Abstract
BackgroundStudies have suggested that psychotherapy improves the Quality of Life (QoL) of participants with Borderline Personality Disorder (BPD). However, there are no studies on the differential efficacy of treatments on the QoL of participants with BPD. Moreover, the relationship between QoL and resilience has rarely been studied in participants with BPD. Objectives: a) to examine whether people with BPD have worse QoL than the non-clinical population; b) to examine whether there are statistically significant differences between Dialectical Behavioural Therapy (DBT), Systems Training for Emotional Predictability and Problem Solving (STEPPS), or Cognitive Behavioural Therapy-Treatment at Usual (CBT-TAU) in the improvement of QoL; c) to examine whether participants show clinically significant improvements in QoL after treatment; d) to analyse whether resilience is associated with QoL before and after the BPD treatment; e) to analyse whether resilience is a predictor of QoL at pre-treatment and posttreatment.MethodThe sample comprised 403 participants (n = 202 participants diagnosed with BPD and n = 201 non-clinical). Participants filled out the Quality of Life Index, Resilience Scale, and Beck Depression Inventory. The clinical participants received one of these possible treatments, DBT, STEPPS, or CBT-TAU. MANOVA and regression analyses were performed.Resultsa) participants diagnosed with BPD had statistically significant lower resilience than the non-clinical population; b) all three forms of psychotherapy statistically improved QoL, but there were no statistically significant differences between DBT, STEPPS, and CBT-TAU in the improvement of QoL; c) participants did not show clinically significant improvements in QoL after treatment; d) resilience was associated with QoL before and after treatment; and e) resilience was a predictor of QoL before and after treatment.ConclusionIt is necessary to assess QoL and Resilience in studies on psychotherapy with BPD patients.
Highlights
Studies have suggested that psychotherapy improves the Quality of Life (QoL) of participants with Borderline Personality Disorder (BPD)
Andersson, Asberg and Samuelsson [5] found that Quality of life (QoL) scores in Swedish participants with Borderline personality disorder (BPD) were more than one standard deviation below the scores of the non-clinical population
The objectives of the study are: a) to examine whether people with BPD have worse QoL than the non-clinical population; b) to examine whether there are statistically significant differences between Dialectical Behavioural Therapy (DBT), STEPPS, and Treatment as usual (TAU)-Cognitive-Behavioural Therapy (CBT) in the improvement in QoL; c) to examine whether participants show clinically significant improvements in QoL after treatment; d) to analyse whether resilience is associated with QoL before and after the BPD treatment; and e) to analyse whether resilience is a predictor of QoL at pretreatment and posttreatment
Summary
Studies have suggested that psychotherapy improves the Quality of Life (QoL) of participants with Borderline Personality Disorder (BPD). Cramer, Torgersen and Kringlen [7] found that people with BPD (along with avoidant, schizotypal, schizoid, and paranoid personality disorders) had poorer QoL compared to those with no BPD, and low QoL was associated with lower subjective well-being and more negative life events. Other studies found that QoL declines due to: the symptomatology of the disorder, comorbidities with other mental conditions [8], suicide attempts and self-harm [9], hospitalizations [10], physical illnesses [11], shame, low self-esteem, anger, and hostility [12]. Despite results suggesting that QoL is highly impaired in people with BPD, the research on QoL in BPD is scarce
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