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Effect of psychotherapy for Borderline Personality Disorder on quality of life : a meta-analysis

Maatje, Lykle (2018) Effect of psychotherapy for Borderline Personality Disorder on quality of life : a meta-analysis.

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Abstract:Background. Borderline personality disorder (BPD) is a debilitating condition affecting around 0.5%-2.5% of the population. Several psychotherapies have been proven to be effective. However, the impact of these psychotherapies on Quality of Life (QoL) has not been extensively studied. There are but a few studies available studying these effects, and this study will aim to pool together the studies conducted thus far and study the found effect Method. A meta-analysis was conducted on 9 randomised clinical trials comparing psychotherapy for adults diagnosed with BPD with either a Treatment as Usual (TAU) or active control group. Data extraction involved population, intervention and methodologist characteristics per condition, and the risk of bias of the individual studies was assessed using 4 domains of the Cochrane Collaboration Risk of Bias tool. Outcomes were pooled using a random-effects model. Standardized effect sizes (Cohen’s d) were calculated for QoL at post-test, follow-up, and with outliers removed. Publication bias and heterogeneity were examined as well. Results. A small to moderate effect size for QoL was found (d = 0.47, 95% CI 0.09-0.85, p≤0.01). When adjusted for outliers, a significant effect size of 0.28 (95% CI 0.11-0.45, p≤0.001) remained. The effect size at follow-up was 0.23 (95% CI 0.02-0.43, p≤0.05, p≥0.001). Publication bias played a small part in the effect sizes. Conclusions. Psychotherapies aimed at Borderline patients appeared to have a positive effect on a borderline patient’s Quality of Life, though it is unclear whether this is connected to the special attention therapies give to QoL or the decreased symptom severity. The current study showed that Quality of Life is an important part of a patient’s mental and physical health, and treatment seems to positively affect this construct.
Item Type:Essay (Master)
GGNet, Apeldoorn, Nederland
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
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