对旨在改善边缘型人格障碍（BPD）患者日常生活功能的项目进行范围界定综述.pdf

1、A scoping review of programs that address the daily living functioning of people diagnosed with borderline personality disorder(BPD)Presenter:Dillon Tepper(OT)dillon.teppermymail.unisa.edu.auSupervisors:Carolyn Murray,Ben Sellar,Rachel Smith&Sheryl ShipleyPresented on 26 June 2025IntroductionBorderl

2、ine personality disorder(BPD)is a severe and prevalent mental illnessBPD is complex and challenging to treatPsychotherapy is currently recommended as the mainstay treatment(Storeb et al.2020)0%25%50%75%100%Treatment response(50%)Drop out(29.9%)Iliakis et al.(2021)Woodbridge et al.(2020)Continued dif

3、ficulties with psychosocial functioningRely on disability benefits and remain in psychotherapy/psychiatric services (Gunderson et al.,2011;Kramer et al.,2023;Zanarini et al.,2010a;Zanarini et al.,2010b)(Gunderson et al.,2011;Zanarini et al.,2010)IntroductionAssessing functionResearchers use the Glob

4、al Assessment of Functioning(GAF):a single score of functioning conflated with symptoms(Gold,2014)Symptomatic remission is not functional recovery(Larivire et al.,2015;Ng et al.,2016)To work and love:one emotionally sustaining relationship and full-time work or study(Grenyer et al.,2022;Gunderson et

5、 al.,2011;Miller et al.,2018;Zanarini et al.2010a)Daily living functioningWe need to consider activities&routines in daily life beyond work&love(Di Bartolomeo et al.,2024;Kernot et al.,2023)Difficulties with daily living:o Sleeping(King et al.,2024;Wood et al.,2015)o Managing home environment(Birken

6、,2017)o Establishing a meaningful routine(Falklf,2010;Larivire et al.,2016)MethodsScoping review question:What programs are available to support people diagnosed with BPD to address their daily living functioning?Search terms informed using the domains of daily living functioning developed by Desros