{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:26:27Z","timestamp":1787243187213,"version":"build-2736575974"},"reference-count":108,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,4,26]],"date-time":"2023-04-26T00:00:00Z","timestamp":1682467200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000838","name":"University of Sussex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000838","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012150","name":"Sussex Partnership NHS Foundation Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012150","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The present review investigates the impact of digital interventions for individuals with features of borderline personality disorder\u00a0(BPD)\/emotional unstable personality disorder\u00a0(EUPD) as digital interventions show promise as therapeutic tools in underserved groups. BPD\/EUPD features are identified as clinically relevant, yet previous reviews on the use of digital interventions fail to include subthreshold symptomatology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Five online databases were searched for terminology in three categories: BPD\/EUPD and related symptoms, mental\u2010health interventions, and digital technology. Additionally, four relevant journals and two trial registers were searched for additional papers meeting the inclusion criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twelve articles met all inclusion criteria. Meta\u2010analyses revealed statistically significant differences in symptom measures between intervention and control groups at postintervention and decreases in BPD\/EUPD symptomatology and well\u2010being from pre\u2010 to postintervention. Service users' engagement, satisfaction, and acceptability of interventions were high. Results support the previous literature on the value of using digital interventions in populations with BPD\/EUPD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Overall, it was identified that digital interventions show promise for successful implementation with this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jclp.23523","type":"journal-article","created":{"date-parts":[[2023,4,26]],"date-time":"2023-04-26T03:11:42Z","timestamp":1682478702000},"page":"2155-2185","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["A systematic review and meta\u2010analysis of digital interventions targeted at individuals with borderline personality disorder (BPD), emotionally unstable personality disorder (EUPD), and related symptoms"],"prefix":"10.1002","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7873-7331","authenticated-orcid":false,"given":"Elea","family":"Drews\u2010Windeck","sequence":"first","affiliation":[{"name":"School of Psychology The University of Sussex Brighton UK"},{"name":"Research &amp; Development and Digital Services Sussex Partnership NHS Foundation Trust Worthing UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Greenwood","sequence":"additional","affiliation":[{"name":"School of Psychology The University of Sussex Brighton UK"},{"name":"Research &amp; Development and Digital Services Sussex Partnership NHS Foundation Trust Worthing UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Cavanagh","sequence":"additional","affiliation":[{"name":"School of Psychology The University of Sussex Brighton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,26]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.00111"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.2196\/27308"},{"key":"e_1_2_7_4_1","volume-title":"Diagnostic and statistical manual of mental disorders (4th ed.) (DSM\u2010IV)","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0706743719839381"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2018.01.001"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.2196\/14913"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.33212\/jpt.v5n2.2020.148"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2014.08.003"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12529-016-9556-9"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40501-019-00178-8"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2015.1119908"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.2196\/mental.8311"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2009.0894"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.2196\/24387"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2019.00344"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.2196\/10091"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/ebmental-2022-300540"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2020.12.016"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-020-02892-7"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103187"