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Are Treatment Gains Maintained? Long-term Psychological Interventions for Bordeline Personality Disorder

Published online by Cambridge University Press:  23 March 2020

K. Lieb ,
O.J. Storebø ,
B. Völlm ,
J. Mattivi ,
S. Nielsen ,
M. Kielsholm ,
E. Simonsen  and
J. Stoffers-Winterling
K. Lieb
Affiliation:
University Medical Center of the Johannes Gutenberg University Mainz, Department of Psychiatry and Psychotherapy, Mainz, Germany
O.J. Storebø
Affiliation:
Pychiatric Research Unit, Psychiatric Department- Region Zealand, Slagelse, Denmark
B. Völlm
Affiliation:
Section of Forensic Mental Health, Department of Psychiatry and Applied Psychology- Section of Forensic Mental Health, Nottingham, United Kingdom
J. Mattivi
Affiliation:
University Medical Center of the Johannes Gutenberg University Mainz, Department of Psychiatry and Psychotherapy, Mainz, Germany
S. Nielsen
Affiliation:
Pychiatric Research Unit, Psychiatric Department- Region Zealand, Slagelse, Denmark
M. Kielsholm
Affiliation:
Pychiatric Research Unit, Psychiatric Department- Region Zealand, Slagelse, Denmark
E. Simonsen
Affiliation:
University of Copenhagen Institute of Clinical Medicine, Psychiatry- Region Zealand, Slagesle, Denmark
J. Stoffers-Winterling
Affiliation:
University Medical Center of the Johannes Gutenberg University Mainz, Department of Psychiatry and Psychotherapy, Mainz, Germany

Abstract

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Introduction

Many new approaches have been developed to treat borderline personality disorder (BPD) by means of psychotherapy. Though there is a clear research trend towards short-interventions, the evidence from randomised controlled trials (RCT) on longer-term programmes still accumulates. On the one hand, well-established treatments like Dialectical Behavior Therapy (DBT) or Mentalisation-Based Treatment (MBT) are now subject to real-world effectiveness studies; on the other hand, new dynamic approaches have been studied, lasting longer than 6 months.

Objectives

We are currently updating the cochrane Collaboration review on psychological interventions for BPD. First findings on the effects of longer-term psychotherapies will be presented.

Methods

We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) according to cochrane collaboration standards. Any randomized comparisons of psychological interventions versus unspecific control interventions, waitlist or specific psychotherapeutic interventions in adult BPD patients were eligible. Primary outcomes were BPD core pathology as depicted by DSM criteria. Secondary outcomes included associated pathology, i.e., depression and anxiety, general psychopathology severity and functioning as well as tolerability and safety. Two researchers selected trials, assessed quality and extracted data independently.

Results

The current evidence of longer-term psychological interventions in general, and the types of interventions for which RCT evidence is available will be evaluated and critically discussed.

Disclosure of interest

The authors declare that they have no competing interest.

Type
Symposium: Current evidence for pharmacological and psychological interventions in the treatment of borderline personality disorder–Findings from two-updated Cochrane reviews
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S47
Copyright
Copyright © European Psychiatric Association 2017
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