Table 5.
Meta‐analytic evidence for efficacy of psychotherapies vs. treatment as usual (TAU) for borderline personality disorder (BPD)
| n | N | Outcome | SMD (95% CI) | |
|---|---|---|---|---|
| Major forms of psychotherapy vs. TAU 17 | 22 | 1,244 | Severity of BPD symptoms | –0.52 (–0.70 to –0.33) |
| 13 | 616 | Self‐harm | –0.32 (–0.49 to –0.14) | |
| 13 | 666 | Suicide‐related outcomes | –0.34 (–0.57 to –0.11) | |
| 22 | 1,314 | Functioning | –0.45 (–0.68 to –0.22) | |
| Dialectical behavior therapy vs. TAU 17 | 3 | 149 | Severity of BPD symptoms | –0.60 (–1.05 to –0.14) |
| 7 | 376 | Self‐harm | –0.28 (–0.48 to –0.07) | |
| 6 | 225 | Functioning | –0.36 (–0.69 to –0.03) | |
| Psychodynamic therapies vs. TAU 228 | 4 | 213 | Severity of BPD symptoms | –0.65 (–0.99 to –0.32) |
| 5 | 354 | Suicide‐related outcomes | –0.67 (–1.13 to –0.20) | |
| 5 | 392 | Functioning | –0.57 (–1.04 to –0.10) |
Major forms of psychotherapy include dialectical behavior therapy, psychodynamic therapies, cognitive‐behavior therapy, schema therapy, and acceptance and commitment therapy. Psychodynamic therapies include mentalization‐based therapy, transference‐focused therapy, and dynamic deconstructive therapy. SMD – standardized mean difference.