School of Psychology, The University of Sussex, Brighton, UK.
Research & Development and Digital Services, Sussex Partnership NHS Foundation Trust, Worthing, UK.
J Clin Psychol. 2023 Sep;79(9):2155-2185. doi: 10.1002/jclp.23523. Epub 2023 Apr 26.
The present review investigates the impact of digital interventions for individuals with features of borderline personality disorder (BPD)/emotional unstable personality disorder (EUPD) as digital interventions show promise as therapeutic tools in underserved groups. BPD/EUPD features are identified as clinically relevant, yet previous reviews on the use of digital interventions fail to include subthreshold symptomatology.
Five online databases were searched for terminology in three categories: BPD/EUPD and related symptoms, mental-health interventions, and digital technology. Additionally, four relevant journals and two trial registers were searched for additional papers meeting the inclusion criteria.
Twelve articles met all inclusion criteria. Meta-analyses revealed statistically significant differences in symptom measures between intervention and control groups at postintervention and decreases in BPD/EUPD symptomatology and well-being from pre- to postintervention. Service users' engagement, satisfaction, and acceptability of interventions were high. Results support the previous literature on the value of using digital interventions in populations with BPD/EUPD.
Overall, it was identified that digital interventions show promise for successful implementation with this population.
本综述研究了针对具有边缘型人格障碍（BPD）/情绪不稳定型人格障碍（EUPD）特征的个体的数字干预措施的影响，因为数字干预措施作为治疗工具在服务不足的群体中显示出了前景。BPD/EUPD 特征被认为具有临床相关性，但之前关于数字干预措施的综述未能包括亚临床症状。
在三个类别中搜索了五个在线数据库的术语：BPD/EUPD 及相关症状、心理健康干预措施和数字技术。此外，还搜索了四个相关期刊和两个试验登记处，以寻找符合纳入标准的其他论文。
符合所有纳入标准的文章共有 12 篇。荟萃分析显示，在干预后，干预组与对照组在症状测量方面存在统计学显著差异，并且从干预前到干预后，BPD/EUPD 症状和幸福感都有所下降。服务使用者对干预措施的参与度、满意度和接受度都很高。结果支持了之前关于在 BPD/EUPD 人群中使用数字干预措施的价值的文献。
总的来说，数字干预措施在该人群中的成功实施显示出了前景。
