A scoping review of programmes that address the daily living functioning of people diagnosed with borderline personality disorder
Date
2025
Authors
Tepper, D.
Sellar, B.
Shipley, S.
Smith, R.
Murray, C.M.
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Journal article
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Australian and New Zealand Journal of Psychiatry, online, 2025; online:1-18
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Abstract
Introduction: People diagnosed with borderline personality disorder experience persistent functional impairment despite current evidence-based treatment. Domains of daily living functioning, such as establishing a routine, household management and self-care, can be important goals for rehabilitation. This review aimed to scope and synthesise programmes that address the daily living functioning of people diagnosed with borderline personality disorder.
Methods: This review followed the PRISMA Extension for Scoping Reviews Checklist and the Joanna Briggs Institute scoping review methodological guidance. Eight databases (Medline, PsycINFO, ASSIA, CINAHL, Embase, Emcare, ProQuest Dissertations & Theses Global and Scopus) and grey literature were searched.
Results: Forty-four records were found spanning 12 countries, from 1987 to 2025, comprising research studies, educational materials and programme summaries. Programmes included independent living skills development, residential facilities, outpatient treatment and occupational therapy, with rehabilitation and recovery the most frequently used approaches. The domains of daily living functioning were health (n = 189), relational (n = 84), responsibility (n = 67), personal (n = 61), leisure (n = 53), routine (n = 42) and household (n = 30). Measures used to describe changes in functioning varied considerably.
Conclusions: Programmes supporting the daily living functioning of people diagnosed with borderline personality disorder exist. However, the evidence base is currently disparate. No single programme addressed all identified domains of daily living functioning. Comprehensive, evidence-based rehabilitation programmes addressing all domains of daily living functioning are needed to enable functional recovery for people diagnosed with borderline personality disorder.
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Data source: Supplementary Material, https://journals.sagepub.com/doi/suppl/10.1177/00048674251393159/suppl_file/sj-docx-1-anp-10.1177_00048674251393159.docx
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Copyright 2025 The Author(s)