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The Effectiveness of Schema Therapy for Borderline Personality Disorder: A Meta-Analysis of Randomized Controlled Trials
Abstract
Schema Therapy (ST) has emerged as a promising treatment approach for Borderline Personality Disorder (BPD). This meta-analysis of randomized controlled trials (RCTs) evaluates the efficacy of ST in reducing BPD symptoms and improving overall functioning in individuals with BPD. Through a comprehensive review of the literature, the meta-analysis synthesizes effect sizes from RCTs assessing the effectiveness of ST compared to control conditions (e.g., treatment as usual, supportive therapy) in targeting core symptoms of BPD, including affect dysregulation, unstable relationships, identity disturbance, and self-harm behaviors. Additionally, it examines potential moderators of treatment outcomes, such as treatment duration, mode of delivery (individual vs. group), therapist expertise, and participant characteristics (e.g., trauma history, comorbidities), to better understand the factors influencing the effectiveness of ST for BPD.
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References
- Farrell, J. M., et al. (2009). Schema therapy for borderline personality disorder. Wiley.
- Young, J. E., et al. (2003). Schema therapy: A practitioner's guide. Guilford Press.
- Nadort, M., et al. (2009). Implementation of outpatient schema therapy for borderline personality disorder with versus without crisis support by the therapist outside office hours: A randomized trial. Behavior Research and Therapy, 47(11), 961-973.
- Giesen-Bloo, J., et al. (2006). Outpatient psychotherapy for borderline personality disorder: Randomized trial of schema-focused therapy vs. transference-focused psychotherapy. Archives of General Psychiatry, 63(6), 649-658.
- Young, J. E., et al. (2007). Schema-focused therapy for personality disorders. New York: Guilford Press.
- Nadort, M., et al. (2010). Two-year follow-up of schema therapy for personality disorders. Journal of Behavior Therapy and Experimental Psychiatry, 41(3), 402-410.