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/17522439.2019.1632376"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/cpsp.12311"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.2196\/17362"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1017\/gmh.2018.6"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2019.00902"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000614"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1027\/1016-9040\/a000318"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi_2015_29_193"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2018.07.008"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6588"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.22204"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19010079"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-015-0751-z"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.09.138"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/1039856220924321"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1159\/000511349"},{"issue":"3","key":"e_1_2_7_39_1","first-page":"282","article-title":"Emotionally unstable personality disorder in primary care: A thematic review and novel toolkit","volume":"31","author":"Gamlin C.","year":"2019","journal-title":"Psychiatria Danubina"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.3389\/fdgth.2021.764079"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pdig.0000002"},{"key":"e_1_2_7_42_1","doi-asserted-by":"publisher","DOI":"10.2196\/18220"},{"key":"e_1_2_7_43_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2018.29"},{"key":"e_1_2_7_44_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1067508"},{"key":"e_1_2_7_45_1","doi-asserted-by":"publisher","DOI":"10.1201\/9781003107347"},{"key":"e_1_2_7_46_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1186"},{"key":"e_1_2_7_47_1","unstructured":"Hong Q. N. Pluye P. Fabregues S. Bartlett G. Boardman F. Cargo M. Dargenais P. Gagnon M. P. Griffiths F. Nicolau B. O'Cathain A. Rosseau M. C. &Vedel I.(2018).Mixed Methods Appraisal Tool (MMAT): User guide. Canadian Intellectual Property Office Industry Canada."},{"key":"e_1_2_7_48_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40479-020-00127-5"},{"key":"e_1_2_7_49_1","doi-asserted-by":"publisher","DOI":"10.2196\/15337"},{"key":"e_1_2_7_50_1","doi-asserted-by":"publisher","DOI":"10.2196\/10983"},{"key":"e_1_2_7_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2017.01.010"},{"key":"e_1_2_7_52_1","doi-asserted-by":"publisher","DOI":"10.1037\/per0000360"},{"key":"e_1_2_7_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2020.103708"},{"key":"e_1_2_7_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2018.06.007"},{"key":"e_1_2_7_55_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-047771"},{"key":"e_1_2_7_56_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17176436"},{"key":"e_1_2_7_57_1","doi-asserted-by":"publisher","DOI":"10.2196\/12959"},{"key":"e_1_2_7_58_1","doi-asserted-by":"publisher","DOI":"10.31887\/DCNS.2013.15.2\/mplarrivee"},{"key":"e_1_2_7_59_1","doi-asserted-by":"publisher","DOI":"10.2196\/12869"},{"key":"e_1_2_7_60_1","doi-asserted-by":"publisher","DOI":"10.2196\/28874"},{"key":"e_1_2_7_61_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000459"},{"key":"e_1_2_7_62_1","unstructured":"Lopez A.(2013).Social presence & therapeutic demands: The role of technology in the therapeutic alliance (1458443047) [University of Denver]. ProQuest Dissertations & Theses Global.\u00a0https:\/\/search.proquest.com\/dissertations-theses\/social-presence-amp-therapeutic-demands-role\/docview\/1458443047\/se-2?accountid=14182"},{"key":"e_1_2_7_63_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi_2017_31_309"},{"key":"e_1_2_7_64_1","unstructured":"McManus S. Bebbington P. E. Jenkins R. &Brugha T.(2016).Mental health and wellbeing in England: The adult psychiatric morbidity survey 2014. NHS Digital.https:\/\/files.digital.nhs.uk\/pdf\/q\/3\/mental_health_and_wellbeing_in_england_full_report.pdf"},{"key":"e_1_2_7_65_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-021-03426-5"},{"key":"e_1_2_7_66_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-151-4-200908180-00135"},{"key":"e_1_2_7_67_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40479-019-0116-1"},{"key":"e_1_2_7_68_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2011.07.002"},{"key":"e_1_2_7_69_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina55060223"},{"key":"e_1_2_7_70_1","doi-asserted-by":"publisher","DOI":"10.2196\/16228"},{"key":"e_1_2_7_71_1","unstructured":"Peros O. M.