Psychological treatment of depression and anxiety in patients with co-morbid personality disorder: A scoping study of trial evidence

L. R.M. French*, K. M. Turner, S. Dawson, P. Moran

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

8 Citations (Scopus)
293 Downloads (Pure)

Abstract

It is unclear what the best psychological treatment is for depression and anxiety in people with co-morbid personality disorder. Trials of different psychological treatment options for this patient group have been conducted, but this evidence has not previously been systematically reviewed or critically appraised. We set out to conduct a scoping review in order to describe which psychological therapies appear most effective in treating depression and/or anxiety in patients with co-morbid personality disorder. PsycINFO, Cochrane library trials, Medline and Embase databases were searched for studies involving randomized, controlled, experimental, parallel-arm comparisons, examining any well-defined, psychotherapeutic intervention for adults, in an outpatient setting, with a clearly defined diagnosis of depression and/or anxiety, and co-morbid personality disorder. A total of 1662 papers were identified. Fifteen met criteria for inclusion and were reviewed. There was weak evidence to support the use of cognitive behavioural therapy as a psychological treatment for depression in patients with co-morbid personality disorder. However, the literature is characterized by considerable methodological heterogeneity, and further research is needed before there is sufficient evidence to indicate which psychological treatment would be most effective in treating anxiety and/or depression in this patient group.

Original languageEnglish
Pages (from-to)101-117
Number of pages17
JournalPersonality and Mental Health
Volume11
Issue number2
Early online date9 May 2017
DOIs
Publication statusPublished - May 2017

Keywords

  • Scoping study
  • Depression
  • Anxiety
  • Personality disorder
  • Mental health
  • Psychological therapies

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