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P02-261 - Efficacy of Psychotherapies for Borderline Personality Disorder - a Meta-Analysis of Randomized Controlled Trials

Published online by Cambridge University Press:  17 April 2020

J. Stoffers
Affiliation:
Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Freiburg im Breisgau, Germany Department of Psychiatry and Psychotherapy, University Medical Center Freiburg, Freiburg im Breisgau, Germany
B. Völlm
Affiliation:
Section of Forensic Mental Health, Institute of Mental Health, Nottingham, UK
K. Lieb
Affiliation:
Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Freiburg im Breisgau, Germany

Abstract

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Introduction

Psychotherapeutic therapies play an important role in borderline personality disorder (BPD) treatment. Pharmacotherapy can be helpful for some symptom clusters, but overall psychotherapy remains the most promising approach to treat persons with BPD. In the last two decades, disorder specific psychotherapeutic approaches have been developed and evaluated.

Aims

To systematically identify, integrate and review the current evidence on treatment efficacy using systematic Cochrane Collaboration review methodology.

Methods

Thorough literature searches were done to identify all available randomized controlled trials (RCTs) on psychotherapy in adult BPD patients. Retrievals were assessed by two reviewers independently in terms of matching the inclusion criteria and fulfilling a pre-defined study quality standard. Data were analyzed according to standards of the Cochrane Collaboration. Outcome variables were BPD pathology, associated psychopathology, and treatment compliance in terms of attrition.

Results

Included RCTs comprised both comparisons of specific treatments (among others, dialectical behavior therapy, mentalization-based therapy, schema-focused therapy, transference-focused therapy, systems training for emotional predictability and problem solving, interpersonal therapy) vs. unspecific control conditions (such as treatment as usual or standard care) and head-to-head comparisons of specific treatments.

Conclusions

Most beneficial effects were found for BPD-specific psychotherapies, whereas effects of non-specific treatments were marginal. Short-time interventions yielded some promising findings, but sustainability remains questionable. Findings will be discussed in terms of evidence robustness and data quality as well as applicability to real-world settings.

Type
Personality and behavioral disorders
Copyright
Copyright © European Psychiatric Association 2010
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