PMID- 31143448
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231011
IS  - 2051-6673 (Print)
IS  - 2051-6673 (Electronic)
IS  - 2051-6673 (Linking)
VI  - 6
DP  - 2019
TI  - European guidelines for personality disorders: past, present and future.
PG  - 9
LID - 10.1186/s40479-019-0106-3 [doi]
LID - 9
AB  - Personality disorders (PD) are common and burdensome mental disorders. The 
      treatment of individuals with PD represents one of the more challenging areas in 
      the field of mental health and health care providers need evidence-based 
      recommendations to best support patients with PDs. Clinical guidelines serve this 
      purpose and are formulated by expert consensus and/or systematic reviews of the 
      current evidence. In this review, European guidelines for the treatment of PDs 
      are summarized and evaluated. To date, eight countries in Europe have developed 
      and published guidelines that differ in quality with regard to recency and 
      completeness, transparency of methods, combination of expert knowledge with 
      empirical data, and patient/service user involvement. Five of the guidelines are 
      about Borderline personality disorder (BPD), one is about antisocial personality 
      disorder and three concern PD in general. After evaluating the methodological 
      quality of the nine European guidelines from eight countries, results in the 
      domains of diagnosis, psychotherapy and pharmacological treatment of PD are 
      discussed. Our comparison of guidelines reveals important contradictions between 
      recommendations in relation to diagnosis, length and setting of treatment, as 
      well as the use of pharmacological treatment. All the guidelines recommend 
      psychotherapy as the treatment of first choice. Future guidelines should 
      rigorously follow internationally accepted methodology and should more 
      systematically include the views of patients and users.
FAU - Simonsen, Sebastian
AU  - Simonsen S
AUID- ORCID: 0000-0002-5488-7562
AD  - Stolpegaard Psychotherapy Centre, Copenhagen, Denmark.
FAU - Bateman, Anthony
AU  - Bateman A
AD  - University College, London and Anna Freud National Centre for Children and 
      Families, University of Copenhagen, London, UK.
FAU - Bohus, Martin
AU  - Bohus M
AD  - 3Institute of Psychiatric and Psychosomatic Psychotherapy; Central Institute of 
      Mental Health, Heidelberg University, Mannheim, Germany. ISNI: 0000 0001 2190 
      4373. GRID: grid.7700.0
FAU - Dalewijk, Henk Jan
AU  - Dalewijk HJ
AD  - Private practice, Weesp, The Netherlands.
FAU - Doering, Stephan
AU  - Doering S
AD  - 5Department of Psychoanalysis and Psychotherapy, Medical University of Vienna, 
      Vienna, Austria. ISNI: 0000 0000 9259 8492. GRID: grid.22937.3d
FAU - Kaera, Andres
AU  - Kaera A
AD  - 6Kanta-Hame Central Hospital, Hameenlinna, Finland. ISNI: 0000 0004 0628 3152. 
      GRID: grid.413739.b
FAU - Moran, Paul
AU  - Moran P
AD  - 7Centre for Academic Mental Health, Department of Population Health Sciences, 
      Bristol Medical School, University of Bristol, Bristol, UK. ISNI: 0000 0004 1936 
      7603. GRID: grid.5337.2
FAU - Renneberg, Babette
AU  - Renneberg B
AD  - 8Freie Universitat, Berlin, Germany. ISNI: 0000 0000 9116 4836. GRID: 
      grid.14095.39
FAU - Ribaudi, Joaquim Soler
AU  - Ribaudi JS
AD  - 9Department of Psychiatry, Hospital de la Santa Creu i Sant Pau, Barcelona, 
      Spain. ISNI: 0000 0004 1768 8905. GRID: grid.413396.a
AD  - 10Centro de Investigacion Biomedica en Red de Salud Mental, CIBERSAM, Madrid, 
      Spain. GRID: grid.469673.9
FAU - Taubner, Svenja
AU  - Taubner S
AD  - 11Universitatsklinikum Heidelberg | Universitat Heidelberg, Heidelberg, Germany. 
      ISNI: 0000 0001 2190 4373. GRID: grid.7700.0
FAU - Wilberg, Theresa
AU  - Wilberg T
AD  - Department of Research and Development, Division of Mental Health and Addiction, 
      Oslo University Hospital and Institute of Clinical Medicine, University of Oslo, 
      Oslo, Norway.
FAU - Mehlum, Lars
AU  - Mehlum L
AD  - 13National Centre for Suicide Research and Prevention, Institute of Clinical 
      Medicine, University of Oslo, Oslo, Norway. ISNI: 0000 0004 1936 8921. GRID: 
      grid.5510.1
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20190521
PL  - England
TA  - Borderline Personal Disord Emot Dysregul
JT  - Borderline personality disorder and emotion dysregulation
JID - 101650634
PMC - PMC6530178
OTO - NOTNLM
OT  - Guidelines
OT  - Personality disorders
OT  - Recommendations
COIS- Competing interestsSS, AB, MB, SD, JSR and LM are either presently involved or 
      have previously been involved in randomized controlled trial of MBT, DBT and TFP. 
      SS was part of the workgroup for the Danish guidelines. AB and PAM were part of 
      the workgroup for the British guidelines. MB, BR and ST have either previously or 
      are presently involved in development of the German guidelines.
EDAT- 2019/05/31 06:00
MHDA- 2019/05/31 06:01
PMCR- 2019/05/21
CRDT- 2019/05/31 06:00
PHST- 2019/03/11 00:00 [received]
PHST- 2019/04/30 00:00 [accepted]
PHST- 2019/05/31 06:00 [entrez]
PHST- 2019/05/31 06:00 [pubmed]
PHST- 2019/05/31 06:01 [medline]
PHST- 2019/05/21 00:00 [pmc-release]
AID - 106 [pii]
AID - 10.1186/s40479-019-0106-3 [doi]
PST - epublish
SO  - Borderline Personal Disord Emot Dysregul. 2019 May 21;6:9. doi: 
      10.1186/s40479-019-0106-3. eCollection 2019.