eprintid: 26481 rev_number: 12 eprint_status: archive userid: 1589 dir: disk0/00/02/64/81 datestamp: 2019-05-29 12:11:55 lastmod: 2024-05-27 08:35:19 status_changed: 2019-05-29 12:11:55 type: article metadata_visibility: show creators_name: Simonsen, Sebastian creators_name: Bateman, Anthony creators_name: Bohus, Martin creators_name: Dalewijk, Henk Jan creators_name: Doering, Stephan creators_name: Kaera, Andres creators_name: Moran, Paul creators_name: Renneberg, Babette creators_name: Ribaudi, Joaquim Soler creators_name: Taubner, Svenja creators_name: Wilberg, Theresa creators_name: Mehlum, Lars title: European guidelines for personality disorders: past, present and future subjects: ddc-610 divisions: i-910100 abstract: 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. date: 2019 publisher: BioMed Central id_scheme: DOI ppn_swb: 1669224937 own_urn: urn:nbn:de:bsz:16-heidok-264811 language: eng bibsort: SIMONSENSEEUROPEANGU2019 full_text_status: public publication: Borderline Personality Disorder and Emotion Dysregulation volume: 6 number: 9 place_of_pub: London pagerange: 1-10 issn: 2051-6673 citation: Simonsen, Sebastian ; Bateman, Anthony ; Bohus, Martin ; Dalewijk, Henk Jan ; Doering, Stephan ; Kaera, Andres ; Moran, Paul ; Renneberg, Babette ; Ribaudi, Joaquim Soler ; Taubner, Svenja ; Wilberg, Theresa ; Mehlum, Lars (2019) European guidelines for personality disorders: past, present and future. Borderline Personality Disorder and Emotion Dysregulation, 6 (9). pp. 1-10. ISSN 2051-6673 document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/26481/1/40479_2019_Article_106.pdf