@article{ref1,
title="Psychotherapies for adolescents with subclinical and borderline personality disorder: a systematic review and meta-analysis",
journal="Canadian journal of psychiatry, The",
year="2019",
author="Wong, Jennifer and Bahji, Anees and Khalid-Khan, Sarosh",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Evidence regarding the efficacy of psychotherapy in adolescents with borderline personality disorder (BPD) symptomatology has not been previously synthesized. <br><br>OBJECTIVE: To conduct a systematic review and meta-analysis of the randomized controlled trials (RCTs) in order to assess the efficacy of psychotherapies in adolescents with BPD symptomatology. <br><br>METHODS: Seven electronic databases were systematically searched using the search terms BPD, adolescent, and psychotherapy from database inception to July 2019. Titles/abstracts and full-texts were screened by one reviewer; discrepancies were resolved via consensus. We extracted data on BPD symptomatology, including BPD symptoms, suicide attempts, nonsuicidal self-injury, general psychopathology, functional recovery, and treatment retention. Data were pooled using random-effects models. <br><br>RESULTS: Of 536 papers, seven trials (643 participants) were eligible. Psychotherapy led to significant short-term improvements in BPD symptomatology posttreatment (<i>g</i> = -0.89 [-1.75, -0.02]) but not in follow-up (<i>g</i> = 0.06 [-0.26, 0.39]). There was no significant difference in treatment retention between the experimental and control groups overall (odds ratio [<i>OR</i>] 1.02, 95% confidence interval [CI], 0.92 to 1.12, <i>I</i><sup>2</sup> = 52%). Psychotherapy reduced the frequency of nonsuicidal self-injury (<i>OR</i> = 0.34, 95% CI, 0.16 to 0.74) but not suicide attempts (<i>OR</i> = 1.03, 95% CI, 0.46 to 2.30). <br><br>CONCLUSIONS: There is a growing variety of psychotherapeutic interventions for adolescents with BPD symptomatology that appears feasible and effective in the short term, but efficacy is not retained in follow-up-particularly for frequency of suicide attempts.<p /> <p>Language: en</p>",
language="en",
issn="0706-7437",
doi="10.1177/0706743719878975",
url="http://dx.doi.org/10.1177/0706743719878975"
}