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Impulsivity and its Therapeutic Management in Borderline Personality Disorder: a Systematic Review.

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Title: Impulsivity and its Therapeutic Management in Borderline Personality Disorder: a Systematic Review.
Authors: Mungo, Anaïs (AUTHOR), Hein, Matthieu (AUTHOR), Hubain, Philippe (AUTHOR), Loas, Gwenolé (AUTHOR), Fontaine, Philippe (AUTHOR)
Source: Psychiatric Quarterly. Dec2020, Vol. 91 Issue 4, p1333-1362. 30p. 1 Diagram, 4 Charts.
Subjects: Borderline personality disorder, Dialectical behavior therapy, Transcranial magnetic stimulation, Meta-analysis, Behavior therapy, Mood stabilizers, Inventory control
Abstract: No treatment has been approved and recognized as effective in borderline personality disorder (BPD). Impulsivity is a key dimension because it is a predictor of remission but also suicide. The purpose of this review is to establish an inventory on the management of impulsivity in BPD and determine the effective treatments. A systematic review on the PubMed and Ovid databases was conducted up to September 2019 to December 2019 using the PRISMA guidelines. The inclusion criteria were: studies with patients with borderline personality disorder, were published between 1989 and 2019, used English-language and evaluated impulsivity before and after treatment. 41 articles selected were included for pharmacological treatment. 24 articles were found for psychotherapeutic management and one randomized study of transcranial magnetic stimulation. Based on this review, we must focus on psychotherapy in BPD, particularly the schema therapy, dialectical behavioral therapy, psychoeducation, system training of emotional predictability and problem solving and psychotherapy using mentalisation. The use of neuroleptics and mood stabilizers appears to be more effective than antidepressants. Another approach, such as transcranial magnetic stimulation, may prove useful in the near future if this technique is studied further. [ABSTRACT FROM AUTHOR]
Copyright of Psychiatric Quarterly is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Impulsivity and its Therapeutic Management in Borderline Personality Disorder: a Systematic Review.
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  Data: <searchLink fieldCode="AR" term="%22Mungo%2C+Anaïs%22">Mungo, Anaïs</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hein%2C+Matthieu%22">Hein, Matthieu</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hubain%2C+Philippe%22">Hubain, Philippe</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Loas%2C+Gwenolé%22">Loas, Gwenolé</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fontaine%2C+Philippe%22">Fontaine, Philippe</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psychiatric+Quarterly%22">Psychiatric Quarterly</searchLink>. Dec2020, Vol. 91 Issue 4, p1333-1362. 30p. 1 Diagram, 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Borderline+personality+disorder%22">Borderline personality disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Dialectical+behavior+therapy%22">Dialectical behavior therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Transcranial+magnetic+stimulation%22">Transcranial magnetic stimulation</searchLink><br /><searchLink fieldCode="DE" term="%22Meta-analysis%22">Meta-analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+therapy%22">Behavior therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Mood+stabilizers%22">Mood stabilizers</searchLink><br /><searchLink fieldCode="DE" term="%22Inventory+control%22">Inventory control</searchLink>
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  Data: No treatment has been approved and recognized as effective in borderline personality disorder (BPD). Impulsivity is a key dimension because it is a predictor of remission but also suicide. The purpose of this review is to establish an inventory on the management of impulsivity in BPD and determine the effective treatments. A systematic review on the PubMed and Ovid databases was conducted up to September 2019 to December 2019 using the PRISMA guidelines. The inclusion criteria were: studies with patients with borderline personality disorder, were published between 1989 and 2019, used English-language and evaluated impulsivity before and after treatment. 41 articles selected were included for pharmacological treatment. 24 articles were found for psychotherapeutic management and one randomized study of transcranial magnetic stimulation. Based on this review, we must focus on psychotherapy in BPD, particularly the schema therapy, dialectical behavioral therapy, psychoeducation, system training of emotional predictability and problem solving and psychotherapy using mentalisation. The use of neuroleptics and mood stabilizers appears to be more effective than antidepressants. Another approach, such as transcranial magnetic stimulation, may prove useful in the near future if this technique is studied further. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psychiatric Quarterly is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=146680198
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        Value: 10.1007/s11126-020-09845-z
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              Text: Dec2020
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