Psychological Treatments for Borderline Personality Disorder: A Review of Cognitive-Behavioral Oriented Therapies
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7469 |
Resumo: | Introduction: Borderline personality disorder is the most common personality disorder, with a global prevalence rate between 1.6% and 6%. It is characterized by affective disturbance and impulsivity, which lead to a high number of self-harm behaviors and great amount of health services use. International guidelines recommend psychotherapy as the primary treatment for borderline personality disorder. This paper reviews evidence about the effects and efficacy of cognitive-behavioral oriented psychological treatments for borderline personality disorder.Material and Methods: A literature review was conducted in Medline and PubMed databases, using the following keywords: borderline personality disorder, cognitive-behavioral psychotherapy and efficacy.Results: Sixteen randomized clinical trials were evaluate in this review, which analyzed the effects of several cognitive-behavioral oriented psychotherapeutic interventions, namely dialectical behavioral therapy, cognitive behavioral therapy, schema-focused therapy and manual-assisted cognitive therapy. All above stated treatments showed clinical beneficial effects, by reducing borderline personality disorder core pathology and associated general psychopathology, as well as by reducing the severity and frequency of self-harm behaviors, and by improving the overall social, interpersonal and global adjustment. Dialectical behavioral therapy and schema-focused therapy also caused a soaring remission rate of diagnostic borderline personality disorder criteria of 57% and 94%, respectively.Discussion: Although there were differences between the psychotherapeutic interventions analysed in this review, all showed clinical benefits in the treatment of borderline personality disorder. Dialectical behavioral therapy and schema-focused therapy presented the strongest scientific data documenting their efficacy, but both interventions are integrative cognitive-behavioral therapies which deviate from the traditional cognitive-behavioral model.Conclusion: In summary, the available studies support cognitive-behavioral psychological treatments as an efficacious intervention in borderline personality disorder. However, the existing scientific literature on this topic is still scarce and there is need for more studies, with higher methodological rigor, that should validate these results. |
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Psychological Treatments for Borderline Personality Disorder: A Review of Cognitive-Behavioral Oriented TherapiesIntervenções Psicológicas na Perturbação Borderline da Personalidade: Uma Revisão das Terapias de Base Cognitivo-ComportamentalBorderline Personality DisorderCognitive TherapyPsychotherapyRandomized Controlled Trials as TopicTreatment OutcomeEnsaios Clínicos Controlados AleatóriosPerturbação Borderline da PersonalidadePsicoterapiaResultado do TratamentoTerapia CognitivaIntroduction: Borderline personality disorder is the most common personality disorder, with a global prevalence rate between 1.6% and 6%. It is characterized by affective disturbance and impulsivity, which lead to a high number of self-harm behaviors and great amount of health services use. International guidelines recommend psychotherapy as the primary treatment for borderline personality disorder. This paper reviews evidence about the effects and efficacy of cognitive-behavioral oriented psychological treatments for borderline personality disorder.Material and Methods: A literature review was conducted in Medline and PubMed databases, using the following keywords: borderline personality disorder, cognitive-behavioral psychotherapy and efficacy.Results: Sixteen randomized clinical trials were evaluate in this review, which analyzed the effects of several cognitive-behavioral oriented psychotherapeutic interventions, namely dialectical behavioral therapy, cognitive behavioral therapy, schema-focused therapy and manual-assisted cognitive therapy. All above stated treatments showed clinical beneficial effects, by reducing borderline personality disorder core pathology and associated general psychopathology, as well as by reducing the severity and frequency of self-harm behaviors, and by improving the overall social, interpersonal and global adjustment. Dialectical behavioral therapy and schema-focused therapy also caused a soaring remission rate of diagnostic borderline personality disorder criteria of 57% and 94%, respectively.Discussion: Although there were differences between the psychotherapeutic interventions analysed in this review, all showed clinical benefits in the treatment of borderline personality disorder. Dialectical behavioral therapy and schema-focused therapy presented the strongest scientific data documenting their