El sentido de la vida en personas diagnosticadas con trastorno de la personalidad: una revisión sistemática

Joaquín García-Alandete; María Ribera-Martínez

doi:10.24310/escpsi.18.1.2025.20248

Authors

Joaquín García-Alandete University of Valencia Spain
María Ribera-Martínez Universitat de València. Spain

DOI:

https://doi.org/10.24310/escpsi.18.1.2025.20248

Keywords:

Meaning in life, Logotherapy, Personality Disorder, Systematic review

Abstract

Experiencing that one’s life is meaningful is a fundamental human motivation. When meaning in life (MiL) is not achieved, existential emptiness or lack of experience of MiL can be experienced, which would manifest through clinical symptoms. Existential emptiness has been linked to disorders such as depression, substance addiction, and BPD. The aim of this systematic review was to analyse the relationship between personality disorders (PD) and MiL. Following the PRISMA procedures, nine studies on MiL in people diagnosed with PD were selected. The results showed a significant relationship between this nosological entity and low MiL. It is suggested to deepen the study on the transdiagnostic role of MiL in PD, its relationship with trauma and attachment, as well as on the efficacy of logotherapy and other psychotherapies that include logotherapeutic elements in the treatment of different PD and disorders with a strong component of existential frustration.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Publication Facts

This article

Author statements

Data availability

N/A

16%

External funding

N/A

32%

Competing interests

N/A

11%

This journal

Other journals

Articles accepted

16%

33%

Days to publication

356

145

Indexed in

—

Editor & editorial board: profiles
Academic society: N/A
Publisher: UNIVERSIDAD DE MÁLAGA

References

Allen, B. y Lauterbach, D. (2007). Personality Characteristics of Adult Survivors of Childhood Trauma. Journal of Traumatic Stress, 20(4), 587-595. https://doi.org/10.1002/jts.20195

American Psychiatric Association. (2014). Manual Diagnóstico y Estadístico de los Trastornos Mentales (DSM-5®). Editorial Médica Panamericana.

American Psychological Association. (2023). Personality. https://www.apa.org/topics/personality

Angiola, J. E. y Bowen, M. A. (2013). Quality of Life in Advanced Cancer: An Acceptance and Commitment Therapy View. The Counseling Psychologist, 41(2) 313-335. https://doi.org/10.1177/0011000012461955

Baquero-Tomás, M., Grau, M. D., Moliner, A. R. y Sanchis-Sanchis, A. (2023). Meaning in life as a protective factor against depression. Frontiers in Psychology, 14, 1180082. https://doi.org/10.3389/fpsyg.2023.1180082

Belloch, A., Sandín, B. y Ramos, F. (2020). Manual de psicopatología. McGraw-Hill.

Brooner, R. K., Herbst, J. H., Schmidt, C. W., Bigelow, G. E., & Costa, P. T. (1993). Antisocial personality disorder among drug abusers. Relations to other personality diagnoses and the five-factor model of personality. Journal of Nervous and Mental Disease, 181(5), 313-319. https://doi.org/10.1097/00005053-199305000-00007

Dewitte, L., Granqvist, P. y Dezutter, J. (2019). Meaning Through Attachment: An Integrative Framework. Psychological Reports, 122(6), 2242-2265. https://doi.org/10.1177/0033294118799739

Dragioti, E., Damigos, D., Mavreas, V. y Gouva, M. (2012). Effects of Childhood Trauma on Hostility, Family Environment and Narcissism of Adult Individuals. International Journal of Caring Sciences, 5(2), 137-142.

Erkoreka, L., Zamalloa, I., Rodriguez, S., Muñoz, P., Mendizabal, I., Zamalloa, M. I., Arrue, A., Zumarraga, M. y Gonzalez-Torres, M. A. (2021). Attachment anxiety as mediator of the relationship between childhood trauma and personality dysfunction in borderline personality disorder. Clinical Psychology & Psychotherapy, 29(2), 501-511. https://doi.org/10.1002/cpp.2640

Fonagy, P., Target, M., Gergely, G., Allen, J. G. y Bateman, A. W. (2003). The developmental roots of borderline personality disorder in early attachment relationships: A theory and some evidence. Psychoanalytic Inquiry, 23(3), 412-459. https://doi.org/10.1080/07351692309349042

Frankl, V. E. (2008). La voluntad de sentido. Herder.

Frankl, V. E. (2010). Ante el vacio existencial: hacia una humanizacion de la psicoterapia. Herder.

