Are recommendations for psychological treatment of borderline personality disorder in current UK guidelines justified? Systematic review and subgroup analysis

Personality and Mental Health

Volumn 8, Issue 3, 2014, Pages 228-237

  Omar, Hussein ^a   Tejerina Arreal, Maria ^b   Crawford, Mike J ^c  

^a CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST   (United Kingdom)

^b UNIVERSITY OF MURCIA   (Spain)

^c IMPERIAL COLLEGE LONDON   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; AGED; AUTOMUTILATION; BORDERLINE PERSONALITY DISORDER; DEPRESSION; GROUP THERAPY; HUMAN; MENTAL DISEASE; MIDDLE AGED; PRACTICE GUIDELINE; PROCEDURES; PSYCHOLOGY; PSYCHOTHERAPY; RANDOMIZED CONTROLLED TRIAL (TOPIC); SOCIAL BEHAVIOR; STANDARDS; TIME; TREATMENT OUTCOME; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; BORDERLINE PERSONALITY DISORDER; DEPRESSIVE DISORDER; HUMANS; MENTAL DISORDERS; MIDDLE AGED; PRACTICE GUIDELINES AS TOPIC; PSYCHOTHERAPY; PSYCHOTHERAPY, GROUP; RANDOMIZED CONTROLLED TRIALS AS TOPIC; SELF-INJURIOUS BEHAVIOR; SOCIAL BEHAVIOR; TIME FACTORS; TREATMENT OUTCOME; YOUNG ADULT;

EID: 84928698462     PISSN: 19328621     EISSN: 1932863X     Source Type: Journal    
DOI: 10.1002/pmh.1264     Document Type: Article

References (33)

