Evidence map›Paper›PMID 39428384›Full record

SynthesisThe British journal of psychiatry : the journal of mental science2025

Pharmacological interventions for co-occurring psychopathology in people with borderline personality disorder: secondary analysis of the Cochrane systematic review with meta-analyses.

Johanne Pereira Ribeiro, Sophie Juul, Mickey T Kongerslev, Mie Sedoc Jørgensen, Birgit A Völlm, Henriette Edemann-Callesen, Christian Sales, Julie P Schaug, Klaus Lieb, Erik Simonsen and 2 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in The British journal of psychiatry : the journal of mental science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Johanne Pereira RibeiroCenter for Evidence-Based Psychiatry, Psychiatric Research Unit, Psychiatry Region Zealand, Slagelse, Denmark; and Department of Psychology, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0001-6019-022X
Sophie JuulCopenhagen Trial Unit, Centre for Clinical Intervention Research, The Capital Region of Denmark, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark; and Stolpegaard Psychotherapy Centre, Mental Health Services in the Capital Region of Denmark, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-6171-2904
Mickey T KongerslevDepartment of Psychology, University of Southern Denmark, Odense, Denmark; and Mental Health Services West, Psychiatry Region Zealand, Slagelse, Denmark.ORCID https://orcid.org/0000-0002-4405-0486
Mie Sedoc JørgensenCenter for Evidence-Based Psychiatry, Psychiatric Research Unit, Psychiatry Region Zealand, Slagelse, Denmark.ORCID https://orcid.org/0000-0003-3320-1231
Birgit A VöllmDepartment for Forensic Psychiatry, University Medicine Rostock, Rostock, Germany.ORCID https://orcid.org/0000-0003-4571-3410
Henriette Edemann-CallesenCenter for Evidence-Based Psychiatry, Psychiatric Research Unit, Psychiatry Region Zealand, Slagelse, Denmark.ORCID https://orcid.org/0000-0002-2436-367X
Christian SalesNottinghamshire Healthcare NHS Foundation Trust, Nottingham, UK.ORCID https://orcid.org/0000-0001-6049-0644
Julie P SchaugCenter for Evidence-Based Psychiatry, Psychiatric Research Unit, Psychiatry Region Zealand, Slagelse, Denmark.ORCID https://orcid.org/0000-0002-1283-4024
Klaus LiebDepartment of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany.ORCID https://orcid.org/0000-0002-9609-4261
Erik SimonsenMental Health Services East, Copenhagen University Hospital, Psychiatry Region Zealand, Copenhagen, Denmark; and Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-6134-2392
Jutta M Stoffers-WinterlingDepartment of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany.ORCID https://orcid.org/0000-0001-5286-8133
Ole Jakob StorebøCenter for Evidence-Based Psychiatry, Psychiatric Research Unit, Psychiatry Region Zealand, Slagelse, Denmark; and Department of Psychology, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0003-0204-7745

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedications are commonly used to treat co-occurring psychopathology in persons with borderline personality disorder (BPD).

aimsTo systematically review and integrate the evidence of medications for treatment of co-occurring psychopathology in people with BPD, and explore the role of comorbidities.

methodBuilding on the current Cochrane review of medications in BPD, an update literature search was done in March 2024. We followed the methods of this Cochrane review, but scrutinised all identified placebo-controlled trials

resultsTwenty-two trials were available for quantitative analyses. For antipsychotics, we found very-low-certainty evidence (VLCE) of an effect on depressive symptoms (standardised mean difference (SMD) -0.22,

conclusionsOur findings, based on VLCE and LCE only, do not support the use of pharmacological interventions in people with BPD to target co-occurring psychopathology. Overall, the current evidence does not support differential treatment effects in persons with versus without defined comorbidities. Medications should be used cautiously to target co-occurring psychopathology.

Indexed as

Borderline Personality DisorderComorbidityHumansclinical trialsComorbiditymental health servicespersonality disorderspharmaceutical drug trial

Identifiers

PMID39428384
PMCPMC12038388

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.