Short- and Long-Term Outcomes of an Adventure Therapy Programme on Borderline Personality Disorder: A Pragmatic Controlled Clinical Trial
Adventure Therapy (AT) is a therapeutic intervention utilizing the natural environment and adventure activities as tools for psychotherapeutic interventions. It has been demonstrated to be appropriate for the intervention of patients with borderline personality disorder (BPD). This study aims to eva...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-02-01
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| Series: | Brain Sciences |
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| Online Access: | https://www.mdpi.com/2076-3425/14/3/236 |
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| author | Alba Gabarda-Blasco Aina Elias Mariona Mendo-Cullell Laura Arenas-Pijoan Carles Forné David Fernandez-Oñate Laura Bossa Aurora Torrent Xavier Gallart-Palau Iolanda Batalla |
| author_facet | Alba Gabarda-Blasco Aina Elias Mariona Mendo-Cullell Laura Arenas-Pijoan Carles Forné David Fernandez-Oñate Laura Bossa Aurora Torrent Xavier Gallart-Palau Iolanda Batalla |
| author_sort | Alba Gabarda-Blasco |
| collection | DOAJ |
| description | Adventure Therapy (AT) is a therapeutic intervention utilizing the natural environment and adventure activities as tools for psychotherapeutic interventions. It has been demonstrated to be appropriate for the intervention of patients with borderline personality disorder (BPD). This study aims to evaluate the response to AT treatment compared with the response to treatment as usual (TAU), based on cognitive behavioural therapy, in the short and long term, assessing clinical, psychosocial, and functional outcomes; quality of life; and physical health levels. This study extends the sample of and is a follow-up to a pilot study published in 2021, with a sample of 30 patients in the AT group and 10 in the control group. It does not allow us to affirm that AT provides better outcomes than TAU, as the positive effects observed immediately after therapy seem to be attenuated in the long term. Therefore, the effectiveness of long-term psychotherapy did not show differences between AT and TAU therapies in the treatment of BPD patients. However, the effects of intangibles observed during therapy by professionals and patients were not reflected in the measurements collected. Therefore, we believe it is necessary to increase the programme duration, complement treatment with a specific physical health programme, assess results with more specific instruments, and/or move towards a qualitative methodology to measure perceived changes in clinical improvement. New studies are needed to evaluate the results of the proposed changes. |
| first_indexed | 2024-04-24T18:28:47Z |
| format | Article |
| id | doaj.art-2045c163361d47b2b57aace300d66c0a |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-04-24T18:28:47Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-2045c163361d47b2b57aace300d66c0a2024-03-27T13:28:43ZengMDPI AGBrain Sciences2076-34252024-02-0114323610.3390/brainsci14030236Short- and Long-Term Outcomes of an Adventure Therapy Programme on Borderline Personality Disorder: A Pragmatic Controlled Clinical TrialAlba Gabarda-Blasco0Aina Elias1Mariona Mendo-Cullell2Laura Arenas-Pijoan3Carles Forné4David Fernandez-Oñate5Laura Bossa6Aurora Torrent7Xavier Gallart-Palau8Iolanda Batalla9Psychiatry Service, University Hospital Santa Maria, Avinguda Rovira Roure 44, 25198 Lleida, SpainPsychiatry Service, University Hospital Santa Maria, Avinguda Rovira Roure 44, 25198 Lleida, SpainPsychiatry Service, University Hospital Santa Maria, Avinguda Rovira Roure 44, 25198 Lleida, SpainPsychiatry Service, University Hospital Santa Maria, Avinguda Rovira Roure 44, 25198 Lleida, SpainHeorfy Consulting, 25007 Lleida, SpainPsychiatry Service, University Hospital Santa Maria, Avinguda Rovira Roure 44, 25198 Lleida, SpainPsychiatry Service, University Hospital Santa Maria, Avinguda Rovira Roure 44, 25198 Lleida, SpainPsychiatry Service, University Hospital Santa Maria, Avinguda Rovira Roure 44, 25198 Lleida, SpainBiomedical Research Institute of Lleida Dr. Pifarré Foundation (IRB Lleida), 25198 Lleida, SpainPsychiatry Service, University Hospital Santa Maria, Avinguda Rovira Roure 44, 25198 Lleida, SpainAdventure Therapy (AT) is a therapeutic intervention utilizing the natural environment and adventure activities as tools for psychotherapeutic interventions. It has been demonstrated to be appropriate for the intervention of patients with borderline personality disorder (BPD). This study aims to evaluate the response to AT treatment compared with the response to treatment as usual (TAU), based on cognitive behavioural therapy, in the short and long term, assessing clinical, psychosocial, and functional outcomes; quality of life; and physical health levels. This study extends the sample of and is a follow-up to a pilot study published in 2021, with a sample of 30 patients in the AT group and 10 in the control group. It does not allow us to affirm that AT provides better outcomes than TAU, as the positive effects observed immediately after therapy seem to be attenuated in the long term. Therefore, the effectiveness of long-term psychotherapy did not show differences between AT and TAU therapies in the treatment of BPD patients. However, the effects of intangibles observed during therapy by professionals and patients were not reflected in the measurements collected. Therefore, we believe it is necessary to increase the programme duration, complement treatment with a specific physical health programme, assess results with more specific instruments, and/or move towards a qualitative methodology to measure perceived changes in clinical improvement. New studies are needed to evaluate the results of the proposed changes.https://www.mdpi.com/2076-3425/14/3/236borderline personality disorderAdventure Therapytreatmentclinical triallongitudinal study |
| spellingShingle | Alba Gabarda-Blasco Aina Elias Mariona Mendo-Cullell Laura Arenas-Pijoan Carles Forné David Fernandez-Oñate Laura Bossa Aurora Torrent Xavier Gallart-Palau Iolanda Batalla Short- and Long-Term Outcomes of an Adventure Therapy Programme on Borderline Personality Disorder: A Pragmatic Controlled Clinical Trial Brain Sciences borderline personality disorder Adventure Therapy treatment clinical trial longitudinal study |
| title | Short- and Long-Term Outcomes of an Adventure Therapy Programme on Borderline Personality Disorder: A Pragmatic Controlled Clinical Trial |
| title_full | Short- and Long-Term Outcomes of an Adventure Therapy Programme on Borderline Personality Disorder: A Pragmatic Controlled Clinical Trial |
| title_fullStr | Short- and Long-Term Outcomes of an Adventure Therapy Programme on Borderline Personality Disorder: A Pragmatic Controlled Clinical Trial |
| title_full_unstemmed | Short- and Long-Term Outcomes of an Adventure Therapy Programme on Borderline Personality Disorder: A Pragmatic Controlled Clinical Trial |
| title_short | Short- and Long-Term Outcomes of an Adventure Therapy Programme on Borderline Personality Disorder: A Pragmatic Controlled Clinical Trial |
| title_sort | short and long term outcomes of an adventure therapy programme on borderline personality disorder a pragmatic controlled clinical trial |
| topic | borderline personality disorder Adventure Therapy treatment clinical trial longitudinal study |
| url | https://www.mdpi.com/2076-3425/14/3/236 |
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