PMID- 23084803
OWN - NLM
STAT- MEDLINE
DCOM- 20131213
LR  - 20130204
IS  - 1989-4600 (Electronic)
IS  - 1888-9891 (Linking)
VI  - 6
IP  - 1
DP  - 2013 Jan-Mar
TI  - Personality dimensions and working alliance in subjects with borderline 
      personality disorder.
PG  - 17-25
LID - S1888-9891(12)00099-7 [pii]
LID - 10.1016/j.rpsm.2012.04.005 [doi]
AB  - BACKGROUND: As yet, the relation between personality traits and working alliance 
      has not been investigated in subjects affected by Borderline Personality Disorder 
      (BPD). METHOD: A sample of forty-nine BPD subjects who completed a module of 
      Sequential Brief Adlerian Psychodynamic Psychotherapy (SB-APP) of 40 sessions has 
      been recruited. Before the onset of psychotherapy an assessment was made with 
      Clinical Global Impression (CGI), Global Assessment of Functioning (GAF), Symptom 
      Checklist Revised 90 (SCL-R 90), and with Temperament and Character Inventory 
      (TCI). At the end of their psychotherapy, patients were requested to rate the 
      level of working alliance by means of the Working Alliance Inventory (WAI-S). 
      RESULTS: Multiple linear regression analysis has identified three variables as 
      independent predictors of WAI-S total score: subjects with lower Harm Avoidance, 
      older patients, and subjects with a higher psychopathology level had a better 
      WAIS total score. DISCUSSION: These preliminary results showed that the pattern 
      of alliance with the therapist in subjects with BPD could be related not only to 
      weakness of character, but also to a temperamental trait typical of inhibited and 
      avoidant subjects. CONCLUSION: These results suggest that an assessment of 
      temperament in subjects affected by BPD at intake could be useful to detect the 
      subjects who have more difficulties in building a good working alliance and in 
      order to improve the technical interventions and settings for psychotherapy of 
      BPD subjects with higher Harm Avoidance.
CI  - Copyright (c) 2011 SEP y SEPB. Published by Elsevier Espana. All rights reserved.
FAU - Piero, Andrea
AU  - Piero A
AD  - Psychiatric Service Le Cedre, Centre Hospitalier Alpes-Isere, Saint Egreve, 
      France. apiero@ch-alpes-isere.fr
FAU - Cairo, Elisabetta
AU  - Cairo E
FAU - Ferrero, Andrea
AU  - Ferrero A
LA  - eng
LA  - spa
PT  - Clinical Trial
PT  - Journal Article
DEP - 20120707
PL  - Spain
TA  - Rev Psiquiatr Salud Ment
JT  - Revista de psiquiatria y salud mental
JID - 101528851
SB  - IM
MH  - Adult
MH  - Borderline Personality Disorder/psychology/*therapy
MH  - *Character
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Linear Models
MH  - Male
MH  - Middle Aged
MH  - *Professional-Patient Relations
MH  - Psychological Tests
MH  - *Psychotherapy, Psychodynamic
MH  - *Temperament
MH  - Treatment Outcome
EDAT- 2012/10/23 06:00
MHDA- 2013/12/18 06:00
CRDT- 2012/10/23 06:00
PHST- 2011/09/18 00:00 [received]
PHST- 2012/02/21 00:00 [revised]
PHST- 2012/04/26 00:00 [accepted]
PHST- 2012/10/23 06:00 [entrez]
PHST- 2012/10/23 06:00 [pubmed]
PHST- 2013/12/18 06:00 [medline]
AID - S1888-9891(12)00099-7 [pii]
AID - 10.1016/j.rpsm.2012.04.005 [doi]
PST - ppublish
SO  - Rev Psiquiatr Salud Ment. 2013 Jan-Mar;6(1):17-25. doi: 
      10.1016/j.rpsm.2012.04.005. Epub 2012 Jul 7.