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https://www.readbyqxmd.com/read/28915505/hypertension-risk-and-clinical-care-in-patients-with-bipolar-disorder-or-schizophrenia-a-systematic-review-and-meta-analysis
#1
Luis Ayerbe, Ivo Forgnone, Juliet Addo, Ana Siguero, Stefano Gelati, Salma Ayis
BACKGROUND: A higher cardiovascular morbidity and mortality has been observed in patients with bipolar disorder (BPD) or schizophrenia, partly due to an increased risk of hypertension (HTN), or a less effective care of it. This systematic review and meta-analysis, presents a critical appraisal and summary of the studies addressing the risk of HTN, or the differences in its care, for those with schizophrenia or BPD. METHODS: Prospective studies were searched in PubMed, Embase, PsycINFO, Scopus, and the Web of Science, from database inception to June 2017...
September 7, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28911851/cortisol-awakening-response-in-patients-with-bipolar-disorder-during-acute-episodes-and-partial-remission-a-pilot-study
#2
Ming-Chyi Huang, Shan-Chi Chuang, Mei-Chih Meg Tseng, Yi-Ling Chien, Shih-Cheng Liao, Hsi-Chung Chen, Po-Hsiu Kuo
This exploratory study examined the cortisol awakening response (CAR) in patients with bipolar disorder (BPD) at acute phases and partial remission of manic or depressive episodes. Saliva samples of twenty-seven BPD inpatients and 25 healthy controls were collected to determine the CAR patterns, and 12 patients were sampled again at partial remission. BPD patients exhibited a non-enhanced CAR pattern. Lower cortisol expression and a blunted CAR distinguished bipolar-depressive patients from the controls. The intra-individual follow-up for both patient groups revealed a non-significant improvement in CAR patterns, indicating a trend of a normalized CAR after partial remission for BPD patients...
September 1, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28910215/substance-misuse-is-associated-with-increased-psychiatric-severity-among-treatment-seeking-individuals-with-borderline-personality-disorder
#3
Laura M Heath, Lise Laporte, Joel Paris, Kevin Hamdullahpur, Kathryn J Gill
Despite high prevalence rates of concurrent borderline personality disorder (BPD) and substance use disorders (SUDs), little is known about the impact of substance misuse on the presentation of BPD. Sixty-five individuals with BPD were assessed at intake and at 3- and 6-month follow-up. Assessment included validated instruments such as the Addiction Severity Index and the Revised Symptom Checklist (SCL-90-R). Over half (58.5%) of individuals entering treatment were currently misusing substances. Substance misuse was associated with more legal and employment problems, greater mood disturbance, impulsivity, and psychiatric severity, including almost all SCL-90-R subscales...
September 14, 2017: Journal of Personality Disorders
https://www.readbyqxmd.com/read/28910214/outcome-trajectories-and-prognostic-factors-for-suicide-and-self-harm-behaviors-in-patients-with-borderline-personality-disorder-following-one-year-of-outpatient-psychotherapy
#4
Shelley F McMain, Skye Fitzpatrick, Tali Boritz, Ryan Barnhart, Paul Links, David L Streiner
This study examined suicide and self-harm trajectories in 180 individuals with BPD receiving dialectical behavior therapy or general psychiatric management in a randomized controlled trial. Suicide and self-harm behaviors were assessed at baseline, every four months throughout treatment, and every 6 months over 2 years of follow-up. Latent class growth mixture modeling identified suicide and self-harm trajectories. Multinomial logistic regression analyses examined baseline patient characteristics. Three latent subgroups were identified...
September 14, 2017: Journal of Personality Disorders
https://www.readbyqxmd.com/read/28906497/different-formulas-different-thresholds-and-different-performance-the-prediction-of-macrosomia-by-ultrasound
#5
A Aviram, Y Yogev, E Ashwal, L Hiersch, D Danon, E Hadar, R Gabbay-Benziv
OBJECTIVE: The sonographic prediction of fetal macrosomia affects obstetrical decision regarding the timing and mode of delivery. We aimed to compare the accuracy of various formulas for prediction of macrosomia at different thresholds. STUDY DESIGN: This was a retrospective cohort study of singleton gestations at term, with fetal biometrical measurements taken up to 7 days prior to delivery (2007 to 2014). Sonographic estimated fetal weight was calculated using 20 previously published formulas...
