Psychotherapy for Borderline Personality Disorder: Progress and Remaining Challenges

被引:21
作者
Links, Paul S. [1 ,2 ,3 ,4 ]
Shah, Ravi [1 ,2 ,3 ,4 ]
Eynan, Rahel [1 ,2 ,3 ,4 ]
机构
[1] Schulich Sch Med & Dent, Lawson Hlth Res Inst, London, ON, Canada
[2] Univ Western Ontario, London, ON, Canada
[3] Victoria Hosp, Dept Psychiat, London Hlth Sci Ctr, North Tower,Rm B8-132,800 Commissioners Rd East, London, ON N6A 5W9, Canada
[4] St Josephs Hlth Care London, London, ON, Canada
关键词
Borderline personality disorder; Psychotherapy; Trials; Mechanism of action; Comorbidity; DIALECTICAL BEHAVIOR-THERAPY; RANDOMIZED CONTROLLED-TRIAL; POSTTRAUMATIC-STRESS-DISORDER; TRANSFERENCE-FOCUSED PSYCHOTHERAPY; PROLONGED EXPOSURE PROTOCOL; PROBLEM-SOLVING STEPPS; DELIBERATE SELF-HARM; EMOTION REGULATION; FOLLOW-UP; INJURING WOMEN;
D O I
10.1007/s11920-017-0766-x
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Purpose The main purpose of this review was to critically evaluate the literature on psychotherapies for borderline personality disorder (BPD) published over the past 5 years to identify the progress with remaining challenges and to determine priority areas for future research. Method A systematic review of the literature over the last 5 years was undertaken. Results The review yielded 184 relevant abstracts, and after applying inclusion criteria, 16 articles were fully reviewed based on the articles' implications for future research and/or clinical practice. Conclusion Our review indicated that patients with various severities benefited from psychotherapy; more intensive therapies were not significantly superior to less intensive therapies; enhancing emotion regulation processes and fostering more coherent self-identity were important mechanisms of change; therapies had been extended to patients with BPD and posttraumatic stress disorder; and more research was needed to be directed at functional outcomes.
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页数:10
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