European guidelines for personality disorders : Past, present and future
Simonsen, Sebastian (Stolpegaard Psychotherapy Centre)
Bateman, Anthony (University of Copenhagen)
Bohus, Martin (Heidelberg University)
Dalewijk, Henk Jan (Private Practice)
Doering, Stephan (Medical University of Vienna)
Kaera, Andres (Kanta-Häme Central Hospital)
Moran, Paul (University of Bristol)
Renneberg, B. (Freie Universität Berlin)
Soler, Joaquim (Institut d'Investigació Biomèdica Sant Pau)
Taubner, Svenja (Universität Heidelberg)
Wilberg, Theresa (University of Oslo)
Mehlum, Lars (University of Oslo)
Universitat Autònoma de Barcelona

Data:	2019
Resum:	Personality disorders (PD) are common and burdensome mental disorders. The treatment of individuals with PD represents one of the more challenging areas in the field of mental health and health care providers need evidence-based recommendations to best support patients with PDs. Clinical guidelines serve this purpose and are formulated by expert consensus and/or systematic reviews of the current evidence. In this review, European guidelines for the treatment of PDs are summarized and evaluated. To date, eight countries in Europe have developed and published guidelines that differ in quality with regard to recency and completeness, transparency of methods, combination of expert knowledge with empirical data, and patient/service user involvement. Five of the guidelines are about Borderline personality disorder (BPD), one is about antisocial personality disorder and three concern PD in general. After evaluating the methodological quality of the nine European guidelines from eight countries, results in the domains of diagnosis, psychotherapy and pharmacological treatment of PD are discussed. Our comparison of guidelines reveals important contradictions between recommendations in relation to diagnosis, length and setting of treatment, as well as the use of pharmacological treatment. All the guidelines recommend psychotherapy as the treatment of first choice. Future guidelines should rigorously follow internationally accepted methodology and should more systematically include the views of patients and users.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Guidelines ; Personality disorders ; Recommendations
Publicat a:	Borderline personality disorder and emotion dysregulation, Vol. 6 Núm. 1 (21 2019) , p. 9, ISSN 2051-6673

DOI: 10.1186/s40479-019-0106-3
PMID: 31143448

10 p, 614.6 KB

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