(2022).Self\u2010guided internet\u2010based dialectical behavior therapy skills for transdiagnostic emotion dysregulation: A randomized controlled pilot study(2645880954) [Hofstra University]. ProQuest Dissertations & Theses Global.https:\/\/ezproxy.sussex.ac.uk\/login?url=https:\/\/www.proquest.com\/dissertations-theses\/self-guided-internet-based-dialectical-behavior\/docview\/2645880954\/se-2"},{"key":"e_1_2_7_72_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.1855"},{"key":"e_1_2_7_73_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12714"},{"key":"e_1_2_7_74_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jeap.2021.101026"},{"key":"e_1_2_7_75_1","doi-asserted-by":"publisher","DOI":"10.2196\/19945"},{"key":"e_1_2_7_76_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2019.1581337"},{"key":"e_1_2_7_77_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2011.01.003"},{"key":"e_1_2_7_78_1","doi-asserted-by":"publisher","DOI":"10.1037\/ser0000100"},{"key":"e_1_2_7_79_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-020-01473-9"},{"key":"e_1_2_7_80_1","unstructured":"Royal College of Psychiatrists. (2015).Personality disorder.https:\/\/www.rcpsych.ac.uk\/mental-health\/problems-disorders\/personality-disorder"},{"key":"e_1_2_7_81_1","unstructured":"Royal College of Psychiatrists. (2020).Services for people diagnosable with personality disorder: Position statement.https:\/\/www.rcpsych.ac.uk\/docs\/default-source\/improving-care\/better-mh-policy\/position-statements\/ps01_20.pdf?sfvrsn=85af7fbc_2"},{"key":"e_1_2_7_82_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.159.2.284"},{"key":"e_1_2_7_83_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-044437"},{"key":"e_1_2_7_84_1","doi-asserted-by":"publisher","DOI":"10.1037\/per0000520"},{"key":"e_1_2_7_85_1","doi-asserted-by":"publisher","DOI":"10.1186\/2051-6673-1-12"},{"key":"e_1_2_7_86_1","doi-asserted-by":"publisher","DOI":"10.2196\/29621"},{"key":"e_1_2_7_87_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2018.07.009"},{"key":"e_1_2_7_88_1","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000033"},{"key":"e_1_2_7_89_1","doi-asserted-by":"publisher","DOI":"10.2196\/20581"},{"key":"e_1_2_7_90_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.93.2.239"},{"key":"e_1_2_7_91_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2020.1714009"},{"key":"e_1_2_7_92_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10802-011-9594-3"},{"key":"e_1_2_7_93_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD012955.pub2"},{"key":"e_1_2_7_94_1","unstructured":"The Cochrane Collaboration. (2020).Review Manager (RevMan) [Computer program](Version 5.4).https:\/\/revman.cochrane.org\/"},{"key":"e_1_2_7_95_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1754470X20000033"},{"key":"e_1_2_7_96_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2589-7500(19)30199-2"},{"key":"e_1_2_7_97_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201100196"},{"key":"e_1_2_7_98_1","doi-asserted-by":"publisher","DOI":"10.2196\/17204"},{"key":"e_1_2_7_99_1","doi-asserted-by":"publisher","DOI":"10.1080\/08039488.2022.2055791"},{"key":"e_1_2_7_100_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2018.06.015"},{"key":"e_1_2_7_101_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-019-0188-8"},{"key":"e_1_2_7_102_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-017-1458-0"},{"key":"e_1_2_7_103_1","doi-asserted-by":"publisher","DOI":"10.1159\/000317572"},{"key":"e_1_2_7_104_1","volume-title":"The ICD\u201310 Classification of mental and behavioural disorders\u2014Diagnostic criteria for research","author":"World Health Organization","year":"1993"},{"key":"e_1_2_7_105_1","volume-title":"International statistical classification of diseases and related health problems","author":"World Health Organization","year":"2020"},{"key":"e_1_2_7_106_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-022-01360-1"},{"key":"e_1_2_7_107_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2021.1882712"},{"key":"e_1_2_7_108_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.16m11153"},{"key":"e_1_2_7_109_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi_2012_26_022"}],"container-title":["Journal of Clinical Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jclp.23523","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,6]],"date-time":"2024-03-06T14:55:27Z","timestamp":1709736927000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jclp.23523"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,26]]},"references-count":108,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1002\/jclp.23523"],"URL":"https:\/\/doi.org\/10.1002\/jclp.23523","archive":["Portico"],"relation":{},"ISSN":["0021-9762","1097-4679"],"issn-type":[{"value":"0021-9762","type":"print"},{"value":"1097-4679","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,26]]},"assertion":[{"value":"2022-04-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-26","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}