García-Alandete, J., Marco, J. H. y Pérez, S. (2014). Predicting role of the meaning in life on depression, hopelessness, and suicide risk among Borderline Personality Disorder patients. Universitas Psychologica, 13(4), 1545-1555. https://doi.org/10.11144/Javeriana.UPSY13-4.prmi

George, L. S. y Park, C. L. (2016). Meaning in Life as Comprehension, Purpose, and Mattering: Toward Integration and New Research Questions. Review of General Psychology, 20(3), 205-220. https://doi.org/10.1037/gpr0000077

Gray, N. S., Knowles, J., George, D., Harvey, A., Powell, R., Zadeh, M. V., Wansing, C. y Snowden, R. J. (2021). Explicit and Implicit Hopelessness and Self-injury. Suicide & Life-Threatening Behavior, 51(3), 606-615. https://doi.org/10.1111/sltb.12743

Herpertz, S., Gretzer, A., Steinmeyer, E. M., Muehlbauer, V., Schuerkens, A. y Sass, H. (1997). Affective instability and impulsivity in personality disorder: Results of an experimental study. Journal of Affective Disorders, 44(1), 31-37. https://doi.org/10.1016/S0165-0327(97)01444-4

Levy, K. N., Johnson, B. N., Clouthier, T. L., Scala, J. W. y Temes, C. M. (2015). An Attachment Theoretical Framework for Personality Disorders. Canadian Psychology, 56(2), 197-207. https://doi.org/10.1037/cap0000025

Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P., Clarke, M., Devereaux, P., Kleijnen, J. y Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. Journal of Clinical Epidemiology, 62(10), e1-e34. https://doi.org/10.1016/j.jclinepi.2009.06.006

Liljedahl, S. I., Mossberg, A., Grenner, H. y Waern, M. (2023). Life experienced as worth living and beyond: A qualitative study of the pathways to recovery and flourishing amongst individuals treated for borderline personality disorder. BMC Psychiatry, 23, 838. https://doi.org/10.1186/s12888-023-05357-9

Liu, C. T. X., Menzies, R. E. y Menzies, R. G. (2023). A Systematic Review of Existential Concerns in Borderline Personality Disorder. Journal of Humanistic Psychology. https://doi.org/10.1177/00221678231165792

Lorca, F., Pérez, S., Giner, F. y Marco, J. H. (2021). What dimension of meaning in life is the stronger predictor of borderline personality disorder symptom? Journal of Constructivist Psychology, 34(4), 365-377. https://doi.org/10.1080/10720537.2019.1697912

Luoma, J. B. y Platt, M. G. (2015). Shame, Self-Criticism, Self-Stigma, and Compassion in Acceptance and Commitment Therapy. Current Opinion in Psychology, 2, 97-101. https://doi.org/10.1016/j.copsyc.2014.12.016

Luyten, P., Campbell, C. y Fonagy, P. (2018). Borderline personality disorder, complex trauma, and problems with self and identity: A social‐communicative approach. Journal of Personality, 88(1), 88-105. https://doi.org/10.1111/jopy.12483

Marco, J. H., García-Alandete, J., Pérez, S. y Botella, C. (2014). El sentido de la vida como variable mediadora entre la depresión y la desesperanza en pacientes con Trastorno Límite de la Personalidad. Psicología Conductual/Behavioral Psychology, 22(2), 293-305.

Marco, J. H., García-Alandete, J., Pérez, S., Guillen, V., Jorquera, M., Espallargas, P. y Botella, C. (2015). Meaning in life and non-suicidal self-injury: A follow-up study with participants with Borderline Personality Disorder. Psychiatry Research, 230(2), 561-566. https://doi.org/10.1016/j.psychres.2015.10.004

Marco, J. H., Pérez, S., García-Alandete, J. y Moliner, R. (2017a). Meaning in Life in People with Borderline Personality Disorder. Clinical Psychology & Psychotherapy, 24(1), 162-170. https://doi.org/10.1002/cpp.1991

Marco, J. H., Guillén, V. y Botella, C. (2017b). The buffer role of meaning in life in hopelessness in women with borderline personality disorders. Psychiatry Research, 247, 120-124. https://doi.org/10.1016/j.psychres.2016.11.011

Martela, F. y Steger, M. F. (2016). The three meanings of meaning in life: Distinguishing coherence, purpose, and significance. Journal of Positive Psychology, 11(5), 531-545. https://doi.org/10.1080/17439760.2015.1137623

Martela, F. y Steger, M. F. (2023). The role of significance relative to the other dimensions of meaning in life -An examination utilizing the three dimensional meaning in life scale (3DM). Journal of Positive Psychology, 18(4), 606-626. https://doi.org/10.1080/17439760.2022.2070528

McClelland, H., Cleare, S. y O’Connor, R. C. (2023). Suicide Risk in Personality Disorders: A Systematic Review. Current Psychiatry Reports, 25(9), 405-417. https://doi.org/10.1007/s11920-023-01440-w

Mikolajczak, M., Petrides, K. V. y Hurry, J. (2009). Adolescents choosing self-harm as an emotion regulation strategy: The protective role of trait emotional intelligence. British Journal of Clinical Psychology, 48(2), 181-193. https://doi.org/10.1348/014466508X386027

Morton, J., Snowdon, S., Gopold, M. y Guymer, E. (2012). Acceptance and commitment therapy group treatment for symptoms of Borderline Personality Disorder: A public sector pilot study. Cognitive and Behavioral Practice, 19(4), 527-544. https://doi.org/10.1016/j.cbpra.2012.03.005

Ostafin, B. D. y Proulx, T. (2020). Meaning in life and resilience to stressors. Anxiety, Stress, & Coping, 33(6), 603-622. https://doi.org/10.1080/10615806.2020.1800655

