Psychological, social and pharmacological prevention and interventions for young people with emerging, subthreshold or diagnosed personality disorders: A systematic review.

Résumé

Despite increasing recognition of personality disorder traits in adolescence, there is currently no systematic review that synthesises evidence across all intervention types and across the full spectrum of personality disorders in young people. This systematic review aims to describe existing psychological, psychosocial and pharmacological prevention and interventions for young people with PDs. Medline, Embase, PsycINFO, and Web of Science were used to retrieve studies. Effective Public Health Practice Project and Critical Skills Appraisal tools was used to assess risk of bias. Studies were included if they examined a prevention or intervention for individuals up to and including the age of 25 years with a PD. Findings were analysed using a narrative synthesis. Overall, forty-three studies were included. Thirteen studies evaluated Dialectical Behaviour Therapy, mostly for borderline PD (BPD), with six reporting significant symptom reductions (p