TY - JOUR
T1 - Effect of psychotherapy for borderline personality disorder on quality of life
T2 - A systematic review and meta-analysis
AU - Chakhssi, Farid
AU - Zoet, J. Monique
AU - Oostendorp, Jeanine M.
AU - Noordzij, Matthijs L.
AU - Sommers-Spijkerman, Marion
PY - 2021/4
Y1 - 2021/4
N2 - Whereas several meta-analyses have shown that psychotherapy is effective for reducing borderline personality disorder (BPD) pathology, the overall impact of psychotherapy for BPD on quality of life (QoL) remains as yet unclear. Because impaired QoL is associated with poor long-term outcomes after therapy for BPD, this seems a timely and relevant issue. The authors conducted a systematic review and meta-analysis of randomized controlled trials of psychotherapies for adults diagnosed with BPD that reported results of QoL at posttreatment. Fourteen trials were included (1,370 individuals with BPD). Psychotherapies for BPD relative to control conditions showed significant effect sizes for QoL (Cohen’s d = 0.31; 95% CI [0.18, 0.44]), and for BPD pathology (d = 0.43; 95% CI [0.23, 0.64]). The effect on QoL was not significantly moderated by the effect on BPD pathology. Psychotherapies for BPD have a positive effect on QoL of patients with BPD. However, more studies are needed to examine the impact of psychotherapy on QoL and long-term outcome, including recovery.
AB - Whereas several meta-analyses have shown that psychotherapy is effective for reducing borderline personality disorder (BPD) pathology, the overall impact of psychotherapy for BPD on quality of life (QoL) remains as yet unclear. Because impaired QoL is associated with poor long-term outcomes after therapy for BPD, this seems a timely and relevant issue. The authors conducted a systematic review and meta-analysis of randomized controlled trials of psychotherapies for adults diagnosed with BPD that reported results of QoL at posttreatment. Fourteen trials were included (1,370 individuals with BPD). Psychotherapies for BPD relative to control conditions showed significant effect sizes for QoL (Cohen’s d = 0.31; 95% CI [0.18, 0.44]), and for BPD pathology (d = 0.43; 95% CI [0.23, 0.64]). The effect on QoL was not significantly moderated by the effect on BPD pathology. Psychotherapies for BPD have a positive effect on QoL of patients with BPD. However, more studies are needed to examine the impact of psychotherapy on QoL and long-term outcome, including recovery.
KW - Borderline personality disorder
KW - Meta-analysis
KW - Psychotherapy
KW - Quality of life
KW - Systematic review
UR - https://www.scopus.com/pages/publications/85103606445
U2 - 10.1521/pedi_2019_33_439
DO - 10.1521/pedi_2019_33_439
M3 - Review article
C2 - 31609187
AN - SCOPUS:85103606445
SN - 0885-579X
VL - 35
SP - 255
EP - 269
JO - Journal of personality disorders
JF - Journal of personality disorders
IS - 2
ER -