. 519-526.
29. Hamilton, M. (1967) Development of a rating scale for primary depressive illness. British Journal of Social and Clinical Psychology, 6, pp. 278-296.
30. Hankin, B.,.Fraley, R.,.Lahey, B. and Waldman, I. (2005) Is depression best viewed as a continuum or discrete category? A taxometric analysis of childhood and adolescent depression in a population-based sample. Journal of Abnormal Psychology, 114, pp. 96-110.
31. Hardy, G.,.Barkham, M.,.Shapiro, D.,.Stiles, W.,.Rees, A. and Reynolds, S. (1995) Impact of Cluster C personality disorders on outcomes of contrasting brief psychotherapies for depression. Journal of Consulting and Clinical Psychology, 63, pp. 997-1004.
32. Hatcher, R. and Barends, A. (1996) Patient's view of the alliance in psychotherapy: Exploratory factor analysis of three alliance measures. Journal of Consulting and Clinical Psychology, 64, pp. 1326-1336.
33. Helmchen, H. and Linden, M. (2000) Subthreshold disorders in psychiatry: Clinical reality, methodological artifact, and the double-threshold problem. Comprehensive Psychiatry, 41, pp. 1-7.
34. Hilsenroth, M.,.Ackerman, S. and Blagys, M. (2001) Evaluating the phase model of change during short-term psychodynamic psychotherapy. Psychotherapy Research, 11, pp. 29-47.
35. Hilsenroth, M.,.Ackerman, S.,.Blagys, M.,.Baity, M. and Mooney, M. (2003) Short-term psychodynamic psychotherapy for depression: An evaluation of statistical, clinically significant, and technique specific change. Journal of Nervous and Mental Disease, 191, pp. 349-357.
36. Hilsenroth, M.,.Ackerman, S.,.Blagys, M.,.Baumann, B.,.Baity, M. and Smith, S. (2000) Reliability and validity of DSM-IV axis V. American Journal of Psychiatry, 157, pp. 1858-1863.
37. Hilsenroth, M.,.Baity, M.,.Mooney, M. and Meyer, G. (2004) DSM-IV major depressive episode criteria: An evaluation of reliability and validity across three different rating methods. International Journal of Psychiatry in Clinical Practice, 8, pp. 3-10.
38. Hilsenroth, M.,.Blagys, M.,.Ackerman, S.,.Bonge, D. and Blais, M. (2005) Measuring psychodynamic-interpersonal and cognitive-behavioral techniques: Development of the Comparative Psychotherapy Process Scale. Psychotherapy, 42, pp. 340-356.
39. Hilsenroth, M.,.DeFife, J.,.Blagys, M. and Ackerman, S. (2006) Effects of training in short-term psychodynamic psychotherapy: Changes in graduate clinician technique. Psychotherapy Research, 16, pp. 292-303.
40. Hilsenroth, M.,.Peters, E. and Ackerman, S. (2004) The development of therapeutic alliance during psychological assessment: Patient and therapist perspectives across treatment. Journal of Personality Assessment, 83, pp. 332-344.
41. Hoffart, A. and Martinsen, E. (1993) The effects of personality disorders and anxious depressive co-morbidity on outcome in patients with unipolar depression and with panic disorder and agoraphobia. Journal of Personality Disorders, 7, pp. 304-311.
42. Jacobson, N.,.Roberts, L.,.Berns, S. and McGlinchey, J. (1999) Methods for defining and determining the clinical significance of treatment effects: Description, application, and alternatives. Journal of Consulting and Clinical Psychology, 67, pp. 300-307.
43. Judd, L. L.,.Akiskal, H. S. and Paulus, M. P. (1997) The role and clinical significance of subsyndromal depressive symptoms (SSD) in unipolar major depressive disorder. Journal of Affective Disorders, 45, pp. 5-17.
44. Judd, L. L.,.Akiskal, H.,.Zeller, P.,.Paulus, M.,.Leon, A. C. and Maser, J. (2000) Psychosocial disability during the long-term course of unipolar major depressive disorder. Archives of General Psychiatry, 57, pp. 375-380.
