Revisión de revisiones sobre la eficacia de los tratamientos psicológicos para adolescentes con trastorno de la personalidad límite

Abstract

Review of reviews on the efficacy of psychological treatments for adolescents with borderline personality disorder. The scientific literature indicates that it is important to carry out early psychological intervention in borderline personality disorder (BPD) due to the fact that adolescence is when a greater upsurge of the most severe symptoms is observed. However, there is little scientific literature on which psychological treatments are most effective for this population. The aim of this paper is to conduct a review of reviews on the efficacy data of psychological treatments for adolescents with traits or diagnosis of BPD or emotional dysregulation. We selected reviews that evaluated the efficacy of psychological treatments in adolescents (between 12 and 19 years old) with this problem. A search of scientific literature was carried out in various databases (Web of Science, PsycInfo, Pubmed, Dialnet) and a total of 5 reviews were included. Dialectical Behavior Therapy for Adolescents (DBT-A) and Mentalization-Based Therapy for Adolescents (MBT-A) have demonstrated efficacy in reducing suicidal ideation, BPD symptoms, anxiety and depression levels, as well as improving social adjustment and quality of life after the intervention. However, some reviews suggest that MBT-A may not be as effective due to high dropout rates. Psychological interventions with more evidence achieve to reduce the most severe symptoms and improve the quality of life of adolescents with this problem. It is essential to intervene as early as possible, which will help prevent the development and chronicity of a severe and difficult-to-treat disorder.