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The effectiveness of an ACT-based partial hospitalization program in treatment of borderline personality disorder

Description

Abstract:
Introduction: Short-term partial hospitalization has not yet been assessed in the literature as treatment for acute symptoms of Borderline Personality Disorder (BPD). The aim of the current study is to assess the effectiveness of the Rhode Island Hospital adult partial program in reducing pathology associated with BPD, and furthermore to determine demographic and diagnostic correlates of treatment success. Methods: 88 patients diagnosed with BPD completed daily self-report questionnaires assessing present symptoms. Intake-to-discharge score differences were determined and analyzed across demographic characteristics and comorbid diagnoses. Results: The two factors that consistently predicted treatment outcomes in a regression model were education and the number of days no-showed. Those with higher education tended exhibit greater improvement, and those who no-showed more often tended to show less improvement despite the fact the number of cancellations had no effect on treatment outcomes. Discussion: The RIH adult partial program is very effective at reducing acute symptoms associated with BPD. The data suggests that no-shows are strongly related with a reduction in treatment effectiveness, to the extent that personal factors predict both inclination to no-show and less adherence to treatment. Higher education may improve outcomes in an ACT-based program because of its association with greater insight, which helps patients to internalize cognitively-oriented psychotherapy. Patients with less education and lower insight may fare better in a program that uses more behaviorally-oriented therapy.

Citation

Genovese, Timothy, "The effectiveness of an ACT-based partial hospitalization program in treatment of borderline personality disorder" (2015). Summer Research Symposium. Brown Digital Repository. Brown University Library. https://doi.org/10.7301/Z0PK0D3F

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Collection:

  • Summer Research Symposium

    Each year, Brown University showcases the research of its undergraduates at the Summer Research Symposium. More than half of the student-researchers are UTRA recipients, while others receive funding from a variety of Brown-administered and national programs and fellowships and go …
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