45. Judd, L. L.,.Paulus, M.,.Wells, K. and Rapaport, M. (1996) Socioeconomic burden of subsyndromal depressive symptoms and major depression in a sample of the general population. American Journal of Psychiatry, 153, pp. 1411-1417.
46. Kessler, R., Merikangas, K., Berglund, P., Eaton, W., Koretz, D. and Walters, E. (2003) Mild disorders should not be eliminated from the DSM-V. Archives of General Psychiatry, 60, pp. 1117-1122.
47. Kool, S.,.Dekker, J.,.Duijsens, I.,.de Jonghe, F. and Puite, B. (2003) Efficacy of combined therapy and pharmacotherapy for depressed patients with or without personality disorders. Harvard Review of Psychiatry, 11, pp. 133-141.
48. Leichsenring, F. (2001) Comparative effects of short-term psychodynamic psychotherapy and cognitive-behavioral therapy in depression: A meta-analytic approach. Clinical Psychology Review, 21, pp. 401-419.
49. Lewinsohn, P.,.Solomon, A.,.Seeley, J. and Zeiss, A. (2000) Clinical implications of "subthreshold" depressive symptoms. Journal of Abnormal Psychology, 109, pp. 345-351.
50. Luborsky, L. (1984) Principles of psychoanalytic psychotherapy: A manual for supportive-expressive treatment, Basic Books, New York
51. Luborsky, L.,.Crits-Cristoph, P.,.Alexander, L.,.Margolis, M. and Cohen, M. (1983) Two helping alliance methods for predicting outcomes of psychotherapy: A counting signs vs. a global rating method. Journal of Nervous and Mental Disease, 171, pp. 480-491.
52. Luborsky, L.,.Diguer, L.,.Cacciola, J.,.Barber, J.,.Moras, K.,.Schmidt, K. and DeRubeis, R. (1996) Factors in outcomes of short-term dynamic psychotherapy for chronic vs nonchronic major depression. Journal of Psychotherapy Practice and Research, 5, pp. 152-159.
53. Luborsky, L.,.Mark, D.,.Hole, A.,.Popp, C.,.Goldsmith, B. and Cacciola, J. (1995) Supportive-expressive dynamic psychotherapy of depression: A time-limited version. Dynamic therapies for the psychiatric disorders (axis I), pp. 13-42. Basic Books, New York
54. Lueger, R.,.Lutz, W. and Howard, K. (2000) The predicted and observed course of psychotherapy for anxiety and mood disorders. Journal of Nervous and Mental Disease, 188, pp. 127-134.
55. Marziali, E.,.Munroe-Blum, H. and McCleary, L. (1999) The effects of the therapeutic alliance on the outcomes of individual and group psychotherapy with borderline personality disorder. Psychotherapy Research, 9, pp. 424-436.
56. McCullough, L.,.Kuhn, N.,.Andrews, S.,.Kaplan, A.,.Wolf, J. and Hurley, C. (2003) Treating affect phobia: A manual for short-term dynamic psychotherapy, Guilford Press, New York
57. Mulder, R. (2002) Personality pathology and treatment outcome in major depression: A review. American Journal of Psychiatry, 159, pp. 359-371.
58. Ormel, J.,.Oldehinkel, A. and Brilman, E. (2001) The interplay and etiological continuity of neuroticism, difficulties, and life events in the etiology of major and subsyndromal, first and recurrent depressive episodes in later life. American Journal of Psychiatry, 158, pp. 885-891.
59. Peters, E.,.Hilsenroth, M.,.Eudell-Simmons, E.,.Blagys, M. and Handler, L. (1899) Reliability and validity of the Social Cognition and Object Relations Scale in clinical use. Psychotherapy Research., 16, pp. 606-614.
60. Reich, J. (2003) The effect of axis II disorders on the outcome of treatment of anxiety and unipolar depressive disorders: A review. Journal of Personality Disorders, 17, pp. 387-405.
