Borderline personality disorder in times of COVID-19 and therapeutic approaches: a narrative review of non-pharmacological approaches

Detalhes bibliográficos
Autor(a) principal: Lima, Flávia Marques Melandi de
Data de Publicação: 2023
Outros Autores: Moçambique, Milton Armando Teresa Malai
Tipo de documento: Artigo
Idioma: por
Título da fonte: Debates em Psiquiatria (Online)
Texto Completo: https://revistardp.org.br/revista/article/view/787
Resumo: The COVID-19 pandemic affected all aspects of life, as the virus was spread globally, and social isolation was the most widespread preventive measure. The COVID-19 pandemic is a potentially dangerous reality that may negatively influence the clinical conditions of patients with borderline personality disorder (BPD) and cause severe consequences due to lack of support. The aim of this study was to assess how COVID-19 affected patients with BPD and which non-pharmacological approaches were adopted. Patients with BPD are lonelier, have fewer social contacts, and feel less need for and joy in social touch compared to the general population. It is necessary that health professionals be trained briefly therapy programs or psychotherapies. This cost can be compensated by the improvement of the families' well-being, as well as by the reduction of psychiatric symptoms and burden in the family environment. The dialectical behavior therapy (DBT) was the most widely used therapy and showed the most positive results. Compared to DBT, there is still considerable work to be done regarding applying schema therapy (ST) and acceptance and commitment therapy (ACT) in treating patients with BPD, as there are still few trained professionals.
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spelling Borderline personality disorder in times of COVID-19 and therapeutic approaches: a narrative review of non-pharmacological approachesTrastorno límite de la personalidad en tiempos de COVID-19 y abordajes terapéuticos: una revisión narrativa de abordajes no farmacológicosTranstorno de personalidade borderline em tempos de COVID-19 e abordagens terapêuticas: uma revisão narrativa de abordagens não farmacológicasCOVID-19transtorno de personalidade borderlinetratamento não farmacológicoCOVID-19trastorno límite de personalidadtratamiento no farmacológicoCOVID-19borderline personality disordernon-pharmacological treatmentThe COVID-19 pandemic affected all aspects of life, as the virus was spread globally, and social isolation was the most widespread preventive measure. The COVID-19 pandemic is a potentially dangerous reality that may negatively influence the clinical conditions of patients with borderline personality disorder (BPD) and cause severe consequences due to lack of support. The aim of this study was to assess how COVID-19 affected patients with BPD and which non-pharmacological approaches were adopted. Patients with BPD are lonelier, have fewer social contacts, and feel less need for and joy in social touch compared to the general population. It is necessary that health professionals be trained briefly therapy programs or psychotherapies. This cost can be compensated by the improvement of the families' well-being, as well as by the reduction of psychiatric symptoms and burden in the family environment. The dialectical behavior therapy (DBT) was the most widely used therapy and showed the most positive results. Compared to DBT, there is still considerable work to be done regarding applying schema therapy (ST) and acceptance and commitment therapy (ACT) in treating patients with BPD, as there are still few trained professionals.La pandemia del COVID-19 ha afectado todos los aspectos de la vida, con la propagación del virus a nivel mundial y el aislamiento social como medida preventiva más difundida. La pandemia del COVID-19 es una realidad potencialmente peligrosa que puede afectar negativamente a la evolución clínica de los pacientes con trastorno límite de la personalidad (TLP) y acarrear graves consecuencias por falta de apoyo. El objetivo de este trabajo fue evaluar cómo afectó el COVID-19 a los pacientes com TLP y qué abordajes no farmacológicos fueron utilizados. Los pacientes con TLP son más solitarios, tienen menos contacto social y sienten menos necesidad y gusto por el contacto social, en comparación con la población general. Es necesario que los profesionales de la salud se formen en programas de capacitación, y este costo puede ser compensado por el mejor bienestar de las familias, así como por la reducción de los síntomas psiquiátricos y la sobrecarga en el entorno familiar. La terapia dialéctica conductual (TCD) fue la terapia más utilizada y la que mostró más resultados positivos. En comparación con la DBT/TDC, todavía queda mucho trabajo por hacer en la aplicación de la Terapia de Esquemas (TE) y la Terapia de Aceptación y Compromiso (TAC) en el tratamiento de pacientes con TLP, pues aún existen pocos profesionales capacitados.A pandemia de COVID-19 afetou todos os aspectos da vida, com a disseminação do vírus globalmente e o isolamento social como medida preventiva mais difundida. A pandemia de COVID-19 é uma realidade potencialmente perigosa que pode afetar negativamente o curso clínico dos pacientes com transtorno de personalidade borderline (TPB) e acarretar graves consequências por falta de apoio. O objetivo deste trabalho foi aferir como a COVID-19 afetou os pacientes com TPB e quais abordagens não farmacológicas foram usadas. Os pacientes com TPB são mais solitários, têm menos contatos sociais e menor necessidade e gosto por interação social, se comparados com a população em geral. É necessário que os profissionais de saúde sejam habilitados em programas de terapias ou psicoterapias breves, e esse custo pode ser compensado pelo maior bem-estar das famílias, bem como pela redução dos sintomas psiquiátricos e da sobrecarga no ambiente familiar. A terapia comportamental dialética (TCD) foi a terapia mais utilizada e a que mais mostrou resultados positivos. Em comparação com a TCD, ainda há um trabalho considerável a ser feito para aplicação da terapia de esquema (TE) e da terapia de aceitação e compromisso (TAC) no tratamento dos pacientes com TPB, pois ainda existem poucos profissionais capacitados.Associação