Pfeifer, E. (2020). Logotherapy, existential analysis, music therapy: Theory and practice of meaning-oriented music therapy. The Arts in Psychotherapy, 72(1), 101730. https://doi.org/10.1016/j.aip.2020.101730

Rawlins, B., Brooks, M. y Khan, R. (2020). Posttraumatic stress symptoms mediate the relationship between adverse childhood experiences, avoidant personality traits and resilience. Anxiety, Stress, & Coping, 33(5), 590-601. https://doi.org/10.1080/10615806.2020.1768532

Russo-Netzer, P., Schulenberg, S. y Batthyány, A. (2016). Clinical Perspectives on Meaning. Springer. https://doi.org/10.1007/978-3-319-41397-6_1

Salvador, M. C. y Bourquin, P. (2022). ¿Quién soy? De la disociación a la integración. Desclée de Brouwer.

Schorr, M. T., dos Santos, B. T. M. Q., Feiten, J. G., Sordi, A. O., Pessi, C., Diemen, L. V., Passos, I. C., Telles, L. E. B. y Hauck, S. (2021). Association between childhood trauma, parental bonding and Antisocial Personality Disorder in adulthood: A machine learning approach. Psychiatry Research, 304, 114082. https://doi.org/10.1016/j.psychres.2021.114082

Semerari, A. y Dimaggio, G. (2003). Los trastornos de la personalidad. Modelos y tratamiento. Desclée de Brouwer.

Steen, A., Berghuis, H. y Braam, A. W. (2019). Lack of meaning, purpose and direction in life in personality disorder: A comparative quantitative approach using Livesley’s General Assessment of Personality Disorder. Personality and Mental Health, 13(3), 144-154. https://doi.org/10.1002/pmh.1446

Steen, A., Braam, A., Berghuis, H. y Glas, G. (2024). Meaning in life in personality disorder: An empirical approach considering self-direction, self-transcendence and spiritual/religious worldviews. Journal of Spirituality in Mental Health, 26(3), 202-217. https://doi.org/10.1080/19349637.2023.2199172

Sun, F. K., Chiu, N. M., Yao, Y., Wu, M. K., Hung, C. F., Chen, C. C., Lee, Y. H. y Chiang, C. Y. (2022). The effects of logotherapy on meaning in life, depression, hopelessness, and suicidal ideation, in patients with depression: An intervention study. Perspectives in Psychiatric Care, 58(4), 1891-1899. https://doi.org/10.1111/ppc.13003

Thir, M. y Batthyány, A. (2016). The State of Empirical Research on Logotherapy and Existential Analysis. En A. Batthyány (Ed.), Logotherapy and Existential Analysis: Proceedings of the Viktor Frankl Institute Vienna (Vol. 1, pp. 53-74). Springer.

Triplett, K. N., Tedeschi, R. G., Cann, A., Calhoun, L. G. y Reeve, C. L. (2012). Posttraumatic growth, meaning in life, and life satisfaction in response to trauma. Psychological Trauma: Theory, Research, Practice, and Policy, 4(4), 400-410. https://doi.org/10.1037/a0024204

Volkert, J., Gablonski, T.-C. y Rabung, S. (2018). Prevalence of personality disorders in the general adult population in Western countries: Systematic review and meta-analysis. British Journal of Psychiatry, 213(6), 709-715. https://doi.org/10.1192/bjp.2018.202

Weinberg, I. y Ronningstam, E. (2022). Narcissistic Personality Disorder: Progress in Understanding and Treatment. Focus, 20(4), 368-377. https://doi.org/10.1176/appi.focus.20220052

Williams, T. F. y Simms, L. J. (2016). Personality disorder models and their coverage of interpersonal problems. Personality Disorders: Theory, Research, and Treatment, 7(1), 15-27. https://doi.org/10.1037/per0000140

Winsper, C., Bilgin, A., Thompson, A., Marwaha, S., Chanen, A.M., Singh, S. P., Wang, A. y Furtado, V. (2020). The prevalence of personality disorders in the community: A global systematic review and meta-analysis. British Journal of Psychiatry, 216(2), 69-78. https://doi.org/10.1192/bjp.2019.166

Worth, P. y Smith, M. D. (2021). Clearing the Pathways to Self-Transcendence. Frontiers in Psychology, 12, 648381. https://doi.org/10.3389/fpsyg.2021.648381

Wright, O. M., Crawford, E. y Sebastian, K. (2007). Positive Resolution of Childhood Sexual Abuse Experiences: The Role of Coping, Benefit-Finding and Meaning-Making. Springer Science, 22(7), 597-608. https://doi.org/10.1007/s10896-007-9111-1

Yaqoob, N. y Ahsan, S. (2023). Impact of mood disorders and personality disorders on suicide intent among self-harm patients. Pakistan Journal of Medical Sciences, 39(2), 491-496. https://doi.org/10.12669/pjms.39.2.6140

Yiu, J., Kealy, D. y Cox, D. W. (2022). Borderline personality features and presence of meaning in life: Mediating role of interpersonal problems. Cogent Psychology, 9(1), 2032913. https://doi.org/10.1080/23311908.2022.2032913