Does psychological therapy improve the mental health of people with borderline personality disorder and substance abuse disorder?

Marta Macías-Gil, Laura Lacomba-Trejo, Marián Pérez-Marín

Abstract


Introduction: People with comorbid borderline personality disorder (BPD) and substance abuse disorder (SUD) show great affectation and poorer treatment outcomes. Objective: The aim was to examine useful psychological treatments for people with co-morbid BPD and SUD. Method: The Cochrane Library, ISOC, Psychodoc, ProQuest Central, Pubmed, Web of Science and Scopus databases were consulted using a systematic literature review following PRISMA standards. A 185 articles were obtained, of which 12 were selected taking into account the inclusion criteria. The process was carried out by two independent evaluators and the level of agreement was excellent. Results: there are a variety of therapeutic options that, in general, improve the symptoms associated with BPD but not with SUD. Conclusion: more research is needed to evaluate the usefulness of psychological therapies in these patients

Keywords


borderline personality disorder, substance use disorder, psychological treatment, systematic review.

Full Text:

PDF EPUB XML


DOI: https://doi.org/10.62174/%7bpsocial}.v8i1.7563

References


Aragonès, E., Salvador-Carulla, L., López-Muntaner, J., Ferrer, M., & Piñol, J. L. (2013). Registered prevalence of borderline personality disorder in primary care databases. Gaceta sanitaria, 27(2), 171–174. https://doi.org/10.1016/j.gaceta.2011.12.006

Booth, A., Clarke, M., Dooley, G., Ghersi, D., Moher, D., Petticrew, M., & Stewart, L. (2012). The nuts and bolts of PROSPERO: An international prospective register of systematic reviews. Systematic Reviews, 1(2) 1-8. https://doi.org/10.1186/2046-4053-1-2.

Carletto, S., Oliva, F., Barnato, M., Antonelli, T., Cardia, A., Mazzaferro, P., Raho, C., Ostacoli, L., Fernández, I., & Pagani, M. (2018). EMDR as add-on treatment for psychiatric and traumatic symptoms in patients with substance use disorder. Frontiers in psychology, 8, 2333. https://doi.org/10.3389/fpsyg.2017.02333

Covidence systematic review software [Internet]. (2018). Available Accesible from: www. covidence.org.

Fitzpatrick, S., Liebman, R.E., & Monson, C.E. (2021). The borderline interpersonal-affective systems (BIAS) model: Extending understanding of the interpersonal context of borderline personality disorder, Clinical Psychology Review, 84, 101983. https://doi.org/10.1016/j.cpr.2021.101983.

Flynn, D., Joyce, M., Spillane, A., Wrigley, C., Corcoran, P., Hayes, A., … Mooney, B. (2019). Does an adapted Dialectical Behaviour Therapy skills training programme result in positive outcomes for participants with a dual diagnosis? A mixed methods study. Addict Sci Clin Pract 14, 28 https://doi.org/10.1186/s13722-019-0156-2

González, E., Arias, F., Szerman, N., Vega, P., Mesias, B., & Basurte, I. (2019). Coexistence between personality disorders and substance use disorder. Madrid study about prevalence of dual pathology. Actas españolas de psiquiatria, 47(6), 218–228.

Grant, B. F., Chou, S. P., Goldstein, R. B., Huang, B., Stinson, F. S., Saha, T. D., Smith, S. M., Dawson, D. A., Pulay, A. J., Pickering, R. P., & Ruan, W. J. (2008). Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. The Journal of clinical psychiatry, 69(4), 533–545. https://doi.org/10.4088/jcp.v69n0404

Gunderson, J. G., Herpertz, S. C., Skodol, A. E., Torgersen, S., & Zanarini, M. C. (2018). Borderline personality disorder. Nature Reviews Disease Primers, 4, 18029. https://doi.org/10.1038/nrdp.2018.29

Hernández-Nieto, R. (2002). Contribuciones al análisis estadístico: sensibilidad estabilidad y consistencia de varios coeficientes de variabilidad relativa y el coeficiente de variación proporcional cvp el coeficiente. California, Estados Unidos: CreateSpace Independent Publishing Platform.

Kaltenegger, H. C., Philips, B. & Wennberg, P. (2020). Autistic traits in mentalization-based treatment for concurrent borderline personality disorder and substance use disorder: Secondary analyses of a randomized controlled feasibility study. Scandinavian Journal of Psychology, 61, 416–422. https://doi.org/10.1111/sjop.12595

Kienast, T., Stoffers, J., Bermpohl, F., & Lieb, K. (2014). Borderline personality disorder and comorbid addiction: epidemiology and treatment. Deutsches Arzteblatt international, 111(16), 280–286. https://doi.org/10.3238/arztebl.2014.0280

Lo Coco, G., Melchiori, F., Oiene, V., Infurna, M.R., Strauss, B., Schwartze, D., Rosendahl, J., Gullo, S. (2019). Group treatment for substance use disorder in adults: A systematic review and meta-analysis of randomized-controlled trials. Journal of Substance Abuse Trearment, 99, 104-116. https://doi.org/10.1016/j.jsat.2019.01.016

Mamédio, C., Andrucioli de Mattos, C., & Cuce, M. (2007). The PICO strategy for the research question construction and evidence search. Revista Latino-Americana de Enfermagem, 15(3), 508-511. https://doi.org/10.1590/S0104-11692007000300023.

