PSY FPX 7411 Assessment 1 Annotated Bibliography

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Capella University

PSY FPX 7411 Learning Theories in Psychology

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Date

Annotated Bibliography

In the article “Early Intervention for Adolescents with Borderline Personality Disorder Using Cognitive Analytic Therapy,” a study was conducted with the primary aim of analyzing symptoms before and after treatment/intervention in patients diagnosed with Borderline Personality Disorder (BPD). The interventions and treatments used in this study included a combination of cognitive analytic therapy, case management, psychiatric care, and in-patient care, specifically focusing on the frequency of parasuicide. The participants, aged between 17 and 22 years, were diagnosed with BPD and observed over two years. The sample size was determined using the SCID-II borderline personality disorder dimensional score and the Youth Self-Report questionnaire scores.

The researchers sought the most effective options for early intervention. The methods employed included therapy, psychiatric approaches, particularly Cohen’s qualitative guidelines, and the HYPE model, all conducted in weekly sessions over 24 weeks. This study significantly enriched the evidence base for psychotherapy concerning BPD. The results demonstrated that early intervention is both possible and effective for BPD patients, with cognitive analytic therapy yielding the most substantial benefits. This intervention is highly recommended due to its positive outcomes. Overall, the article was well-organized, making it easily comprehensible and thorough in its explanations of the study and results.

The article “What Works in the Treatment of Borderline Personality Disorder” summarizes the latest findings and evidence in BPD treatment. The evidence highlighted that the integration of dialectical behavior therapy (DBT) was the most beneficial among the treatments. Although BPD was once considered an untreatable mental illness and there are still no official psychopharmacologic treatments for it, further research and evidence-based practices have established DBT as a leading intervention. The studies reviewed in this research focused on various therapeutic treatments, including DBT, mentalization-based treatment (MBT), schema-focused therapy (SFT), transference-focused psychotherapy (TFP), and systems training for emotional predictability and problem-solving (STEPPS).

PSY FPX 7411 Assessment 1 Annotated Bibliography

The subjects in this study were adults diagnosed with BPD in the last five years. The goal was to identify the most effective treatment by comparing the different types of therapy mentioned above in various combinations. The study confirmed that while all therapies provided some benefit, DBT was particularly effective. These findings strengthened the theories regarding BPD treatment, particularly with the significant positive impact of DBT. This intervention is highly recommended for individuals with BPD. While the article was informative, finding specific information, such as details about the subjects, was somewhat challenging. However, the descriptions of the different therapeutic treatments were thoroughly explained.

The article “Dialectical Behavior Therapy for High Suicide Risk in Individuals with Borderline Personality Disorder: A Randomized Clinical Trial and Component Analysis,” published in JAMA Psychiatry, focused on proving DBT as the leading intervention for those suffering from BPD. The study aimed to evaluate and provide evidence of the importance of DBT skills. It was implemented through a single-blind randomized clinical trial from 2004-2010, with each subject observed for one year of treatment and one year post-treatment. The subjects, all women, had a history of at least two suicide attempts and/or non-suicidal self-injury (NSSI) acts within the last five years.

Measurements were conducted using criteria from the DSM-IV, the Hamilton Rating Scale for Depression, and the Hamilton Rating Scale for Anxiety, with a strong focus on suicide attempts and NSSI. The findings indicated that all treatments provided improvements, but certain types of DBT therapy, such as standard DBT, had better results, including lower dropout rates compared to DBT-I (Individual) or DBT-S (involving a caseworker). These findings strengthened the case for DBT treatment, as the results closely mirrored other research findings, making this a highly recommended intervention. The article was well-organized and easy to read, although some acronyms were not explained, requiring further research for full comprehension.

PSY FPX 7411 Assessment 1 Annotated Bibliography

The article “Pharmacological Interventions for Borderline Personality Disorder” focused on the pharmaceutical treatment of BPD, which is often overlooked because it targets the affective or impulsive symptoms of the condition. The study compared the effects of drugs versus placebo and/or drug versus drug in patients with BPD, following criteria from the DSM-IV. The research involved 28 trials with 1,742 subjects, using a range of first-generation antipsychotics, second-generation antipsychotics, mood stabilizers, antidepressants, and dietary supplements. The study sought evidence of the benefits of certain drug combinations or the lack thereof. The results indicated that second-generation antipsychotics, mood stabilizers, and dietary supplements provided some benefits, while other factors had little to no effect on the treatment of BPD symptoms.

Given that the symptoms were the primary focus, this intervention is recommended for those seeking pharmacological treatment, but it should be combined with other therapeutic options. The article was concise and effectively communicated the most valuable information and findings on the subject.The article “Recent Developments in Psychosocial Interventions for Borderline Personality Disorder” provides a thorough description of BPD and its symptoms, along with some common comorbid conditions. It also presents the most recent research findings on treating or intervening in BPD cases. The studies primarily focused on treating BPD with comorbid conditions, employing common treatment methods such as DBT, STEPPS, and MBT, with a particular emphasis on a technology-based approach.

This approach extended access to care for patients, addressing the typically long wait times for in-person therapy and the overall difficulty in seeking treatment for this serious mental condition. It also shortened the intervention timeline for younger patients, as web-based interventions made it easier for young adults and adolescents to seek and receive treatment sooner. This intervention is recommended, especially during pandemic times. The article was comprehensive in explaining the information, though its thoroughness made it somewhat challenging to follow specific details due to the wide range of subtopics covered. Nevertheless, it was highly informative, leaving few questions about the meanings or procedures in the studies and research presented.

References

Chanen, A. M., Jackson, H. J., McCutcheon, L. K., Martina, J., Dudgeon, P., Pan, Y. H., … McGorry, P. D. (2008). Early intervention for adolescents with borderline personality disorder using cognitive analytic therapy: Randomised controlled trial. The British Journal of Psychiatry, 193(6), 477-484. doi:http://dx.doi.org/10.1192/bjp.bp.107.048934

Choi-Kain, L. W., Finch, E. F., Masland, S. R., Jenkins, J. A., & Unruh, B. T. (2017). What works in the treatment of borderline personality disorder. Current Behavioral Neuroscience Reports, 4(1), 21-30. https://doi.org/10.1007/s40473-017-0103-z

Linehan, M. M., Korslund, K. E., Harned, M. S., et al. (2015). Dialectical behavior therapy for high suicide risk in individuals with borderline personality disorder: A randomized clinical trial and component analysis. JAMA Psychiatry, 72(5), 475-482. https://doi.org/10.1001/jamapsychiatry.2014.3039

Stoffers, J., Völlm, B. A., Rücker, G., Timmer, A., Huband, N., & Lieb, K. (2010). Pharmacological interventions for borderline personality disorder. The Cochrane Database of Systematic Reviews, (6), CD005653. https://doi.org/10.1002/14651858.CD005653.pub2