Imperial College London
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ProfessorMikeCrawford

Faculty of Medicine, Department of Brain Sciences

Professor of Mental Health Research
 
 
 
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Contact

 

+44 (0)20 3313 4161m.crawford

 
 
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Assistant

 

Ms Nicole Hickey +44 (0)20 3313 4161

 
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Location

 

Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Spong:2021:10.1016/j.cpr.2020.101937,
author = {Spong, AJ and Clare, ICH and Galante, J and Crawford, MJ and Jones, PB},
doi = {10.1016/j.cpr.2020.101937},
journal = {Clinical Psychology Review},
pages = {101937--101937},
title = {Brief psychological interventions for borderline personality disorder. A systematic review and meta-analysis of randomised controlled trials},
url = {http://dx.doi.org/10.1016/j.cpr.2020.101937},
volume = {83},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: People with Borderline Personality Disorder (BPD) have limited access to long term psychological therapies. Briefer interventions have been developed but trial evidence to support their use has not been reviewed. AIMS: To examine whether psychological interventions for adults with BPD of six months duration or less improve symptoms, mood, self-harm, suicidal behaviour, and service use. METHODS: The protocol was prospectively registered (PROSPERO CRD42017063777). Database searches were conducted up to April 2020. Inclusion, data extraction and risk of bias were assessed in duplicate. We identified 27 randomised controlled trials. We conducted random-effects meta-analyses sub-grouping data into delivery method, additional support, and comparison type. RESULTS: High levels of bias were found for attrition and reporting. Heterogeneity was high in some pooled data. Borderline symptom reductions were greatest for interventions including additional support (SMD. -1.23, 95% C.I. -2.13, -0.33). Planned generic support may be as effective as specialist interventions for borderline symptoms (SMD = -0.11, 95% C.I. -0.51, 0.29) and social functioning (SMD = -0.16., 95% C.I. -0.65, 0.33). Follow-up was limited and direct comparison with post-intervention results was unreliable. CONCLUSIONS: Short-term interventions may be effective. Access to additional support has an impact on outcomes. It is unclear if symptomatic change is sustained.
AU  - Spong,AJ
AU  - Clare,ICH
AU  - Galante,J
AU  - Crawford,MJ
AU  - Jones,PB
DO  - 10.1016/j.cpr.2020.101937
EP  - 101937
PY  - 2021///
SN  - 0272-7358
SP  - 101937
TI  - Brief psychological interventions for borderline personality disorder. A systematic review and meta-analysis of randomised controlled trials
T2  - Clinical Psychology Review
UR  - http://dx.doi.org/10.1016/j.cpr.2020.101937
UR  - https://www.ncbi.nlm.nih.gov/pubmed/33220550
UR  - http://hdl.handle.net/10044/1/84795
VL  - 83
ER  -
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