Abstract
Background
Guidelines for the treatment and management of ‘personality disorders’ have been introduced to provide guidance on best practice based on evidence and views of key stakeholders. However, guidance varies and there is yet to be an overall, internationally recognised consensus on the best mental health care for people with ‘personality disorders’.
Aims
We aimed to identify and synthesise recommendations made by different mental health organisations from across the world on community treatment for people with ‘personality disorders’.
Methods
This systematic review consisted of three stages: 1. systematic literature and guideline search, 2. quality appraisal, and 3. data synthesis. We combined a search strategy involving both systematic searching of bibliographic databases and supplementary search methods of grey literature. Key informants were also contacted to further identify relevant guidelines. Codebook thematic analysis was then conducted. The quality of all included guidelines was assessed and considered alongside results.
Results
After synthesising 29 guidelines from 11 countries and 1 international organisation, we identified four main domains, with a total of 27 themes. Important key principles on which there was consensus included continuity of care, equity of access, accessibility of services, availability of specialist care, taking a whole systems approach, trauma informed approaches, and collaborative care planning and decision making.
Conclusions
Existing international guidelines shared consensus on a set of principles for the community treatment of ‘personality disorders’. However, half of the guidelines were of lower methodological quality, with many recommendations not backed by evidence.
Publisher
Public Library of Science (PLoS)
Reference65 articles.
1. Diagnostic and Statistical Manual of Mental Disorders
2. Life expectancy at birth and all-cause mortality among people with personality disorder;ML-Y Fok;Journal of psychosomatic research,2012
3. Deaths by suicide and other causes among patients with borderline personality disorder and personality-disordered comparison subjects over 24 years of prospective follow-up;CM Temes;The Journal of clinical psychiatry,2019
4. DSM-IV personality disorders in the WHO World Mental Health Surveys.;Y Huang;Br J Psychiatry,2009
5. The prevalence of personality disorders in the community: a global systematic review and meta-analysis.;C Winsper;Br J Psychiatry,2020
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献