61. Shea, M.,.Stout, R.,.Yen, S.,.Pagano, M.,.Skodol, A. and Morey, L. (2004) Associations in the course of personality disorders and axis I disorders over time. Journal of Abnormal Psychology, 113, pp. 499-508.
62. Shedler, J. and Westen, D. (2004) Refining personality disorder diagnosis: Integrating science and practice. American Journal of Psychiatry, 161, pp. 1350-1365.
63. Shrout, P. and Fleiss, J. (1979) Intraclass correlations: Uses in assessing rater reliability. Psychological Bulletin, 86, pp. 420-428.
64. Skodol, A.,.Oldham, J.,.Bender, D.,.Dyck, I.,.Stout, R. and Morey, L. (2005) Dimensional representations of DSM-IV personality disorders: Relationships to functional impairment. American Journal of Psychiatry, 162, pp. 1919-1925.
65. Solomon, A.,.Haaga, D. and Arnow, B. (2001) Is clinical depression distinct from subthreshold depressive symptoms? A review of the continuity issue in depression research. Journal of Nervous and Mental Disease, 189, pp. 498-506.
66. Speer, D. C. (1992) Clinically significant change: Jacobson and Truax (1991) revisited. Journal of Consulting and Clinical Psychology, 60, pp. 402-408.
67. Stein, M.,.Pinsker, J. and Hilsenroth, M. (2007) Borderline pathology and the Personality Assessment Inventory (PAI): An evaluation of criterion and concurrent validity. Journal of Personality Assessment, 88, pp. 81-89.
68. Thompson, L.,.Gallagher, D. and Czirr, R. (1988) Personality disorder and outcome in the treatment of late-life depression. Journal of Geriatric Psychiatry, 21, pp. 133-146.
69. Thompson-Brenner, H. and Westen, D. (2005) A naturalistic study of psychotherapy for bulimia nervosa, Part 2: Therapeutic interventions in the community. Journal of Nervous and Mental Disease, 193, pp. 585-595.
70. Tingey, R.,.Lambert, M.,.Burlingame, G. and Hansen, N. (1996) Clinically significant change: Practical indicators for evaluating psychotherapy outcome. Psychotherapy Research, 6, pp. 144-153.
71. Turner, R. (2000) Naturalistic evaluation of dialectical behavior therapy-oriented treatment for borderline personality disorder. Cognitive and Behavioral Practice, 7, pp. 413-419.
72. Wachtel, P. L. (1993) Therapeutic communication: Knowing what to say when, Guilford Press, New York
73. Westen, D.,.Novotny, C. and Thompson-Brenner, H. (2004) The empirical status of empirically supported psychotherapies: Assumptions, findings, and reporting in controlled clinical trials. Psychological Bulletin, 130, pp. 631-663.
74. Yeomans, F.,.Gutfreund, J.,.Selzer, M.,.Clarkin, J.,.Hull, J. and Smith, T. (1994) Factors related to drop-outs by borderline patients. Journal of Psychotherapy Practice and Research, 3, pp. 16-24.
75. Zanarini, M.,.Frankenburg, F.,.Hennen, J.,.Reich, D. and Silk, K. (2004) Axis I co-morbidity in patients with borderline personality disorder: 6-year follow-up and prediction of time to remission. American Journal of Psychiatry, 161, pp. 2108-2114.
76. Zimmerman, M.,.Mattia, J. L. and Posternak, M. A. (2002) Are subjects in pharmacological treatment trials of depression representative of patients in routine clinical practice?. American Journal of Psychiatry, 159, pp. 469-473.
77. Zimmerman, M.,.Rothschild, L. and Chelminski, I. (2005) The prevalence of DSM-IV personality disorders in psychiatric outpatients. American Journal of Psychiatry, 162, pp. 1911-1918.
78. Zittel-Conklin, C. and Westen, D. (2005) Borderline personality disorder in clinical practice. American Journal of Psychiatry, 162, pp. 867-875.