Meuldijk, D., McCarthy, A., Bourke, M.E., & Grenyer, B.F.S. (2017). The value of psychological treatment for borderline personality disorder: Systematic review and cost offset analysis of economic evaluations. Plos One, https://doi.org/10.1371/journal.pone.0171592

Orwin, R. G. (1994). Evaluating coding decisions. En H. Cooper, L. Hedges & J. Valentine (Eds.), The handbook of research synthesis (pp. 139-162). Nueva Yorkew York, Estados Unidos: Russell Sage Foundation. https://doi.org/10.7758/9781610441384.

Philips, B., Wennberg, P., Konradsson, P., & Franck, J. (2018). Mentalization-Based Treatment for Concurrent Borderline Personality Disorder and Substance Use Disorder: A Randomized Controlled Feasibility Study. European Addiction Research, 24(1), 1–8. https://doi.org/10.1159/000485564

Shamseer, L., Moher, D., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M.,... Stewart, L. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: Elaboration and explanation. BMJ, 349(7647), 1–25. https://doi.org/10.1136/bmj.g7647.

Slotema, C.W., van den Berg, D.P.G., Driessen, A., Wilhelmus, B., & Franken, I.H.A. (2019). Feasibility of EMDR for posttraumatic stress disorder in patients with personality disorders: a pilot study, European Journal of Psychotraumatology, 10(1). https://doi.org/10.1080/20008198.2019.1614822

Tomko, R. L., Trull, T. J., Wood, P. K., & Sher, K. J. (2014). Characteristics of borderline personality disorder in a community sample: comorbidity, treatment utilization, and general functioning. Journal of personality disorders, 28(5), 734–750. https://doi.org/10.1521/pedi_2012_26_093

Trull, T.J., Freeman, L.K., Vebares, T.J., Choate, A.M., Helle, A.C., Wycoff, A.M. (2018). Borderline personality disorder and substance use disorders: an updated review. Borderline Personal Disorder Emotional Dysregulation, 5(15). https://doi.org/10.1186/s40479-018-0093-9

Trull, T.J., Sher, K.J., Minks-Brown, C.M., Durbin, J., Burr, R. (2000). Borderline personality disorder and substance use disorders: A review and integration. Clinical Psychology Review, 20(2), 235-253. https://doi.org/10.1016/S0272-7358(99)00028-8

Zimmerman, M., Multach, M., Dalrymple, K., & Chelminski, I. (2017). Clinically useful screen for borderline personality disorder in psychiatric out-patients. British Journal of Psychiatry, 210(2), 165-166. https://doi.org/10.1192/bjp.bp.116.182121


Refbacks

  • There are currently no refbacks.


Estadísticas
Visitas al Abstract:517
PDF:160
EPUB:31
XML:349


{PSOCIAL} Journal of Research in Social Psychology. Faculty of Social Sciences | University of Buenos Aires (UBA)

ISSN 2422-619X. Semiannual publication (January-June and July-December).
 
Design: Mae Bermudez
 
 Jorunal Indexed and listed in:
  • ERIH PLUS (European Reference Index for the Humanities and Social Sciences) [registry]
  • Latindex Catálogo 2.0 (Regional Cooperative Online Information System for Scholarly Journals from Latin America, the Caribbean, Spain and Portuga) [registry]
  • DOAJ (Directory Open Access Journals) [registry]
  • MIAR (Information Matrix for the Analysis of Journals) [registry]
  • PSICODOC (Online Bibliographic Database Madrid Official College of Psychologists) [registry] 
  • RDIUBA (Institutional Digital Repository) [registry]
  • REDIB (Iberoamerican Network for Innovation and Scientific Knowledge) [registry]
  • Open AIRE (Open Access Infraestructure for Research in Europe) [registry] 
  • Red LatinRev / FLACSO library (Latin American Faculty of Social Sciences) [registry]
  • BINPAR (National Bibliography of Registered Periodicals) [registry]
  • LATINOAMERICANA (Association of Academic Journals of Humanities and Social Sciences) [registry]
  • CLASE (Latin-American Citations in Social Sciences and Humanities) [registry]
  • Sherpa Romeo [registry]
  • Basic Nucleus of Argentine Scientific Journals [registry]
  • Mirab@l [registry]
  • Cabells' Journalytics [registry]
  • CIRC (Integrated Classification of Scientific Journals) [registry]
  • AmeliCA [registry]
  • LILACS (Latin American and Caribbean Health Sciences Literature [registry]
  • EBSCO (Elton Bryson Stephens Company Information Services) [registry]
  • Malena [registry] 
  • Sara Network [registry]
  • SciELO (Scientific Electronic Library Online) [registry]
  • Redalyc (Network of Scientific Journals from Latin America and the Caribbean, Spain and. Portuga) [registry]
 

This journal is licenced under Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0)