SynthesisThe Australian and New Zealand journal of psychiatry2022
Non-response to psychotherapy for borderline personality disorder: A systematic review.
Synthesis in The Australian and New Zealand journal of psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed, 56 citations in OpenAlex.
- Eye Movement Desensitization and Reprocessing with and without Dialectical Behavior Therapy for Posttraumatic Stress Disorder and Comorbid Borderline Personality Disorder Symptoms: A Randomized Controlled Trial.Psychotherapy and psychosomatics · 2025Trial
- A network perspective on posttraumatic stress disorder and comorbid borderline personality disorder symptoms.European journal of psychotraumatology · 2024Trial
- Personality Traits in Borderline Personality Disorder: A Cluster Analysis Based on the Millon Test Scores.Journal of clinical psychology · 2026Article
- A qualitative description of the daily living functioning of people diagnosed with borderline personality disorder from consumer, carer and clinician perspectives.Australian occupational therapy journal · 2026Review
- A profile of occupational therapy practice in Australia for people diagnosed with borderline personality disorder.Australian occupational therapy journal · 2026Article
- A scoping review of programmes that address the daily living functioning of people diagnosed with borderline personality disorder.The Australian and New Zealand journal of psychiatry · 2026Article
- Positive Constructs in Schema Therapy: A Scoping Review.Journal of clinical psychology · 2026Article
- Holding the treatment frame: borderline features, personality functioning, and psychotherapy dropout in a youth mental health service.Research in psychotherapy (Milano) · 2026Article
- Autobiographical memories as a window into affect, identity and relationship deficits in borderline personality disorder: A controlled investigation.The British journal of clinical psychology · 2026Article
- Neural predictors of psychotherapy response in borderline personality disorder: a mini review of neuroimaging studies.Frontiers in human neuroscience · 2026Review
- Revisiting the prevalence of bipolar disorder: implications of a broader spectrum model.Frontiers in psychiatry · 2026Review
- Psychosocial functioning in personality disorders.Borderline personality disorder and emotion dysregulation · 2025Review
- The validity, reliability and clinical utility of the Alternative DSM-5 Model for Personality Disorders (AMPD) according to DSM-5 revision criteria.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025Article
- Longitudinal Effects of Transcranial Direct Current Stimulation on Daily Rejection-Related Emotions in Borderline Personality Disorder: An Ecological Momentary Assessment Study Protocol.Brain sciences · 2025Article
- Using Case-Based Teaching: Does Our Dysregulated Hospitalized Patient Have Borderline Personality or Autism Spectrum Disorder?Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2025Article
- Persons suffering from severe and persistent mental illness with a persistent death wish: A cross-sectional study of the Reakiro care model.PLOS mental health · 2025Article
- Predicting dropout and non-response to psychotherapy for personality disorders: A study protocol focusing on therapist, patient, and the therapeutic relationship.BMC psychology · 2024Article
- Article
- Borderline personality disorder: a comprehensive review of diagnosis and clinical presentation, etiology, treatment, and current controversies.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024Article
- Distribution of self-reported borderline personality disorder traits symptoms in a large-scale clinical population.Frontiers in psychiatry · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
highlightThis is the first systematic review to investigate non-response to psychotherapy for borderline personality disorder.
backgroundPsychotherapy is the recommended treatment for borderline personality disorder. While systematic reviews have demonstrated the effectiveness of psychotherapy for borderline personality disorder, effect sizes remain small and influenced by bias. Furthermore, the proportion of people who do not respond to treatment is seldom reported or analysed.
objectiveTo obtain an informed estimate of the proportion of people who do not respond to psychotherapy for borderline personality disorder.
methodsSystematic searches of five databases, PubMed, Web of Science, Scopus, PsycINFO and the Cochrane Library, occurred in November 2020. Inclusion criteria: participants diagnosed with borderline personality disorder, treated with psychotherapy and data reporting either (a) the proportion of the sample that experienced 'reliable change' or (b) the percentage of sample that no longer met criteria for borderline personality disorder at conclusion of therapy. Exclusion criteria: studies published prior to 1980 or not in English. Of the 19,517 studies identified, 28 met inclusion criteria.
resultsTwenty-eight studies were included in the review comprising a total of 2436 participants. Average treatment duration was 11 months using well-known evidence-based approaches. Approximately half did not respond to treatment; M = 48.80% (SD = 22.77). LIMITATIONS: Data regarding within sample variability and non-response are seldom reported. Methods of reporting data on dosage and comorbidities were highly divergent which precluded the ability to conduct predictive analyses. Other limitations include lack of sensitivity analysis, and studies published in English only.
conclusionResults of this review suggest that a large proportion of people are not responding to psychotherapy for borderline personality disorder and that factors relating to non-response are both elusive and inconsistently reported. Novel, tailored or enhanced interventions are needed to improve outcomes for individuals not responding to current established treatments.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.