Article

Olanzapine for the treatment of borderline personality disorder: Variable dose 12-week randomised double-blind placebo-controlled study

Department of Psychiatry, University of Minnesota Medical School, Minneapolis, MN 55454, USA.
The British journal of psychiatry: the journal of mental science (Impact Factor: 7.34). 01/2009; 193(6):485-92. DOI: 10.1192/bjp.bp.107.037903
Source: PubMed

ABSTRACT Despite the prevalence and clinical significance of borderline personality disorder, its treatment remains understudied.
To evaluate treatment with variably dosed olanzapine in individuals with borderline personality disorder.
In this 12-week randomised, double-blind trial, individuals received olanzapine (2.5-20 mg/day; n=155) or placebo (n=159) (trial registry: NCT00091650). The primary efficacy measure was baseline to end-point change on the Zanarini Rating Scale for Borderline Personality Disorder (ZAN-BPD) using last-observation-carried-forward methodology.
Both olanzapine and placebo groups showed significant improvements but did not differ in magnitude at end-point (-6.56 v. -6.25, P=0.661). Response rates (50% reduction in ZAN-BPD) were 64.7% with olanzapine and 53.5% with placebo (P=0.062); however, time to response was significantly shorter for olanzapine (P=0.022). Weight gain was significantly greater (2.86 v. -0.35 kg, P<0.001), with higher incidence of treatment-emergent abnormal high levels of prolactin for the olanzapine group.
Individuals treated with olanzapine and placebo showed significant but not statistically different improvements on overall symptoms of borderline personality disorder. The types of adverse events observed with olanzapine treatment appeared similar to those observed previously in adult populations.

0 Followers
 · 
124 Views
  • Source
    • "Cette e ´ tude a e ´ té conduite dans un groupe de 91 patients ayant commis ré cemment une tentative de suicide, ne ré pondant pas aux critè res d'un e ´ pisode dé pressif majeur, et dont 74 pré sentaient des critè res compatibles avec le diagnostic d'au moins un trouble de personnalité du cluster B. Les antipsychotiques atypiques, et notamment l'olanzapine, sont dé sormais les produits les plus e ´ tudié s dans les personnalité s e ´ tats-limites [2]. L'essai contrôlé le plus ré cent n'a cependant pas montré de supé riorité de l'olanzapine par rapport au placebo sur l'ensemble de la pathologie [16]. Une e ´ tude contrôlé e a par ailleurs permis de montrer l'inté rêt de l'association de l'olanzapine a ` une thé rapie cognitive dialectique chez des patients souffrant de "
    [Show abstract] [Hide abstract]
    ABSTRACT: Drug treatment of personality disorders is less developed than are psychological treatments in this area, but they are a logical prolongation of psychobiological models of personality and temperament, and respond to the need of many clinicians in front of difficult patients. The results obtained in the field of pharmacotherapy of personality disorders can be classified according to DSM-IV axis-II categorization. In anxious personalities (clusterC), some isolated studies suggest a favourable effect of antidepressants on obsessive-compulsive dimension, on avoidant personality disorder, and on inhibition and trait-anxiety, especially when serotoninergic agents are used. Few studies have been conducted in cluster A personality disorders, and some are in favour of the interest of low doses of antipsychotic drugs in this group. Most studies have been conducted in cluster B, and especially in antisocial and borderline personality disorders. Partial positive results have been obtained using various classes of drugs for dealing with aggression and impulsive behaviors, including lithium, beta-blockers, carbamazepine, valproate, antipsychotic drugs, and also SSRIs. Self-harm and suicidal behaviors seem to be partially but significantly improved by antidepressants and low doses of antipsychotics. Overall, the pharmacotherapy of personality disorder may lead in the future to the development of effective treatments, in complement to psychotherapy, for actually severe, chronic, and disabling disorder.
    Annales Médico-psychologiques revue psychiatrique 11/2011; 169(9):592-594. DOI:10.1016/j.amp.2011.09.001 · 0.15 Impact Factor
  • Methods in Enzymology 02/1999; 300:456-62. DOI:10.1016/S0076-6879(99)00150-0 · 2.19 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The agricultural camera (AgCam) is a two-band digital imaging payload that will be operated in the pressurized Window Observational Research Facility (WORF) onboard the International Space Station. Its primary mission is to provide on-demand, high-resolution remote sensing imagery to support precision agriculture and natural resource end-users in the Upper Midwest. The major benefits of AgCam are its ability to provide 10-meter data in two spectral bands, to make map products available to end-users within 48 hours of data acquisition, and to be able to revisit any site in the Upper Midwest within 2-to-3 days throughout most of the growing season. In addition, the system will deliver map products without any per-scene cost as a service to regional end-users. AgCam is being designed, built, and tested by students at the University of North Dakota, under the supervision of faculty and staff in the John D. Odegard School of Aerospace Sciences and the School of Engineering & Mines.
    Aerospace Conference, 2004. Proceedings. 2004 IEEE; 04/2004
Show more