Work

A scoping review of programmes that address the daily living functioning of people diagnosed with borderline personality disorder

Year: 2025

Type: article

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.

Source: Australian & New Zealand Journal of Psychiatry

DOI: 10.1177/00048674251393159

Authors: Dillon Tepper, Ben Sellar, Sheryl Shipley, Rachel Smith, Carolyn M Murray

Institution: University of South Australia

Language: English

Topic: Personality Disorders and Psychopathology

Subfield: Clinical Psychology

Field: Psychology

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,400