Evidence map›Paper›PMID 35701834›Full record

ArticleBorderline personality disorder and emotion dysregulation2022

Improving treatment outcomes for adolescents with borderline personality disorder through a socioecological approach.

Sune Bo, Carla Sharp, Mickey T Kongerslev, Patrick Luyten, Peter Fonagy

Abstract read
In one paragraph

Article in Borderline personality disorder and emotion dysregulation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

5 authors.

Sune BoDepartment of Psychology, University of Copenhagen, Copenhagen, Denmark. subh@regionsjaelland.dk.
Carla SharpDepartment of Psychology, University of Houston, Houston, USA.
Mickey T KongerslevDepartment of Psychology, University of Copenhagen, Copenhagen, Denmark.
Patrick LuytenFaculty of Psychology and Educational Sciences, University of Leuven, Louvain, Belgium.
Peter FonagyResearch Department of Clinical, Educational and Health Psychology, University College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a dearth of studies evaluating treatment efficacy for adolescents diagnosed with borderline personality disorder. The few available randomized controlled trials that have been conducted show modest results and treatments appear to have equivalent effects. The current paper draws on (a) the lessons learnt from the last 50 years of psychotherapy research in general and (b) recent advances in mentalization-based understanding of why treatment works, which together point to the importance of following a socioecological approach in the treatment of personality problems in adolescence - a developmental period that insists on a treatment approach that goes beyond the therapist-client dyad. CASE PRESENTATION: Here, we describe such an approach, and offer a clinical case example with a young 16-year old girl diagnosed with borderline personality disorder, to illustrate what a shift toward a more socioecological approach would entail.

conclusionsThe clinical impact of the socioecological approach and the potential benefits as illustrated in the current case illustration, offers a framework that justifies and allows for the expansion of service delivery for youth with borderline personality disorder beyond dyadic therapist-client work.

Indexed as

AdolescentBPDEpistemic trustMentalization-based treatmentPersonality disordersPsychotherapy researchSocioecological treatmentTreatment

Identifiers

PMID35701834
PMCPMC9199171

What OpenQuestion holds

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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.