Treatment of borderline personality disorder in youth - Biskin (2013) - Artikel
Behandeling van borderline persoonlijkheidsstoornis tijdens de jeugd
Borderline persoonlijkheidsstoornis (BPS) is een veel voorkomende aandoening bij zowel volwassenen als jongeren. Uit veel onderzoek blijkt psychotherapie voor jongeren met BPS effectief te zijn, maar de literatuur die deze veronderstelling steunt is beperkt. Dit artikel is een review van de literatuur omtrent BPS bij adolescenten.
Veel gespecialiseerde behandelingen zijn bestudeerd en geven verschillende resultaten. Er zijn geen gerandomiseerde studies te vinden van dialectische gedragstherapie, terwijl dit wel als eerste plek in de behandelingsrichtlijn staat. Emotie-regulatietraining schijnt niet effectiever te zijn dan de gewone behandeling. Cognitieve analytische therapie schijnt wel een snellere herstelrespons te geven dan de normale therapie, maar dit verschil is echter zeer klein. Mentaal-gebaseerde therapie betreft maar één studie die de effectiviteit ondersteunt bij adolescenten die doen aan zelfverminking. Farmacotherapie schijnt geen bewezen effect te hebben bij adolescenten. De gestructureerde therapie is waarschijnlijk nog de belangrijkste therapeutische interventie bij adolescenten met BPS.
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