Brasileira de Psiquiatria2023-09-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-ReviewedRevisado por ParesAvaliado Pelos Paresapplication/pdfhttps://revistardp.org.br/revista/article/view/78710.25118/2763-9037.2023.v13.787Debates in Psychiatry; Vol. 13 (2023); 1-25Debates em Psiquiatria; Vol. 13 (2023); 1-25Debates em Psiquiatria; v. 13 (2023); 1-252763-90372236-918Xreponame:Debates em Psiquiatria (Online)instname:Associação Brasileira de Psiquiatria (ABP)instacron:ABPporhttps://revistardp.org.br/revista/article/view/787/812Copyright (c) 2023 Flávia Marques Melandi de Lima, Milton Armando Teresa Malai Moçambiquehttps://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessLima, Flávia Marques Melandi deMoçambique, Milton Armando Teresa Malai2024-01-21T09:29:05Zoai:ojs.emnuvens.com.br:article/787Revistahttps://revistardp.org.br/revista/oaiPUBhttps://revistardp.org.br/revista/oairdp@abp.org.br2763-90372236-918Xopendoar:2024-01-21T09:29:05Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP)false
dc.title.none.fl_str_mv Borderline personality disorder in times of COVID-19 and therapeutic approaches: a narrative review of non-pharmacological approaches
Trastorno límite de la personalidad en tiempos de COVID-19 y abordajes terapéuticos: una revisión narrativa de abordajes no farmacológicos
Transtorno de personalidade borderline em tempos de COVID-19 e abordagens terapêuticas: uma revisão narrativa de abordagens não farmacológicas
title Borderline personality disorder in times of COVID-19 and therapeutic approaches: a narrative review of non-pharmacological approaches
spellingShingle Borderline personality disorder in times of COVID-19 and therapeutic approaches: a narrative review of non-pharmacological approaches
Lima, Flávia Marques Melandi de
COVID-19
transtorno de personalidade borderline
tratamento não farmacológico
COVID-19
trastorno límite de personalidad
tratamiento no farmacológico
COVID-19
borderline personality disorder
non-pharmacological treatment
title_short Borderline personality disorder in times of COVID-19 and therapeutic approaches: a narrative review of non-pharmacological approaches
title_full Borderline personality disorder in times of COVID-19 and therapeutic approaches: a narrative review of non-pharmacological approaches
title_fullStr Borderline personality disorder in times of COVID-19 and therapeutic approaches: a narrative review of non-pharmacological approaches
title_full_unstemmed Borderline personality disorder in times of COVID-19 and therapeutic approaches: a narrative review of non-pharmacological approaches
title_sort Borderline personality disorder in times of COVID-19 and therapeutic approaches: a narrative review of non-pharmacological approaches
author Lima, Flávia Marques Melandi de
author_facet Lima, Flávia Marques Melandi de
Moçambique, Milton Armando Teresa Malai
author_role author
author2 Moçambique, Milton Armando Teresa Malai
author2_role author
dc.contributor.author.fl_str_mv Lima, Flávia Marques Melandi de
Moçambique, Milton Armando Teresa Malai
dc.subject.por.fl_str_mv COVID-19
transtorno de personalidade borderline
tratamento não farmacológico
COVID-19
trastorno límite de personalidad
tratamiento no farmacológico
COVID-19
borderline personality disorder
non-pharmacological treatment
topic COVID-19
transtorno de personalidade borderline
tratamento não farmacológico
COVID-19
trastorno límite de personalidad
tratamiento no farmacológico
COVID-19
borderline personality disorder
non-pharmacological treatment
description The COVID-19 pandemic affected all aspects of life, as the virus was spread globally, and social isolation was the most widespread preventive measure. The COVID-19 pandemic is a potentially dangerous reality that may negatively influence the clinical conditions of patients with borderline personality disorder (BPD) and cause severe consequences due to lack of support. The aim of this study was to assess how COVID-19 affected patients with BPD and which non-pharmacological approaches were adopted. Patients with BPD are lonelier, have fewer social contacts, and feel less need for and joy in social touch compared to the general population. It is necessary that health professionals be trained briefly therapy programs or psychotherapies. This cost can be compensated by the improvement of the families' well-being, as well as by the reduction of psychiatric symptoms and burden in the family environment. The dialectical behavior therapy (DBT) was the most widely used therapy and showed the most positive results. Compared to DBT, there is still considerable work to be done regarding applying schema therapy (ST) and acceptance and commitment therapy (ACT) in treating patients with BPD, as there are still few trained professionals.
publishDate 2023
dc.date.none.fl_str_mv 2023-09-11
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-Reviewed
Revisado por Pares
Avaliado Pelos Pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistardp.org.br/revista/article/view/787
10.25118/2763-9037.2023.v13.787
url https://revistardp.org.br/revista/article/view/787
identifier_str_mv 10.25118/2763-9037.2023.v13.787
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revistardp.org.br/revista/article/view/787/812
dc.rights.driver.fl_str_mv Copyright (c) 2023 Flávia Marques Melandi de Lima, Milton Armando Teresa Malai Moçambique
https://creativecommons.org/licenses/by-nc/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Flávia Marques Melandi de Lima, Milton Armando Teresa Malai Moçambique
https://creativecommons.org/licenses/by-nc/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
dc.source.none.fl_str_mv Debates in Psychiatry; Vol. 13 (2023); 1-25
Debates em Psiquiatria; Vol. 13 (2023); 1-25
Debates em Psiquiatria; v. 13 (2023); 1-25
2763-9037
2236-918X
reponame:Debates em Psiquiatria (Online)
instname:Associação Brasileira de Psiquiatria (ABP)
instacron:ABP
instname_str Associação Brasileira de Psiquiatria (ABP)
instacron_str ABP
institution ABP
reponame_str Debates em Psiquiatria (Online)
collection Debates em Psiquiatria (Online)
repository.name.fl_str_mv Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP)
repository.mail.fl_str_mv rdp@abp.org.br
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