Intervenciones desde el modelo cognitivo comportamental para el tratamiento del trastorno de personalidad límite en adultos jóvenes
No hay miniatura disponible
Fecha
2025
Autores
Bedoya Peña, Franky Richard
Chico Ospino, Andrea Carolina
González Palma, Chaterine Estela
Hinojosa Mejía, Isabela
Título de la revista
ISSN de la revista
Título del volumen
Editor
Ediciones Universidad Simón Bolívar
Facultad de Ciencias Jurídicas y Sociales
Facultad de Ciencias Jurídicas y Sociales
Resumen
El trastorno límite de la personalidad (TLP) se caracteriza por inestabilidad en la
identidad, relaciones interpersonales y estado emocional, junto con comportamientos
impulsivos y síntomas disociativos. Es común la presencia de comorbilidades con otros
trastornos psiquiátricos, como trastornos del estado de ánimo, de ansiedad y por uso de
sustancias. En cuanto a la intervención, la terapia cognitivo-conductual (TCC) ha sido
pionera en el abordaje del TLP, proporcionando herramientas eficaces para el manejo de
los síntomas, la regulación emocional y la mejora en la calidad de vida de los pacientes.
En este contexto, el objetivo de la presente monografía es describir las intervenciones
basadas en el modelo cognitivo-conductual para el tratamiento del trastorno límite de la
personalidad en adultos jóvenes, en el periodo comprendido entre 2020 y 2024. Para ello,
se desarrolló una estrategia de búsqueda en inglés y español en la base de datos EBSCO.
Inicialmente se identificaron 64 documentos, de los cuales, tras aplicar los criterios de
inclusión y exclusión establecidos, se seleccionaron 13 trabajos que fueron revisados en
texto completo. Los resultados evidenciaron que, dentro de las intervenciones basadas en
la TCC, diversos autores destacan la Terapia Analítica Cognitiva (CAT), la Terapia de
Esquemas (ST) y la Terapia Dialéctico Conductual (DBT), subrayando sus efectos
positivos en la regulación emocional, el fortalecimiento de la identidad y la mejora de las
relaciones interpersonales. Asimismo, se exploraron técnicas específicas como la terapia
de la silla vacía, la reevaluación cognitiva y el entrenamiento en regulación emocional,
observándose diferencias en su efectividad según los síntomas predominantes en los
pacientes. También se abordaron modelos de intervención temprana y terapias grupales,
resaltando la relevancia de una adecuada gestión clínica y la adherencia al tratamiento.
Además, se incluyeron enfoques menos convencionales como la terapia de aventura y el
uso de herramientas digitales, analizando su impacto en la reducción de la impulsividad y
los comportamientos autodestructivos.
Borderline Personality Disorder (BPD) is characterized by instability in identity, interpersonal relationships, and emotional state, along with impulsive behaviors and dissociative symptoms. Comorbidities with other psychiatric disorders—such as mood disorders, anxiety disorders, and substance use disorders—are common. Regarding treatment, Cognitive Behavioral Therapy (CBT) has been a pioneering approach in addressing BPD, providing effective tools for symptom management, emotional regulation, and improving patients’ quality of life. In this context, the aim of the present monograph is to describe cognitive-behavioral model-based interventions for the treatment of borderline personality disorder in young adults during the period from 2020 to 2024. A search strategy was developed in both English and Spanish using the EBSCO database. Initially, 64 documents were identified; after applying the established inclusion and exclusion criteria, 13 studies were selected for full-text review. The findings revealed that within CBT-based interventions, several authors emphasize the effectiveness of Cognitive Analytic Therapy (CAT), Schema Therapy (ST), and Dialectical Behavior Therapy (DBT), highlighting their positive effects on emotional regulation, identity strengthening, and the improvement of interpersonal relationships. Specific techniques such as the empty chair technique, cognitive reappraisal, and emotional regulation training were also explored, showing varying degrees of effectiveness depending on the predominant symptoms in each patient. Early intervention models and group therapies were also examined, underscoring the importance of proper clinical management and treatment adherence. Additionally, less conventional approaches, such as adventure therapy and the use of digital tools, were included, analyzing their impact on reducing impulsivity and self-destructive behaviors.
Borderline Personality Disorder (BPD) is characterized by instability in identity, interpersonal relationships, and emotional state, along with impulsive behaviors and dissociative symptoms. Comorbidities with other psychiatric disorders—such as mood disorders, anxiety disorders, and substance use disorders—are common. Regarding treatment, Cognitive Behavioral Therapy (CBT) has been a pioneering approach in addressing BPD, providing effective tools for symptom management, emotional regulation, and improving patients’ quality of life. In this context, the aim of the present monograph is to describe cognitive-behavioral model-based interventions for the treatment of borderline personality disorder in young adults during the period from 2020 to 2024. A search strategy was developed in both English and Spanish using the EBSCO database. Initially, 64 documents were identified; after applying the established inclusion and exclusion criteria, 13 studies were selected for full-text review. The findings revealed that within CBT-based interventions, several authors emphasize the effectiveness of Cognitive Analytic Therapy (CAT), Schema Therapy (ST), and Dialectical Behavior Therapy (DBT), highlighting their positive effects on emotional regulation, identity strengthening, and the improvement of interpersonal relationships. Specific techniques such as the empty chair technique, cognitive reappraisal, and emotional regulation training were also explored, showing varying degrees of effectiveness depending on the predominant symptoms in each patient. Early intervention models and group therapies were also examined, underscoring the importance of proper clinical management and treatment adherence. Additionally, less conventional approaches, such as adventure therapy and the use of digital tools, were included, analyzing their impact on reducing impulsivity and self-destructive behaviors.
Descripción
Palabras clave
Trastorno de Personalidad Límite (TLP), Terapia Cognitivo Conductual (TCC), Regulación emocional, Intervenciones psicoterapéuticas, Adultos jóvenes
