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Dive into the research topics where Yvonne Burnand is active.

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Featured researches published by Yvonne Burnand.


Psychiatry Research-neuroimaging | 2011

Crisis intervention at the general hospital: An appropriate treatment choice for acutely suicidal borderline patients

Annamaria Berrino; P. Ohlendorf; Stéphan Duriaux; Yvonne Burnand; Solenn Lorillard; Antonio Andreoli

This study investigated whether crisis intervention (CI) at the General Hospital is a suitable management strategy among borderline patients referred to the emergency room (ER) for deliberate self-harm. Two patient cohorts (n=200) meeting DSM-IV Borderline Personality Disorder criteria, were prospectively assessed for repeated deliberate self-harm and service consumption. At ER discharge, 100 subjects received CI, while 100 comparison subjects (recruited before the implementation of CI) were assigned to treatment as usual (TAU). At 3-month follow-up, a high proportion of repeated deliberate self-harm and hospitalization in the global study sample was found. However rates were lower in the CI group: 8% repeated deliberate self-harm and 8% psychiatric hospitalization, versus 17% and 56% in the TAU group. The global expenditure for psychiatric hospitalization was 728,840 Swiss Francs (CHF) for CI and 914,340 for TAU. This study indicates that associated with mean hospitalization/relapse rates, CI may be a suitable management strategy for acutely suicidal borderline patients.


Psychiatry Research-neuroimaging | 2009

Therapeutic alliance in short-term supportive and psychodynamic psychotherapies: A necessary but not sufficient condition for outcome?

Lionel Cailhol; Rachel Rodgers; Yvonne Burnand; Alain Brunet; Cristian Damsa; Antonio Andreoli

The therapeutic alliance is considered as one of the active relational factors to improve the outcome of patients engaged in a psychotherapeutic process. Our objective was to examine the role played by the therapeutic alliance in psychodynamic versus supportive psychotherapy. We examined data from a previously published randomized controlled study. Outpatients suffering from depression (n=74) received the same antidepressant (clomipramine) and were randomized into two groups, receiving either psychodynamic or supportive psychotherapy. Subjects were assessed at inclusion (Structured Clinical Interview for DSM-IV Disorders, SCID), during treatment and at discharge (Global Assessment Scale, Hamilton Depression Rating Scale, Helping Alliance questionnaire). Over time, the therapeutic alliance improved regardless of condition, and the relationship between alliance and outcome strengthened. This relationship was significant only among patients assigned to the supportive therapy condition. These data suggest that although the therapeutic alliance is an important factor in psychodynamic treatment, additional ingredients may be involved in its superiority compared to supportive therapy.


Journal of Personality Disorders | 2016

Disappointed love and suicide: a randomized controlled trial of "abandonment psychotherapy" among borderline patients

Antonio Andreoli; Yvonne Burnand; M-f Cochennec; P. Ohlendorf; Laura Frambati; D. Gaudry-Maire; Th Di Clemente; G. Hourton; S. Lorillard; Alessandra Canuto; Allen Frances

To determine whether ambulatory psychotherapy targeted to abandonment experiences and fears can reduce suicidality and improve outcome in borderline patients referred to the emergency room with major depressive disorder and self-destructive behavior severe enough to require medical/surgical treatment and a brief psychiatric hospitalization. A total of 170 subjects were randomized at hospital discharge into three treatment groups: treatment as usual (TAU), abandonment psychotherapy delivered by certified psychotherapists, and abandonment psychotherapy delivered by nurses. Assessments were performed before randomization and at 3-month follow-up. Continued suicidality and other outcome measures were significantly worse in the treatment-as-usual as compared to both abandonment psychotherapy groups, but there were no differences between the two psychotherapy groups. These results suggest the efficacy of manualized psychotherapy that specifically targets the abandonment fears and experiences that are so common as precipitants to suicidal and self-destructive acts in borderline patients. It does not appear that formal psychotherapy training is associated with better outcomes.


European Psychiatry | 2009

W04-01 A pre-post comparison of a multidimensional treatment program for acutely suicidal borderline patients

P. Ohlendorf; T. Di Clemente; D. Gaudry-Maire; Yvonne Burnand

Over the last few years, a new comprehensive program for acutely suicidal borderline patients has been developed in the Geneva area (careful description is provided in a distinct section of this workshop). The present work will report the results of a service research oriented study aimed at evaluating the impact of the implementation of such multidimensional intervention on a system of psychiatric services in a 500.000 inhabitant catchment area. Specifically, a pre-post design has been utilized to compare two distinct patient cohorts meeting criteria for borderline personality disorder who had bee referred to medical emergency room with suicidal attempt. Both cohorts had follow-up at 3-month and 1 year to assess treatment failure, repetition, hospitalization and direct costs. The results indicate that the program is feasible and may be associated with improved outcome and substantial costs savings among acutely suicidal borderline patients.


European Psychiatry | 2009

S18-03 Psychoanalytic psychotherapy and venlafaxine among acutely suicidal borderline patients: A randomized clinical study

Antonio Andreoli; Yvonne Burnand; M.F. Cochennec; D. Marie; T. Di Clemente; P. Ohlendorf

Background Psychoanalytic psychotherapy was found superior to usual treatment among borderline patients and should be further investigated in subject samples with adequate adherence to effective treatment and careful evaluation of psychotherapy process and its relationship to outcome. According to this rationale we tested the comparative cost-effectiveness of an innovative model of time limited psychoanalytic psychotherapy aimed at working-out conflicting mourning process associated with traumatic abandonment from a romantic partner. Methods Eighty patients aged 18-60, who had been referred to medical emergency room with self-intoxication, DSMIV-R major depression and DSMIV-R borderline personality disorder were investigated in a 3-month randomized clinical trial. At general hospital discharge consecutive subjects were allocated to time-limited mourning focused psychoanalytic psychotherapy and venlafaxine and psychodynamic crisis intervention and venlafaxine. Reliable evaluations were conducted at intake, treatment discharge and 6-month follow-up on a battery of standardized instruments. Service consume was assessed via the computerized case register of the Geneva state health services system. Results Intensive psychoanalytic psychotherapy was found a cost-effective treatment choice among borderline patients in a suicidal crisis. Comment A combination of ambulatory psychoanalytic psychotherapy and venlafaxine protocol is a feasible, safe and cost-effective treatment for acutely suicidal borderline patients.


Psychiatric Services | 2002

Psychodynamic Psychotherapy and Clomipramine in the Treatment of Major Depression

Yvonne Burnand; Antonio Andreoli; Evelyne Kolatte; Aurora Venturini; Nicole Rosset


Revue médicale suisse | 2011

[Borderline personality disorder is easy to treat: are we ready to accept this good news?].

Venturini A; Antonio Andreoli; Frambati L; Lorillard S; Yvonne Burnand; P. Ohlendorf


Revue médicale suisse | 2009

New ways of treatment of borderline patients with suicidal crisis

Gaudry-Maire D; P. Ohlendorf; Yvonne Burnand; Antonio Andreoli


Psychotherapy and Psychosomatics | 2017

“Abandonment Psychotherapy” for Suicidal Patients with Borderline Personality Disorder: Long-Term Outcome

Yvonne Burnand; Antonio Andreoli; Laura Frambati; Alessandra Canuto; Allen Frances


Revue médicale suisse | 2009

Nouvelles orientations du traitement de la crise suicidaire borderline

Daphné Gaudry-Maire; P. Ohlendorf; Yvonne Burnand; Antonio Andreoli

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Alain Brunet

Douglas Mental Health University Institute

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