EFETIVIDADE DA TERAPIA COMPORTAMENTAL DIALÉTICA PARA O TRATAMENTO DO TRANSTORNO DE PERSONALIDADE BORDERLINE: UMA REVISÃO DA LITERATURA

Leonardo da Cunha Guimarães, Jenifer Nunes Simões, Leandro Alencastro Santos

Resumo


A terapia Comportamental Dialética foi proposta inicialmente para o manejo de pacientes com ideação e tentativas de suicídio, apresentando bons resultados para esta finalidade. Diante de sua eficácia, alguns autores começaram a propor o uso de tal intervenção para o tratamento de indivíduos com diagnóstico de Transtorno de Personalidade Borderline, tendo em vista as limitações das abordagens terapêuticas para este transtorno. O objetivo do presente estudo foi avaliar a efetividade da Terapia Comportamental Dialética para o Transtorno de Personalidade Borderline. Trata-se de uma Revisão da Literatura, conduzida nas bases de dados PubMed e SciELO. A busca encontrou 9 estudos dentro dos critérios de inclusão estipulados, todos relatando eficácia de tal abordagem para o tratamento do Transtorno de Personalidade Borderline. Os principais sintomas a apresentar remissão foram abuso de substâncias, tentativa de suicídio, descontrole emocional e prejuízos ocupacionais. Contudo, a efetividade requer um segmento longitudinal após a conclusão da intervenção, e somente 2 estudos relataram tal segmento. Ambos sugerem efetividade de forma satisfatória, pois consistem em estudos com amostras expansivas. Ainda assim, cabe mencionar que a literatura apresenta mais dados assegurando a eficácia do que a efetividade da Terapia Comportamental Dialética para o Transtorno da Personalidade Borderline. Destaca-se a importância de mais estudos nesta área para que a efetividade de tal intervenção possa ser assegurada com maior índice de confiabilidade.

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