E-Mental Health for People with Personality Disorders: A Systematic Review

Curr Psychiatry Rep. 2022 Oct;24(10):541-552. doi: 10.1007/s11920-022-01360-1. Epub 2022 Aug 16.

Abstract

Purpose of review: Provision of mental health services through digital technologies (e-mental health) can potentially expand access to treatments for personality disorders (PDs). We evaluated studies on e-mental health for PDs published over the last 3 years (2019-2022).

Recent findings: Studies published in English that used e-mental health to treat people with PDs or PD-related symptoms were identified. We identified 19 studies, including four randomized controlled trials and one meta-analysis. Most interventions were based on Dialectical Behavior Therapy and delivered through smartphone applications for adults with Borderline Personality Disorder [BPD] or related symptoms. User experiences of the interventions were generally positive. Evidence for efficacy was limited. The current literature on e-mental health for PDs is limited in scope. Research in understudied populations and randomized controlled trials designed to establish efficacy are warranted. It is not yet clear whether e-mental health may be helpful for the treatment of PDs.

Keywords: Internet; Mobile health; Personality disorders; Smartphone; Systematic review; e-health.

Publication types

  • Review
  • Systematic Review
  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Borderline Personality Disorder* / psychology
  • Dialectical Behavior Therapy*
  • Humans
  • Mental Health
  • Mental Health Services*
  • Personality Disorders / therapy