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Impulsivity and its Therapeutic Management in Borderline Personality Disorder: a Systematic Review.

Authors
  • Mungo, Anaïs1
  • Hein, Matthieu2
  • Hubain, Philippe2
  • Loas, Gwenolé2
  • Fontaine, Philippe3
  • 1 Erasme Hospital, Department of Psychiatry and Sleep Laboratory, Université libre de Bruxelles, Route de Lennik, 808-1070, Anderlecht, Belgium. [email protected]lb.ac.be. , (Belgium)
  • 2 Erasme Hospital, Department of Psychiatry and Sleep Laboratory, Université libre de Bruxelles, Route de Lennik, 808-1070, Anderlecht, Belgium. , (Belgium)
  • 3 Department of Psychiatry, CHC Liège - site Saint Vincent, Rocourt, Belgium. , (Belgium)
Type
Published Article
Journal
Psychiatric Quarterly
Publisher
Springer-Verlag
Publication Date
Sep 28, 2020
Identifiers
DOI: 10.1007/s11126-020-09845-z
PMID: 32989635
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

No treatment has been approved and recognized as effective in borderline personality disorder (BPD). Impulsivity is a key dimension because it is a predictor of remission but also suicide. The purpose of this review is to establish an inventory on the management of impulsivity in BPD and determine the effective treatments. A systematic review on the PubMed and Ovid databases was conducted up to September 2019 to December 2019 using the PRISMA guidelines. The inclusion criteria were: studies with patients with borderline personality disorder, were published between 1989 and 2019, used English-language and evaluated impulsivity before and after treatment. 41 articles selected were included for pharmacological treatment. 24 articles were found for psychotherapeutic management and one randomized study of transcranial magnetic stimulation. Based on this review, we must focus on psychotherapy in BPD, particularly the schema therapy, dialectical behavioral therapy, psychoeducation, system training of emotional predictability and problem solving and psychotherapy using mentalisation. The use of neuroleptics and mood stabilizers appears to be more effective than antidepressants. Another approach, such as transcranial magnetic stimulation, may prove useful in the near future if this technique is studied further.

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