Annotated Bibliography
PSY FPX 7411 Assessment 1 Chanen et al. (2008) conducted a randomized controlled trial of early intervention in adolescents with borderline personality disorder (BPD) by means of cognitive analytic therapy (CAT). The study aimed at assessing changes in symptoms prior to and following treatment. Interventions, including CAT, case management, psychiatric treatment, and in-patient treatment, were employed with the aim of decreasing parasuicidal activity. The study spanned two years and involved patients 17-22 years with a diagnosis of BPD. Outcomes designated CAT as most effective intervention and suggested its usefulness for earlier BPD treatment.
Choi-Kain et al. (2017) brought together existing evidence of BPD treatment, targeting effectiveness of the dialectical behavior therapy (DBT). The integration of DBT has revolutionized the treatment of BPD, discrediting its notion of being untreachable. DBT has been contrasted with other treatments such as mentalization-based therapy (MBT), schema-focused treatment (SFT), transference-focused therapy (TFP), and systems training for emotional predictability and problem-solving (STEPPS). It was discovered that DBT was the first highly effective intervention, cementing its recommendation in the management of BPD.
Linehan et al. (2015) conducted a single-blind randomized clinical trial to evaluate the effectiveness of DBT in BPD patients with high suicide risk. The study sought to test DBT’s skills training module and its impact on the reduction of suicidal behavior. Findings confirmed DBT’s effectiveness, particularly standard DBT, over others like individual or case worker-involvement DBT. This study strengthens the evidence base for DBT as an evidence-based recommended treatment for BPD, particularly among high-suicide-risk individuals.
PSY FPX 7411 Assessment 1 Annotated Bibliography
PSY FPX 7411 Assessment 1 Stoffers et al. (2010) studied pharmacological treatment for BPD, a lesser cited area of treatment for affective and impulsive symptoms. In a systematic review, the study compared the efficacy of various drugs with placebo or another medication. Outcomes were favorable for a few advantages with second-generation antipsychotics, mood stabilizers, and supplements but minimal effects with other interventions. Although pharmacotherapy may be applied as an adjunct to other interventions, its sole focus on reducing symptoms is one to be taken into account relative to psychosocial interventions.
Temes and Zanarini (2019) provided an overview of current psychosocial treatments for BPD, including the symptoms of the disorder and common comorbidities. The article highlighted traditional interventions like DBT, STEPPS, and MBT, with the new trend towards technology-based interventions. Web-based interventions provide more accessibility and shorter intervention time, particularly beneficial for the younger age groups. While the scope of coverage in the article might pose difficulty in navigation, it is a good read to understand the interventions for BPD.
References:
Chanen, A. M., Jackson, H. J., McCutcheon, L. K., Martina, J., Dudgeon, P., Pan, Y. H.,. McGorry, P. D. (2008). Early intervention for adolescents with borderline personality disorder using cognitive analytic therapy: Randomised controlled trial. The British Journal of Psychiatry, 193(6), 477-484. doi:http://dx.doi.org/10.1192/bjp.bp.107.048934
Choi-Kain, L. W., Finch, E. F., Masland, S. R., Jenkins, J. A., & Unruh, B. T. (2017). What Works in the Treatment of Borderline Personality Disorder. Current behavioral neuroscience reports, 4(1), 21–30. https://doi.org/10.1007/s40473-017-0103-z
PSY FPX 7411 Assessment 1 Annotated Bibliography
Linehan MM, Korslund KE, Harned MS, et al. Dialectical Behavior Therapy for High Suicide Risk in Individuals With Borderline Personality Disorder: A Randomized Clinical Trial and Component Analysis. JAMA Psychiatry, 72(5), 475–482.
Stoffers, J., Völlm, B. A., Rücker, G., Timmer, A., Huband, N., & Lieb, K. (2010). Pharmacological interventions for borderline personality disorder. The Cochrane database of systematic reviews, (6), CD005653. https://doi.org/10.1002/14651858.CD005653.pub2
Temes, C. M., & Zanarini, M. C. (2019). Recent developments in psychosocial interventions for borderline personality disorder. F1000Research, 8. doi: http://dx.doi.org/10.12688/f1000research.18561.1
