Guillén Verónica, Díaz-García Amanda, Mira Adriana, García-Palacios Azucena, Escrivá-Martínez Tamara, Baños Rosa, Botella Cristina
Department of Personality, Evaluation, and Psychological Treatment, University of Valencia, València, Spain.
CIBER of Physiopathology of Obesity and Nutrition, Madrid, Spain.
Fam Process. 2021 Mar;60(1):134-144. doi: 10.1111/famp.12537. Epub 2020 Apr 17.
Carers of patients with borderline personality disorder (BPD) experience high levels of distress. Several studies have been carried out on interventions designed to decrease their burden. However, the evidence from these studies has not been summarized. The objective of this work is to explore the clinical utility of interventions developed for family members of patients with BPD. A systematic review was conducted following the PRISMA guidelines (registration number CRD42018107318), including psychological interventions focused on relatives of patients with BPD. The following databases were used: PsycINFO, PubMed, EBSCOhost, and Web of Science. Two independent researchers reviewed the studies to determine whether the eligibility criteria were met. A total of 2,303 abstracts were identified. After duplicates had been removed, 1,746 studies were screened. Finally, 433 full-text articles were reviewed, yielding 11 studies that satisfied the inclusion criteria. Results show that these interventions with different clinical formats and settings are effective. The quality of the included studies varies, and the empirical support for these programs is still preliminary. The results help to establish a general framework for interventions specifically developed for family members of patients with BPD, but additional efforts should be made to improve the methodological quality of this field of research and more solidly determine the utility of these interventions. Given the paucity of data so far, this information may open up new lines of research to improve the effectiveness of future programs for carers of patients with BPD and help to reduce their burden.
边缘型人格障碍（BPD）患者的照料者承受着高度的痛苦。针对旨在减轻他们负担的干预措施已开展了多项研究。然而，这些研究的证据尚未得到总结。这项工作的目的是探讨为BPD患者家属开发的干预措施的临床效用。按照PRISMA指南（注册号CRD42018107318）进行了一项系统综述，纳入了针对BPD患者亲属的心理干预措施。使用了以下数据库：PsycINFO、PubMed、EBSCOhost和科学网。两名独立研究人员对这些研究进行了审查，以确定是否符合纳入标准。共识别出2303篇摘要。去除重复项后，筛选了1746项研究。最后，对433篇全文文章进行了审查，有11项研究符合纳入标准。结果表明，这些具有不同临床形式和背景的干预措施是有效的。纳入研究的质量参差不齐，对这些项目的实证支持仍处于初步阶段。这些结果有助于为专门为BPD患者家属开发的干预措施建立一个总体框架，但应做出更多努力来提高该研究领域的方法学质量，并更确切地确定这些干预措施的效用。鉴于目前数据匮乏，这些信息可能会开辟新的研究方向，以提高未来针对BPD患者照料者项目的有效性，并有助于减轻他们的负担。
