Cited by 156Personality Disorders and PsychopathologyPsychotherapy Techniques and ApplicationsBipolar Disorder and Treatment

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Psychotherapies for borderline personality disorder: a focused systematic review and meta-analysis

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Stoffers-Winterling, Jutta M., Storebø, Ole Jakob, Kongerslev, Mickey T., Faltinsen, Erlend, Todorovac, Adan, Sedoc Jørgensen, Mie, Sales, Christian P., Edemann Callesen, Henriette, Pereira Ribeiro, Johanne, Völlm, Birgit A., Lieb, Klaus, Simonsen, Erik·2022·The British Journal of Psychiatry

DOI 10.1192/bjp.2021.204

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Abstract

Background: A recently updated Cochrane review supports the efficacy of psychotherapy for borderline personality disorder (BPD). Aims: To evaluate the effects of standalone and add-on psychotherapeutic treatments more concisely. Method: We applied the same methods as the 2020 Cochrane review, but focused on adult samples and comparisons of active treatments and unspecific control conditions. Standalone treatments (i.e. necessarily including individual psychotherapy as either the sole or one of several treatment components) and add-on interventions (i.e. complementing any ongoing individual BPD treatment) were analysed separately. Primary outcomes were BPD severity, self-harm, suicide-related outcomes and psychosocial functioning. Secondary outcomes were remaining BPD diagnostic criteria, depression and attrition. Results: Thirty-one randomised controlled trials totalling 1870 participants were identified. Among standalone treatments, statistically significant effects of low overall certainty were observed for dialectical behaviour therapy (self-harm: standardised mean difference (SMD) −0.54, P = 0.006; psychosocial functioning: SMD −0.51, P = 0.01) and mentalisation-based treatment (self-harm: risk ratio 0.51, P < 0.0007; suicide-related outcomes: risk ratio 0.10, P < 0.0001). For adjunctive interventions, moderate-quality evidence of beneficial effects was observed for DBT skills training (BPD severity: SMD −0.66, P = 0.002; psychosocial functioning: SMD −0.45, P = 0.002), and statistically significant low-certainty evidence was observed for the emotion regulation group (BPD severity: mean difference −8.49, P < 0.00001), manual-assisted cognitive therapy (self-harm: mean difference −3.03, P = 0.03; suicide-related outcomes: SMD −0.96, P = 0.005) and the systems training for emotional predictability and problem-solving (BPD severity: SMD −0.48, P = 0.002). Conclusions: There is reasonable evidence to conclude that psychotherapeutic interventions are helpful for individuals with BPD. Replication studies are needed to enhance the certainty of findings.

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Measuring inconsistency in meta-analyses
Higgins, J. P. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003) · BMJ · doi:10.1136/bmj.327.7414.557 · Cited by 63,139
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139
The Cochrane Collaboration's tool for assessing risk of bias in randomised trials
Higgins, J. P. T., Altman, D. G., Gotzsche, P. C., Juni, P., Moher, D., Oxman, A. D., Savovic, J., Schulz, K. F., Weeks, L., Sterne, J. A. C., et al. (2011) · BMJ · doi:10.1136/bmj.d5928 · Cited by 33,817
Statistical Power Analysis for the Behavioral Sciences
Cohen, J. (2013) · doi:10.4324/9780203771587 · Cited by 25,373
Cochrane Handbook for Systematic Reviews of Interventions
(2019) · doi:10.1002/9781119536604 · Cited by 14,828
The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories.
Lovibond, P. F., & Lovibond, S. H. (1995) · Behaviour Research and Therapy · doi:10.1016/0005-7967(94)00075-u · Cited by 14,523
GRADE guidelines: 1. Introduction—GRADE evidence profiles and summary of findings tables
Guyatt, G., Oxman, A. D., Akl, E. A., Kunz, R., Vist, G., Brozek, J., Norris, S., Falck-Ytter, Y., Glasziou, P., & deBeer, H. (2011) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2010.04.026 · Cited by 10,681
Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale
Gratz, K. L., & Roemer, L. (2004) · Journal of Psychopathology and Behavioral Assessment · doi:10.1023/b:joba.0000007455.08539.94 · Cited by 8,942
Cognitive-Behavioral Treatment of Borderline Personality Disorder
Cary, G. L. (1994) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1994.48.1.155 · Cited by 6,299
The Global Assessment Scale: A Procedure for Measuring Overall Severity of Psychiatric Disturbance
Endicott, J. (1976) · Archives of General Psychiatry · doi:10.1001/archpsyc.1976.01770060086012 · Cited by 4,982