efficacy, but both interventions are integrative cognitive-behavioral therapies which deviate from the traditional cognitive-behavioral model.Conclusion: In summary, the available studies support cognitive-behavioral psychological treatments as an efficacious intervention in borderline personality disorder. However, the existing scientific literature on this topic is still scarce and there is need for more studies, with higher methodological rigor, that should validate these results.Introdução: A perturbação borderline da personalidade é a perturbação da personalidade mais comum, ocorrendo em 1,6 a 6% da população geral. É caraterizada por instabilidade nos afetos e impulsividade, havendo um elevado número de comportamentos autolesivos e consumo de recursos de saúde. A psicoterapia é recomendada por várias diretrizes internacionais, como sendo a abordagem terapêutica primária desta patologia. Neste trabalho efetuou-se uma revisão dos efeitos e da eficácia das intervenções psicoterapêuticas de base cognitivo-comportamental no tratamento da perturbação borderline da personalidade.Material e Métodos: Revisão bibliográfica, através da Medline e PubMed, utilizando como palavras-chave: ‘borderline personality disorder’, ‘cognitive-behavioral therapy’, ‘efficacy’.Resultados: Foram incluídos 16 ensaios clínicos aleatorizados que avaliaram a eficácia de diversas intervenções psicoterapêuticas de base cognitivo-comportamental, nomeadamente da terapia comportamental-dialética, terapia cognitivo-comportamental, terapia focada nos esquemas e terapia cognitiva por manual. Todas as intervenções psicoterapêuticas analisadas demonstraram benefícios clínicos, quer ao nível da redução da psicopatologia geral e específica da perturbação borderline da personalidade, quer ao nível comportamental, com redução da frequência e gravidade dos comportamentos autolesivos, e com melhoria do funcionamento social, interpessoal e global. Foi observada uma taxa de remissão diagnóstica elevada com terapia comportamental-dialética (57%) e terapia focada nos esquemas (94%).Discussão: Apesar de existirem diferenças entre as intervenções psicoterapêuticas analisadas, todas apresentaram benefícios clínicos no tratamento da perturbação borderline da personalidade. A terapia comportamental-dialética e a terapia focada nos esquemas foram as intervenções que apresentaram uma maior robustez científica na documentação da sua eficácia, porém ambas são terapias integrativas de base cognitivo-comportamental que se afastam do modelo cognitivo-comportamental tradicional.Conclusão: Os resultados dos vários ensaios clínicos comprovam a eficácia das terapias de base cognitivo-comportamental no tratamento da perturbação borderline da personalidade. Contudo, a evidência científica é ainda parca e carece de estudos de elevado rigor metodológico que corroborem estes resultados.Ordem dos Médicos2017-04-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/pdfapplication/pdfapplication/pdfapplication/mswordapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7469oai:ojs.www.actamedicaportuguesa.com:article/7469Acta Médica Portuguesa; Vol. 30 No. 4 (2017): April; 307-319Acta Médica Portuguesa; Vol. 30 N.º 4 (2017): Abril; 307-3191646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7469https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7469/5006https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7469/8301https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7469/8302https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7469/8303https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7469/8304https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7469/8575https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7469/8671Direitos de Autor (c) 2017 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessMarques, SofiaBarrocas, DanielRijo, Daniel2022-12-20T11:05:13Zoai:ojs.www.actamedicaportuguesa.com:article/7469Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:27.632430Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Psychological Treatments for Borderline Personality Disorder: A Review of Cognitive-Behavioral Oriented Therapies Intervenções Psicológicas na Perturbação Borderline da Personalidade: Uma Revisão das Terapias de Base Cognitivo-Comportamental |
title |
Psychological Treatments for Borderline Personality Disorder: A Review of Cognitive-Behavioral Oriented Therapies |
spellingShingle |
Psychological Treatments for Borderline Personality Disorder: A Review of Cognitive-Behavioral Oriented Therapies Marques, Sofia Borderline Personality Disorder Cognitive Therapy Psychotherapy Randomized Controlled Trials as Topic Treatment Outcome Ensaios Clínicos Controlados Aleatórios Perturbação Borderline da Personalidade Psicoterapia Resultado do Tratamento Terapia Cognitiva |
title_short |
Psychological Treatments for Borderline Personality Disorder: A Review of Cognitive-Behavioral Oriented Therapies |
