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Psychological therapies for people with borderline personality disorder (Review)

Binks, Claire, Fenton, Mark, McCarthy, Lucy, Lee, Tracey, Adams, Clive E. and Duggan, Conor (2006) Psychological therapies for people with borderline personality disorder (Review). Cochrane Database of Systematic Reviews (1). ISSN 1464-780X

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    Borderline personality disorder (BPD) is a relatively common personality disorder with a major impact on health services as those
    affected often present in crisis, often self-harming.
    To evaluate the effects of psychological interventions for people with borderline personality disorder.
    Search strategy
    We conducted a systematic search of 26 specialist and general bibliographic databases (December 2002) and searched relevant reference
    lists for further trials.
    Selection criteria
    All relevant clinical randomised controlled trials involving psychological treatments for peoplewith BPD.The definition of psychological
    treatments included behavioural, cognitive-behavioural, psychodynamic and psychoanalytic.
    Data collection and analysis
    We independently selected, quality assessed and data extracted studies. For binary outcomes we calculated a standard estimation of
    the risk ratio (RR), its 95% confidence interval (CI), and where possible the number need to help/harm (NNT/H). For continuous
    outcomes, endpoint data were preferred to change data. Non-skewed data from valid scales were summated using a weighted mean
    difference (WMD).
    Main results
    We identified seven studies involving 262 people, and five separate comparisons. Comparing dialectical behaviour therapy (DBT) with
    treatment as usual studies found no difference for the outcome of still meeting SCID-II criteria for the diagnosis of BPD by six months
    (n=28, 1 RCT, RR 0.69 CI 0.35 to 1.38) or admission to hospital in previous three months (n=28, 1 RCT, RR 0.77 CI 0.28 to 2.14).

    Item Type: Article
    Subjects: B Philosophy. Psychology. Religion > BF Psychology
    H Social Sciences > H Social Sciences (General)
    Schools: School of Human and Health Sciences
    Related URLs:
    Depositing User: Sara Taylor
    Date Deposited: 04 Nov 2010 16:25
    Last Modified: 25 Nov 2010 12:04


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