A pilot study of the efficacy of an adventure therapy programme on borderline personality disorder: A pragmatic controlled clinical trial.
Journal
Personality and mental health
ISSN: 1932-863X
Titre abrégé: Personal Ment Health
Pays: England
ID NLM: 101473502
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
revised:
26
01
2021
received:
18
07
2020
accepted:
31
01
2021
pubmed:
12
2
2021
medline:
29
10
2021
entrez:
11
2
2021
Statut:
ppublish
Résumé
Adventure therapy (AT) is a therapeutic intervention that has demonstrated effectiveness in different populations, but there are no studies on this therapy in borderline personality disorder (BPD). The objective of this study was to assess the response to AT in comparison with treatment as usual (based on cognitive-behavioural therapy) in patients with BPD. Regarding the comparison of the differences post-therapy-pre-therapy between both groups, some metabolic variables improved more in the AT group, with medium-large effect sizes. Almost all psychometric variables evolved better in the AT group, with negligible effects. AT could be considered in BPD treatment because it results in healthier lifestyle habits and increases functionality and quality of life in patients who are prone to self-destruction. © 2021 John Wiley & Sons, Ltd.
Types de publication
Controlled Clinical Trial
Journal Article
Pragmatic Clinical Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
159-172Subventions
Organisme : Club Tennis Lleida
ID : 800 €
Organisme : Col·legi d'aparelladors, arquitectes tècnics i enginyers d'edificació de Lleida
ID : 1000 €
Organisme : Diputació de Lleida
ID : 12800 €
Organisme : Ultra Trail Terres de Lleida
ID : 1236.93 €
Informations de copyright
© 2021 John Wiley & Sons, Ltd.
Références
Gass MA, Gillis HL, Russell KC. Adventure Therapy. Theory, Research, and Practice. New York: Routledge, 2012. https://doi.org/10.4324/9780203136768
Harper NJ, Peeters L, Carpenter C. Adventure therapy. In: Black R, & Bricker KS (eds). Adventure Programming and Travel in the 21st Century, pp. 221-236.State College, PA: Venture Publishing, 2015.
Walsh V, Golins G, & Colorado Outward Bound School, Denver. The Exploration of the Outward Bound Process. Washington D.C.: Distributed by ERIC Clearinghouse, 1976.
Fleischer C, Doebler P, Bürkner P-C, Holling H. Adventure therapy effects on self-concept-a meta-analysis. 2017; 1-53. https://doi.org/10.31234/osf.io/c7y9a
Mackenzie SH, Son JS, Hollenhorst S. Unifying psychology and experiential education: toward an integrated understanding of why it works. J Exp Educ. 2014; 37(1): 75-88.
Ál W. Explorando las bases de la Psicoterapia Experiencial. Rev GPU 2015; 11(2): 168-174.
Rose A. Introducing adventure therapy in Spain: lights and shadows. In: Norton CL, Carpenter C, Pryor A (eds). Adventure Therapy Around the Globe: International Perspectives and Diverse Approaches, pp. 280-286.Champaign, IL: Common Ground Research Networks, 2015.
Bettmann JE, Gillis HL, Speelman EA, Parry KJ, Case JM. A meta-analysis of wilderness therapy outcomes for private pay clients. J Child Fam Stud 2016 Sep 1; 25(9): 2659-2673.
Bowen DJ, & Neill JT. A meta-analysis of adventure therapy outcomes and moderators. Open Psychol J 2013: 28-53.
Zachor DA, Vardi S, Baron-Eitan S, Brodai-Meir I, Ginossar N, Ben-Itzchak E. The effectiveness of an outdoor adventure programme for young children with autism spectrum disorder: a controlled study. Dev Med Child Neurol [Internet] 2017 May 1 [cited 2018 Nov 24]; 59(5): 550-556.Available from:. https://doi.org/10.1111/dmcn.13337
Bryson J, Feinstein J, Spavor J, Kidd SA. An examination of the feasibility of adventure-based therapy in outpatient care for individuals with psychosis. Can J Community Ment Heal 2013; 32(2): 1-11.
Girard C, Dubé JE. Off the beaten path: adventure therapy as a potential catalytic adjunct to early intervention with psychotic clients. 2017 Symposium on Experiential Education Research. 2017: 64-66.
Widiger T, & Torgersen S. Epidemiology. In: The Oxford Handbook of Personality Disorders. Oxford University Press, 2012.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-5™, 5th Edition. Washington, DC: American Psychiatric Publishing, Inc, 2013.
Powers AD, & Oltmanns TF. In later adulthood: the mediating role of obesity. J Pers Disord 2013; 4(2): 152-159.
El-Gabalawy R, Katz LY, Sareen J. Comorbidity and associated severity of borderline personality disorder and physical health conditions in a nationally representative sample. Psychosom Med 2010; 72(7): 641-647.
Dixon-Gordon KL, Whalen DJ, Layden BK, Chapman AL. A systematic review of personality disorders and health outcomes. Can Psychol 2015; 56(2): 168-190.
