The Efficacy of Schema Therapy for Borderline Personality Disorder: A Meta-Analysis of Randomized Controlled Trials
Abstract
Schema Therapy (ST) has emerged as a promising intervention for Borderline Personality Disorder (BPD), targeting maladaptive schemas and core emotional needs. 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, other psychotherapies) in targeting core symptoms of BPD, including emotional dysregulation, identity disturbance, interpersonal difficulties, and self-harm behaviors. Additionally, it examines potential moderators of treatment outcomes, such as treatment duration, mode of delivery (individual vs. group), therapist experience, and participant characteristics (e.g., age, comorbidities), to better understand the factors influencing the effectiveness of ST for BPD.
This article are supported by WELI Scientific.
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References
- Young, J. E., et al. (2003). Schema therapy: A practitioner's guide. Guilford Press.
- 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.
- Nadort, M., et al. (2009). Two-year follow-up of schema-focused therapy vs transference-focused psychotherapy vs treatment as usual for patients with borderline personality disorder. Journal of Behavior Therapy and Experimental Psychiatry, 40(2), 317-328.
- Farrell, J. M., et al. (2009). Empirical support for the effectiveness of schema therapy in personality disorders. Psychiatric Clinics of North America, 32(4), 689-699.
- Lobbestael, J., et al. (2007). Arntz A. Schema therapy for borderline personality disorder. Cochrane Database of Systematic Reviews, (4), CD005652.
- Bamelis, L. L., et al. (2013). A step forward in the conceptualization and measurement of avoidant personality disorder symptoms: Confirmation of the proposed AVPE questionnaire. Journal of Personality Disorders, 27(2), 204-217.