title_full |
Psychological Treatments for Borderline Personality Disorder: A Review of Cognitive-Behavioral Oriented Therapies |
title_fullStr |
Psychological Treatments for Borderline Personality Disorder: A Review of Cognitive-Behavioral Oriented Therapies |
title_full_unstemmed |
Psychological Treatments for Borderline Personality Disorder: A Review of Cognitive-Behavioral Oriented Therapies |
title_sort |
Psychological Treatments for Borderline Personality Disorder: A Review of Cognitive-Behavioral Oriented Therapies |
author |
Marques, Sofia |
author_facet |
Marques, Sofia Barrocas, Daniel Rijo, Daniel |
author_role |
author |
author2 |
Barrocas, Daniel Rijo, Daniel |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Marques, Sofia Barrocas, Daniel Rijo, Daniel |
dc.subject.por.fl_str_mv |
Borderline Personality Disorder Cognitive Therapy Psychotherapy Randomized Controlled Trials as Topic Treatment Outcome Ensaios Clínicos Controlados Aleatórios Perturbação Borderline da Personalidade Psicoterapia Resultado do Tratamento Terapia Cognitiva |
topic |
Borderline Personality Disorder Cognitive Therapy Psychotherapy Randomized Controlled Trials as Topic Treatment Outcome Ensaios Clínicos Controlados Aleatórios Perturbação Borderline da Personalidade Psicoterapia Resultado do Tratamento Terapia Cognitiva |
description |
Introduction: Borderline personality disorder is the most common personality disorder, with a global prevalence rate between 1.6% and 6%. It is characterized by affective disturbance and impulsivity, which lead to a high number of self-harm behaviors and great amount of health services use. International guidelines recommend psychotherapy as the primary treatment for borderline personality disorder. This paper reviews evidence about the effects and efficacy of cognitive-behavioral oriented psychological treatments for borderline personality disorder.Material and Methods: A literature review was conducted in Medline and PubMed databases, using the following keywords: borderline personality disorder, cognitive-behavioral psychotherapy and efficacy.Results: Sixteen randomized clinical trials were evaluate in this review, which analyzed the effects of several cognitive-behavioral oriented psychotherapeutic interventions, namely dialectical behavioral therapy, cognitive behavioral therapy, schema-focused therapy and manual-assisted cognitive therapy. All above stated treatments showed clinical beneficial effects, by reducing borderline personality disorder core pathology and associated general psychopathology, as well as by reducing the severity and frequency of self-harm behaviors, and by improving the overall social, interpersonal and global adjustment. Dialectical behavioral therapy and schema-focused therapy also caused a soaring remission rate of diagnostic borderline personality disorder criteria of 57% and 94%, respectively.Discussion: Although there were differences between the psychotherapeutic interventions analysed in this review, all showed clinical benefits in the treatment of borderline personality disorder. Dialectical behavioral therapy and schema-focused therapy presented the strongest scientific data documenting their efficacy, but both interventions are integrative cognitive-behavioral therapies which deviate from the traditional cognitive-behavioral model.Conclusion: In summary, the available studies support cognitive-behavioral psychological treatments as an efficacious intervention in borderline personality disorder. However, the existing scientific literature on this topic is still scarce and there is need for more studies, with higher methodological rigor, that should validate these results. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-04-28 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7469 oai:ojs.www.actamedicaportuguesa.com:article/7469 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7469 |
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oai:ojs.www.actamedicaportuguesa.com:article/7469 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7469 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7469/5006 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7469/8301 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7469/8302 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7469/8303 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7469/8304 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7469/8575 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7469/8671 |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa |
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openAccess |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 30 No. 4 (2017): April; 307-319 Acta Médica Portuguesa; Vol. 30 N.º 4 (2017): Abril; 307-319 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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