Skodol AE, Gunderson JG, McGlashan TH, Dyck IR, Stout RL, Bender DS et al. Functional impairment in patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorder. Am J Psychiatry 2002; 159(2): 276-283.
Thompson KN, Jackson H, Cavelti M, Betts J, McCutcheon L, Jovev M et al. Number of borderline personality disorder criteria and depression predict poor functioning and quality of life in outpatient youth. J Pers Disord 2019: 1-14.
Oud M, Arntz A, Hermens MLM, Verhoef R, Kendall T. Specialized psychotherapies for adults with borderline personality disorder: a systematic review and meta-analysis. Aust N Z J Psychiatry 2018; 52(10): 949-961.
The National Institute for Health and Clinical Excellence. Borderline personality disorder: recognition and management. Clin Guidel 2009; (January): 1-40.
Quesada Franco M, Pifarré Paredero J, Batalla Llordés I, Facal Alexanco C, Bellido Mainar JR, Luna Ibarz MJ. ¿El Hospital de Día Psiquiátrico de Adultos evita ingresos posteriores? An Psiquiatr 2006; 22(5): 243-249.
Beck A, Davis DD, Freeman A (Eds.). Cognitive therapy of personality disorders (3rd ed.). Guilford Press, 2015.
Peeters L. From adventure to therapy: some necessary conditions to enhance the therapeutic outcomes of adventure programming. Ther within adventure Proc Second Int Adventure Ther Conf Augsberg, Ger [Internet] 2003: 127-138.Available from: file:///home/hayes/Documents/Journal Library/Peeters/Peeters - 2003 - From adventure to therapy Some necessary conditions to enhance the therapeutic outcomes of adventure programming.pdf.
Beck AT, Weissman A, Lester D, Trexler L. The measurement of pessimism: the Hopelessness Scale. J Consult Clin Psychol 1974; 42(6): 861-865.
Aliaga Tovar J, Rodríguez de los Rios L, Ponce Diaz C, Frisancho Leon A, Enríquez Vereau J. Escala de desesperanza de Beck (BHS): adaptación y características psicométricas. Rev Investig en Psicol 2014; 9(1): 69.
Rosenberg M. Society and the Adolescent Self-image. Princeton: Princeton University Press, 2015. https://doi.org/10.1515/9781400876136
Vázquez Morejón A, Jiménez García-Bóveda R, Vázquez-Morejón JR. Escala de autoestima de Rosenberg: Fiabilidad y validez en población clínica española. Apunt Psicol 2004; 22(2): 247-256.
Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs GA. Manual for the State-Trait Anxiety Inventory. Palo Alto: Consulting Psychologists Press, 1970.
Guillén-Riquelme A, & Buela-Casal G. Actualización psicométrica y funcionamiento diferencial de los items en el state trait anxiety inventory (STAI). Psicothema 2011; 23(3): 510-515.
Plutchik R, & Van Praag H. The measurement of suicidality, aggressivity and impulsivity. Prog Neuropsychopharmacol Biol Psychiatry 1989; 13(SUPPL. 1).
Rubio G, Montero I, Jáuregui J, Villanueva R, Casado MA, Marín JJ et al. Validación de la escala de riesgo suicida de Plutchik en población española. Arch Neurobiol (Madr) 1998; 61(2): 143-152.
World Health Organization. WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) [Internet]. 2015. [cited 2018 Mar 23]. Available from: http://www.who.int/classifications/icf/whodasii
Vázquez-Barquero JL, Vázquez Bourgón E, Herrera Castanedo S, Saiz J, Uriarte M, Morales F et al. Versión en lengua española de un nuevo cuestionario de evaluación de discapacidades de la OMS (WHO-DAS-II): Fase inicial de desarrollo y estudio piloto. Actas Esp Psiquiatr 2000; 28(2): 77-87.
World Health Organization. WHO Quality of Life-BREF (WHOQOL-BREF) [Internet]. 1996 [cited 2018 Mar 3]. Available from: https://www.who.int/substance_abuse/research_tools/whoqolbref/en/
Lucas-Carrasco R. The WHO quality of life (WHOQOL) questionnaire: Spanish development and validation studies. Qual Life Res 2012; 21(1): 161-165.
Romano J, Kromrey JD, Coraggio J, Skowronek J. Appropriate statistics for ordinal level data: Should we really be using t-test and Cohen'sd for evaluating group differences on the NSSE and other surveys? In: annual meeting of the Florida Association of Institutional Research. 2006:1-3.
Kahl KG, Greggersen W, Schweiger U, Cordes J, Correll CU, Frieling H et al. Prevalence of the metabolic syndrome in patients with borderline personality disorder: results from a cross-sectional study. Eur Arch Psychiatry Clin Neurosci 2013; 263(3): 205-213.
Bowen DJ, Neill JT, Crisp SJR. Wilderness adventure therapy effects on the mental health of youth participants. Eval Program Plann 2016; 58: 49-59.
Russell K, & Gillis HL. The adventure therapy experience scale: the psychometric properties of a scale to measure the unique factors moderating an adventure therapy experience. J Exp Educ 2017; 40(2): 135-152.