{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:39:00Z","timestamp":1787312340630,"version":"build-2736575974"},"reference-count":60,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T00:00:00Z","timestamp":1740528000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Personality &amp;amp; Mental Health"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Borderline personality disorder (BPD) is a psychiatric condition characterised by pervasive patterns of thinking and feeling, which can lead to social dysfunction and poor mental health. BPD has a significant impact not just on individuals with the diagnosis but also on those around them. Currently, no medication is licenced for BPD. Despite this, it is common for people with BPD to be prescribed multiple psychotropics. All psychotropic medications are associated with adverse events. A systematic review was conducted to explore factors that influence prescribing in adult BPD patients. Searches were conducted of EMBASE, PsycINFO, PubMed, EThOS and Web of Science. One\u2010hundred and two unique studies were identified, of which 13 suitable studies with diverse methodologies were included in the final synthesis. Of these, seven studies produced quantitative results, whereas the remaining six produced qualitative results. The synthesis identified several demographic factors statistically associated with prescribing. Most notably, prescribing was more likely in older patients and those with comorbid conditions. In addition to demographic factors identified, two key themes were generated from analysis of qualitative data from both healthcare professionals (HCPs) and patients discussing drivers: that the patient\u2010HCP relationship and the care pathway are crucial to the prescribing process from both perspectives. Prescribing medications for BPD is common, but there is limited data on the factors that affect this prescribing choice. HCPs must be aware of their own roles and perceptions in their relationships with BPD patients so that patients receive the most suitable treatment.<\/jats:p>","DOI":"10.1002\/pmh.70014","type":"journal-article","created":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T09:14:16Z","timestamp":1741684456000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Factors That Influence Prescribing in Borderline Personality Disorder: A Systematic Review"],"prefix":"10.1002","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3875-5528","authenticated-orcid":false,"given":"Joshua","family":"Confue","sequence":"first","affiliation":[{"name":"University of Bath  Bath UK"},{"name":"Lincolnshire Partnership Foundation Trust  Lincoln UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4152-9704","authenticated-orcid":false,"given":"Ian","family":"Maidment","sequence":"additional","affiliation":[{"name":"Aston University  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Jones","sequence":"additional","affiliation":[{"name":"University of Bath  Bath UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2617-4098","authenticated-orcid":false,"given":"Matthew","family":"Jones","sequence":"additional","affiliation":[{"name":"University of Bath  Bath UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,26]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"The Maudsley Prescribing Guidelines","author":"Abel K. M.","year":"2018"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRA.0000000000000642"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(21)00476\u20101"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjb.2023.41"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.EURONEURO.2015.03.017"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11135\u2010021\u201001182\u2010y"},{"key":"e_1_2_10_8_1","doi-asserted-by":"crossref","unstructured":"Campbell H. R.Hotchkiss N.Bradshaw andM.Porteous.1998. \u201cIntegrated Care Pathways BMJ.\u201d316 no.7125:133\u2013137.https:\/\/doi.org\/10.1136\/BMJ.316.7125.133.","DOI":"10.1136\/bmj.316.7125.133"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-24612-3_71"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.188.5.423"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g5238"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20130447.2011.01728.x"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.4314\/ejhs.v28i6.15"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40479\u2010016\u20100049\u2010x"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.2975\/32.1.2008.9.22"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs\u20102023\u2013016615"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/pnp.759"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/medethics\u20102019\u2013105921"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/YIC.0000000000000021"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1192\/bja.2022.43"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.SAPHARM.2010.02.002"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1192\/BJP.BP.108.062984"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11096\u2010011\u20109510\u20105"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1192\/BJO.2018.36"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.113.044081"},{"key":"e_1_2_10_26_1","volume-title":"Paying the Price : The Cost of Mental Health Care in England to 2026","author":"McCrone P. R.","year":"2008"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010014\u20100579\u20100"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.1056050"},{"key":"e_1_2_10_29_1","unstructured":"Nha Hong Q. P.Pluye S.F\u00e0bregues et\u00a0al.2018. \u201cMixed Methods Appraisal Tool (MMAT).\u201dhttp:\/\/mixedmethodsappraisaltoolpublic.pbworks.com\/."},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh\u20102018\u2010000893"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2007.58.9.1199"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40263\u2010021\u201000852\u20107"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/YIC.0b013e32833e23ed"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1136\/fmch\u20102020\u2013000458"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.14m09228"},{"key":"e_1_2_10_37_1","unstructured":"POMH\u2010UK.2014. \u201cPrescribing Observatory for Mental Health.\u201dwww.rcpsych.ac.uk\/improving\u2010care\/ccqi\/national\u2010clinical\u2010audits\/pomh\u2010uk."},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/J.1365\u20132850.2011.01800.X"},{"key":"e_1_2_10_39_1","unstructured":"Ryan R.2016. \u201cCochrane Consumers and Communication Review Group: Data Synthesis and Analysis.\u201d"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7414.542"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.5334\/IJIC.301"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.9758\/cpn.2021.19.1.53"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1345\/APH.1D390"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1007\/S40501\u2010021\u201000255\u2010X"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2023.0071"},{"key":"e_1_2_10_46_1","volume-title":"Current Psychiatry","author":"Silk K. R.","year":"2002"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.14com09534"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/ACPS.13403"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD012956.pub2"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.4300\/JGME\u2010D\u201022\u201300480.1"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1002\/PMH.1599"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.18m12436"},{"key":"e_1_2_10_53_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010016\u20100939\u2010x"},{"key":"e_1_2_10_54_1","doi-asserted-by":"publisher","DOI":"10.1192\/BJO.2023.592"},{"key":"e_1_2_10_55_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102288\u201012\u2010181"},{"key":"e_1_2_10_56_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11845\u2010020\u201002369\u20102"},{"key":"e_1_2_10_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2007.04.001"},{"key":"e_1_2_10_58_1","doi-asserted-by":"publisher","DOI":"10.1098\/rsos.181870"},{"key":"e_1_2_10_59_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15122763"},{"key":"e_1_2_10_60_1","unstructured":"World Health Organization.2019. \u201cICD\u201011: International Classification of Diseases 11th Revision: The Global Standard for Diagnostic Health Information.\u201d World Health Organization.https:\/\/icd.who.int\/."},{"key":"e_1_2_10_61_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.1989.3.1.10"}],"container-title":["Personality and Mental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmh.70014","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T22:46:42Z","timestamp":1747954002000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pmh.70014"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,26]]},"references-count":60,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1002\/pmh.70014"],"URL":"https:\/\/doi.org\/10.1002\/pmh.70014","archive":["Portico"],"relation":{},"ISSN":["1932-8621","1932-863X"],"issn-type":[{"value":"1932-8621","type":"print"},{"value":"1932-863X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,26]]},"assertion":[{"value":"2024-10-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70014"}}