1. American Psychiatric Association (2001). Practice guideline for the treatment of patients with borderline personality disorder-introduction. Am J Psychiatry, 158, 1-52.
2. Bateman, A., & Fonagy, P. (1999). Effectiveness of partial hospitalization in the treatment of borderline personality disorder: a randomized controlled trial. American Journal of Psychiatry, 156, 1563-1569.
3. Bateman, A., & Fonagy, P. (2009). Randomized controlled trial of outpatient mentalization based treatment versus structured clinical management for borderline personality disorder. American Journal of Psychiatry, 166, 1355-1364.
4. Blum, N., St John, D., Pfohl, B., Stuart, S., McCormick, B., Allen, J., Arndt, S., Black, D. W. (2008). Systems Training for Emotional Predictability and Problem Solving (STEPPS) for outpatients with borderline personality disorder: a randomized controlled trial and 1-year follow-up. American Journal of Psychiatry, 165, 468-478.
5. Bos, E., van Wel, E., Appelo, M., & Verbraak, M. (2010). A randomized controlled trial of a Dutch version of systems training for emotional predictability and problem solving for borderline personality disorder. Journal of Nervous Mental Disorders, 198, 299-304.
6. Churchill, R., Hunot, V., & Corney, R. (2001). A systematic review of controlled trials of the effectiveness and cost-effectiveness of brief psychological treatments for depression. Health Technology Assessesment, 5, 1-173.
7. Crawford, M. J., Price, K., Rutter, D., Moran, P., Tyrer, P., Bateman, A., Fonagy, P., Gibson, S., & Weaver, T. (2008). Dedicated community-based services for adults with personality disorder: a Delphi study. British Journal of Psychiatry, 193, 342-343.
8. Davidson, K., Norrie, J., Tyrer, P., Gumley, A., Tata, P., Murray, H., & Palmer, S. (2006). The effectiveness of cognitive behavior therapy for borderline personality disorder: results from the borderline personality disorder study of cognitive therapy (BOSCOT) trial. Journal of Personality Disorders, 20, 450-465.
9. DerSimonian, R., & Laird, N. (1986). Meta-analysis in clinical trials. Controlled Clinical Trials, 7, 177-188.
10. Doering, S., Horz, S., Rentrop, M., Fischer-Kern, M., Schuster, P., Benecke, C., Buchheim, A., Martius, P., & Buchheim, P. (2010). Transference-focused psychotherapy v. treatment by community psychotherapists for borderline personality disorder: randomised controlled trial. British Journal of Psychiatry, 196, 389-395.
11. Farrell, J., Shaw, I., & Webber, M. (2009). A schema-focused approach to group psychotherapy for outpatients with borderline personality disorder: A randomized controlled trial. Journal of Behavior Therapy and Experimental Psychiatry, 40, 317-328.
12. Gregory, R. J., Chlebowski, S., Kang, D., Remen, A. L., Soderberg, M. G., Stepkovitch, J., Virk, S. (2008). A controlled trial of psychodynamic psychotherapy for co-occurring borderline personality disorder and alcohol use disorder. Psychotherapy: Theory, Research, Practice, Training, 45, 28-41.
13. de Groot, E. R., Verheul, R., & Trijsburg R. W. (2008). An integrative perspective on psychotherapeutic treatments for borderline personality disorder. Journal of Personality Disorders, 22, 332-352.
14. Huband, N., McMurran, M., Evans, C., Duggan, C (2007). Social problem-solving plus psychoeducation for adults with personality disorder: pragmatic randomised controlled trial. British Journal of Psychiatry, 190, 307-313.
15. Levy, K. N., Yeomans, F. E., Denning, F., & Fertuck, E. A. (2010). UK National Institute for Clinical Excellence guidelines for the treatment of borderline personality disorder. Personality and Mental Health, 4, 54-58.
16. Lieb, K., Zanarini, M. C., Schmahl, C., Christian Schmahl, C., Linehan, M. M., & Bohus, M. (2004). Borderline personality disorder. Lancet, 364, 453-461.
17. Linehan, M. M., Armstrong, H. E., Suarez, A., Allmon, D., Heard, H. L. (1991). Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48, 1060-1064.
18. Linehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H. L., Korslund, K. E., Tutek, D. A., Reynolds, S. K., Lindenboim, N. (2006). Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder. Archives of General Psychiatry, 63, 757-766.
19. Livesley, W. (2004). Changing ideas about the treatment of borderline personality disorder. Journal of Contemporary Psychotherapy, 34, 185-192.
20. McMain, S. F., Links, P. S., Gnam, W. H., Guimond, T., Cardish, R. J., Korman, L., & Streiner, D. L. (2009). A randomized trial of dialectical behavior therapy versus general psychiatric management for borderline personality disorder. American Journal of Psychiatry, 166, 1365-1374.
21. McRoberts, C., Burlingame, G. M., & Hoag, M. J. (1998). Comparative efficacy of group versus individual psychotherapy. Group Dynamics, 2, 101-117.
22. National Health and Medical Research Council. (2012). Clinical Practice Guideline for the Management of Borderline Personality Disorder. Canberra: NHMRC.
23. National Institute for Health and Care Excellence. (2009). Borderline personality disorder treatment and management. National clinical practice guideline number 78. London: The British Psychological Society and the Royal College of Psychiatrists.
24. Oxman, A. D., & Guyatt, G. H. (1992). A consumer's guide to subgroup analyses. Annuls of Internal Medicine, 116, 78-84.
25. Price, K., Gillespie, S., Rutter, D., Dhillon, Gibson, S., Faulkner, A., Weaver, T., Crawford, M.J. (2009). Dedicated personality services: a qualitative analysis of service structure and treatment process. Journal of Mental Health, 18, 467-475.
26. Scottish Intercollegiate Guidelines Network. (2002). SIGN 50. A Guideline Developer's Handbook. Edinburgh: Scottish Intercollegiate Guidelines Network.
27. Selwood, K., Johnston, C., Katona, J., Paton, C., & Livingston, G. (2005). A systematic review of the effect of psychological interventions on family caregivers of people with dementia. Journal of Affective Disorders, 101, 75-89.
28. Sun, X., Briel, M., Busse, J. W., You, J. J., Akl, E. A., Mejza, F., Bala, M. M., Bassler, D., Mertz, D., Diaz-Granados, N., Vandvik, P. O., Malaga, G., Srinathan, S. K., Dahm, P., Johnston, B. C., Alonso-Coello, researcher, P., Hassouneh, B., Walter, S. D., Heels-Ansdell, D., Bhatnagar, N., Altman, D. G., Guyatt, G. H. (2012). Credibility of claims of subgroup effects in randomised controlled trials: systematic review. BMJ, 344, e1553.
29. Tyrer, P., & Haigh R. (2010). The generation of a guideline: National Institute for Health and Clinical Excellence recommendations for the treatment of borderline personality disorder. Personality and Mental Health, 4(1), 34-38.
30. Verheul, R., van den Bosch, L. M., Koeter, M. W., de Ridder, M. A., Stijnen, T., & van den Brink, W. (2003). Dialectical behaviour therapy for women with borderline personality disorder: 12-month, randomised clinical trial in the Netherlands. British Journal of Psychiatry, 182, 135-140.
31. Weinberg, I., Gunderson, J. G., Hennen, J., & Cutter, C. J. (2006). Manual assisted cognitive treatment for deliberate self-harm in borderline personality disorder patients. Journal of Personality Disorders, 20, 482-492.
32. Yusuf, S., Wittes, J., Probstfield, J., Tyroler, H. A. (1991). Analysis and interpretation of treatment effects in subgroups of patients in randomized clinical trials. Journal of the American Medical Association, 266, 93-98.
33. Zanarini, M. C., & Frankenburg, F. R. (2008). A Preliminary, Randomized Trial of Psychoeducation for Women With Borderline Personality Disorder. Journal of Personality Disorders, 22, 284-290.