Borderline Personality Disorder: Review of the Effectiveness of Evidence-Based Therapeutic Interventions.

Abstract

Borderline personality disorder is a complex and heterogeneous disorder, characterized by instability in the regulation of emotions and alterations in interpersonal relationships and self-image. Studies conducted in recent years have assessed the efficacy of various psychotherapeutic strategies for the reduction of specific symptoms and the treatment of the disorder itself. The aim of this paper is to provide a review of evidence-based psychotherapies that have been shown to be effective in the treatment of BPD. The scientific evidence allows us to realize that psychotherapies that have a more structured design and operability have a more significant efficacy both in achieving an improvement of the particular symptomatology and the general nosological picture of BPD. Differences are found in the interventions according to the factors in which each one has greater impact, this can contribute to make informed decisions on the choice of treatments based on the specific interest of each researcher or the needs of each case, achieving a broader and more functional vision of the disorder mostly patient-centered. An analysis is made of the evidence-based interventions that have been specifically designed for the treatment of BPD, as well as a review of the comparative efficacy of some of them, and finally, studies showing the neuropsychological correlates of the application of some of the treatments are included.