Evidence map›Paper›PMID 31830934›Full record

ArticleBMC psychiatry2019

Pharmacotherapy of borderline personality disorder: what has changed over two decades? A retrospective evaluation of clinical practice.

Charles Timäus, Miriam Meiser, Borwin Bandelow, Kirsten R Engel, Anne M Paschke, Jens Wiltfang, Dirk Wedekind

Abstract read
In one paragraph

Article in BMC psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Efficacy of Guanfacine for Self-injurious and Aggressive Behaviors through the Reduction of Impulsivity in Borderline Personality Disorder: Two Case Reports and a Literature Review.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2025
    Article
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  4. Article
  5. Article
  6. Article
  7. Overdose and off-label psychotropic prescribing in patients with borderline personality disorder: A retrospective series.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2023
    Observational
  8. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Charles TimäusDepartment of Psychiatry and Psychotherapy, University Medical Centre, University of Goettingen, Von-Siebold-Straße 5, 37075, Goettingen, Germany. charles.timaeus@med.uni-goettingen.de.ORCID 0000-0002-7154-2427
Miriam MeiserDepartment of Psychiatry and Psychotherapy, University Medical Centre, University of Goettingen, Von-Siebold-Straße 5, 37075, Goettingen, Germany.
Borwin BandelowDepartment of Psychiatry and Psychotherapy, University Medical Centre, University of Goettingen, Von-Siebold-Straße 5, 37075, Goettingen, Germany.
Kirsten R EngelDepartment of Psychiatry and Psychotherapy, University Medical Centre, University of Goettingen, Von-Siebold-Straße 5, 37075, Goettingen, Germany.
Anne M PaschkeDepartment of Psychiatry and Psychotherapy, University Medical Centre, University of Goettingen, Von-Siebold-Straße 5, 37075, Goettingen, Germany.
Jens WiltfangDepartment of Psychiatry and Psychotherapy, University Medical Centre, University of Goettingen, Von-Siebold-Straße 5, 37075, Goettingen, Germany.
Dirk WedekindDepartment of Psychiatry and Psychotherapy, University Medical Centre, University of Goettingen, Von-Siebold-Straße 5, 37075, Goettingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to assess the pharmacological treatment strategies of inpatients with borderline personality disorder between 2008 and 2012. Additionally, we compared pharmacotherapy during this period to a previous one (1996 to 2004).

methodsCharts of 87 patients with the main diagnosis of borderline personality disorder receiving inpatient treatment in the University Medical Center of Goettingen, Germany, between 2008 and 2012 were evaluated retrospectively. For each inpatient treatment, psychotropic drug therapy including admission and discharge medication was documented. We compared the prescription rates of the interval 2008-2012 with the interval 1996-2004.

results94% of all inpatients of the interval 2008-2012 were treated with at least one psychotropic drug at time of discharge. All classes of psychotropic drugs were applied. We found high prescription rates of naltrexone (35.6%), quetiapine (19.5%), mirtazapine (18.4%), sertraline (12.6%), and escitalopram (11.5%). Compared to 1996-2004, rates of low-potency antipsychotics, tri-/tetracyclic antidepressants and mood stabilizers significantly decreased while usage of naltrexone significantly increased.

conclusionsIn inpatient settings, pharmacotherapy is still highly prevalent in the management of BPD. Prescription strategies changed between 1996 and 2012. Quetiapine was preferred, older antidepressants and low-potency antipsychotics were avoided. Opioid antagonists are increasingly used and should be considered for further investigation.

Indexed as

AdultAnticonvulsantsAntidepressive AgentsAntimanic AgentsAntipsychotic AgentsBorderline Personality DisorderFemaleGermanyHospitalizationHumansMaleMiddle AgedNarcotic AntagonistsPrevalencePsychotropic DrugsRetrospective StudiesAnticonvulsantsAntidepressive AgentsAntimanic AgentsAntipsychotic AgentsNarcotic AntagonistsPsychotropic DrugsBorderline personality disorderComorbidityPharmacotherapy

Identifiers

PMID31830934
PMCPMC6909459

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.