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The Efficacy of Schema Therapy for Borderline Personality Disorder: A Meta-Analysis of Randomized Controlled Trials
Abstract
Schema Therapy (ST) has gained recognition as a promising intervention for Borderline Personality Disorder (BPD), addressing maladaptive schemas and coping styles underlying persistent emotional dysregulation and dysfunctional interpersonal patterns. 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 an extensive literature review, 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 symptoms of BPD, including affective instability, identity disturbance, interpersonal problems, and impulsivity. Additionally, it examines potential moderators of treatment outcomes, such as treatment duration, therapist experience, treatment format (individual vs. group), and participant characteristics (e.g., age, comorbidities), to better understand the factors influencing the effectiveness of ST for BPD.
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References
- Young, J. E., et al. (2003). Schema therapy: A practitioner's guide. Guilford Press.
- Farrell, J. M., et al. (2009). A schema-focused approach to group psychotherapy for outpatients with borderline personality disorder: A randomized controlled trial. Journal of Behavior Therapy and Experimental Psychiatry, 40(2), 317-328.
- Nadort, M., et al. (2009). Cost-effectiveness of schema therapy and clarification-oriented psychotherapy in patients with personality disorder: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 77(4), 585-596.
- 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.
- Lobbestael, J., et al. (2010). Effectiveness of different modalities of psychotherapeutic treatment for patients with cluster C personality disorders: Results of a large prospective multicentre study. Psychotherapy and Psychosomatics, 79(1), 20-30.
- Renner, F., et al. (2013). Long-term effects of short-term psychodynamic psychotherapy and cognitive-behavioural therapy in cluster C personality disorders. British Journal of Psychiatry, 202(3), 213-214.