Show all 93 references

Research works printed but not linked: 16

2000, Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision
Blum, 2002, STEPPS: Systems Training for Emotional Predictability and Problem Solving: Group Treatment for Borderline Personality Disorder
Linehan, 1989, Parasuicide History Interview: Comprehensive Assessment of Parasuicidal Behavior
2004, International Statistical Classification of Diseases and Related Health Problems
2013, Diagnostic and Statistical Manual of Mental Disorders: DSM-5
1994, Diagnostic and Statistical Manual of Mental Disorders, 4th edition
2020, Review Manager (RevMan) [Computer Program] Version 5.4
104 Page MJ, Higgins JPT, Sterne JAC. Chapter 13: assessing risk of bias due to missing results in a synthesis. In Cochrane Handbook for Systematic Reviews of Interventions version 6.2 (updated February 2021) (eds Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA): Ch. 13. Cochrane, 2021.
Mohamadizadeh, 2017, Comparing of the effect of dialectical behavior therapy (DBT) and schema therapy (ST) on reducing mood activity and suicidal thoughts in patients with borderline personality disorder, Acta Medica Mediterr, 2017, 1025
Clinical Practice Guideline for the Management of Borderline Personality Disorder
Stanley, 2017, Treating Suicidal Behavior and Self-Mutilation in People with Borderline Personality Disorder - Study Results
Higgins, 2011, Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [Updated March 2011]
69 Deeks JJ, Higgins JPT, Altman DG (editors). Chapter 10: analysing data and undertaking meta-analyses. In Cochrane Handbook for Systematic Reviews of Interventions Version 6.2 (updated February 2021) (eds Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA): Ch. 10. Cochrane, 2021.
First, 1997, Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II): Interview Booklet and Questionnaire
1987, Diagnostic and Statistical Manual of Mental Disorders, 3rd edition, Revised
1980, Diagnostic and Statistical Manual of Mental Disorders DSM-III

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Background
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Self-citation
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Jacobsson, L. P., & Hopwood, C. J. (2025) · Oxford University Press eBooks · doi:10.1093/9780191964343.003.0005 · Cited by 1
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Authors: Stoffers-Winterling, J. M., Storebø, O. J., Kongerslev, M. T., Faltinsen, E., Todorovac, A., Sedoc Jørgensen, M., Sales, C. P., Edemann Callesen, H., Pereira Ribeiro, J., Völlm, B. A., Lieb, K., & Simonsen, E.
Affiliations: University Medical Center of the Johannes Gutenberg University Mainz (DE)
University of Southern Denmark (DK)
Region Zealand (DK)
Nottinghamshire Healthcare NHS Foundation Trust (GB)
University of Copenhagen (DK)
Corresponding author: Stoffers-Winterling, Jutta M.
ORCID: Stoffers-Winterling, Jutta M.
Storebø, Ole Jakob
Kongerslev, Mickey T.
Faltinsen, Erlend
Sales, Christian P.
Lieb, Klaus
Simonsen, Erik
Venue: The British Journal of Psychiatry
Publisher: Royal College of Psychiatrists
Published: 2022-01-28
Volume: 221
Issue: 3
Pages: 538-552
ISSN: 0007-1250 (ISSN-L)
1472-1465
DOI: 10.1192/bjp.2021.204
OpenAlex: W4210629065
Cited by: 156
References: 93
Citations by year: 2026: 44 · 2025: 44 · 2024: 42 · 2023: 18 · 2022: 8
FWCI: 4.67
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by
creativecommons.org/licenses/by/4.0/ (unspecified)
Locations: The British Journal of Psychiatry (publishedVersion, cc-by)
PubMed (publishedVersion)
Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, cc-by)
University of Southern Denmark Research Portal (University of Southern Denmark) (submittedVersion, cc-by)
Topics: Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
Keywords: borderline personality disorder, psychotherapy, dialectical behavior therapy, mentalization-based treatment, DBT skills training, self-harm, suicide, psychosocial functioning, BPD severity, add-on intervention
MeSH terms: Dialectical Behavior Therapy, Adult, Borderline Personality Disorder, Humans, Psychotherapy, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Self-Injurious Behavior

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Psychotherapies for borderline personality disorder: a focused systematic review and meta-analysis

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