The resilience as predictor of Quality of Life in participants with borderline personality disorder before and after of treatment

Abstract

<jats:title>Abstract</jats:title> <jats:p>Background Studies suggested that psychotherapy improved QoL of participants with BPD. However, there are no studies about the differential efficacy of treatments in the QoL of participants with BPD. Moreover, the relationship between QoL and resilience has rarely been studied in participants with BPD. Objectives: a) to examine whether people with BPD have worse QoL than the non-clinical population; b) to examine whether there are statistically significant differences between DBT, STEPPS, and TAU-CBT in the improvement of QoL; c) to examine whether participants show clinically significant improvements in QoL after treatment; d) to analyse whether resilience is associated with QoL before and after the BPD treatment; e) to analyse whether the resilience is a predictor of QoL at pre-treatment and posttreatment. Method: The sample comprised 403 participants (<jats:italic>n</jats:italic> = 202 participants diagnosed with BPD, and <jats:italic>n</jats:italic> = 201 non-clinical). MANOVA and regression analysis were performed. <jats:bold>Results</jats:bold>: participants diagnosed with BPD had statistically significant lower resilience than the non-clinical population, all forms of psychotherapy improved QoL, but there was no clinical change after the treatments, resilience was associated with QoL before and after the treatment of BPD and, resilience was a predictor of QoL before and after the treatment. Conclusion It is necessary to assess QoL in studies of psychotherapy with BPD.</jats:p>

Systems Training for Emotional Predictability and Problem Solving for borderline personality disorder: A systematic review

“…Three RCTs have been performed on STEPPS (Blum et al, 2008; Bos et al, 2010; Bos et al, 2011), with all three reporting follow‐up data. Eleven (uncontrolled) pretreatment versus posttreatment research designs were found (Alesiani et al, 2014; Black et al, 2008, 2013; Blum et al, 2002; Boccalon et al, 2017; González‐González et al, 2021; Guillén et al, 2021; Harvey et al, 2010; Hezelyova et al, 2021; Hill et al, 2016; Llorens Ruiz et al, 2020). One study compared STEPPS with another form of psychotherapy (i.e., DBT; Guillén Botella et al, 2021).…”

“…Except for the study conducted in adolescents (Llorens Ruiz et al, 2020), all studies, including follow‐up data in the RCTs, yielded significant improvements for these questionnaires, with small to large effect sizes. In the study of Guillén et al (2021), participants received either STEPPS, DBT, or TAU. All participants demonstrated improved quality of life, with a small effect size and no significant differences between the groups.…”