title: Therapist Adherence to Good Psychiatric Practice in a Short-Term Treatment for Borderline Personality Disorder.
abstract: 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.
authors.affiliation: *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.
authors.forename: Stéphane
authors.initials: S
authors.lastname: Kolly
authors.forename: Jean-Nicolas
authors.initials: JN
authors.lastname: Despland
authors.forename: Yves
authors.initials: Y
authors.lastname: de Roten
authors.forename: Pierre
authors.initials: P
authors.lastname: Marquet
authors.forename: Ueli
authors.initials: U
authors.lastname: Kramer
mesh_terms: D000328:Adult; D001883:Borderline Personality Disorder / Q000628:therapy*; D005260:Female; D019983:Guideline Adherence / Q000592:standards; D006801:Humans; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care / Q000379:methods*; D017410:Practice Guidelines as Topic; D011594:Psychometrics / Q000295:instrumentation; D011614:Psychotherapy, Brief / Q000379:methods* / Q000592:standards; D011795:Surveys and Questionnaires; D055815:Young Adult