September 14, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/28905471/novel-assessment-tool-to-detect-breathing-pattern-disorder-in-patients-with-refractory-asthma
#6
Sarah Todd, Emil S Walsted, Lizzie Grillo, Rebecca Livingston, Andrew Menzies-Gow, James H Hull
BACKGROUND AND OBJECTIVE: Breathing pattern disorder (BPD) can co-exist with and mimic asthma, acting to amplify symptoms and confound assessment of disease control, resulting in inappropriate treatment escalation. The aim of this research was to report the utility of a novel breathing pattern assessment tool (BPAT) to detect BPD in treatment-refractory asthma. METHODS: As a component of a multidisciplinary assessment, adult patients referred with treatment-refractory asthma underwent respiratory physiotherapy assessment to diagnose BPD...
September 14, 2017: Respirology: Official Journal of the Asian Pacific Society of Respirology
https://www.readbyqxmd.com/read/28902571/pain-perception-and-body-awareness-among-individuals-with-borderline-personality-disorder
#7
Karni Ginzburg, Iftah Biran, Itay Goor Aryeh, Noga Tsur, Ruth Defrin
Studies indicate that individuals with borderline personality disorder (BPD) often demonstrate attenuated pain perception, termed hypoalgesia. This study examines the hypothesis that body awareness moderates the association between BPD and pain perception. Participants consisted of 46 women diagnosed with BPD and 47 healthy controls. Sensory testing included the measurement of heat-pain thresholds, ratings of suprathreshold stimuli, measurement of temperature evoking moderate pain, and temporal summation of noxious mechanical stimuli...
September 13, 2017: Journal of Personality Disorders
https://www.readbyqxmd.com/read/28895019/narrative-self-appropriation-embodiment-alienness-and-personal-responsibility-in-the-context-of-borderline-personality-disorder
#8
Allan Køster
It is often emphasised that persons diagnosed with borderline personality disorder (BPD) show difficulties in understanding their own psychological states. In this article, I argue that from a phenomenological perspective, BPD can be understood as an existential modality in which the embodied self is profoundly saturated by an alienness regarding the person's own affects and responses. However, the balance of familiarity and alienness is not static, but can be cultivated through, e.g., psychotherapy. Following this line of thought, I present the idea that narrativising experiences can play an important role in processes of appropriating such embodied self-alienness...
September 11, 2017: Theoretical Medicine and Bioethics
https://www.readbyqxmd.com/read/28892598/helping-mothers-with-the-emotional-dysregulation-of-borderline-personality-disorder-and-their-infants-in-primary-care-settings
#9
Anne Sved Williams, Gisele Apter
BACKGROUND: Six per cent of patients who present to primary care have borderline personality disorder (BPD). Mothers with full or partial features of BPD, often undiagnosed and perhaps previously functioning adequately enough on the surface, may rapidly be-come emotionally dysregulated by the normal needs of an infant. Family and maternal functioning can rapidly destabilise. Management of patients with BPD in primary care may be challenging. OBJECTIVE: The objectives of this article are to provide primary care practitioners with relevant information on current knowledge of BPD and its management when mothers with BPD are caregivers to an infant...
September 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28892068/dysregulation-of-objectively-assessed-24-hour-motor-activity-patterns-as-a-potential-marker-for-bipolar-i-disorder-results-of-a-community-based-family-study
#10
H Shou, L Cui, I Hickie, D Lameira, F Lamers, J Zhang, C Crainiceanu, V Zipunnikov, K R Merikangas
There has been a growing number of studies that have employed actigraphy to investigate differences in motor activity in mood disorders. In general, these studies have shown that people with bipolar disorders (BPDs) tend to exhibit greater variability and less daytime motor activity than controls. The goal of this study was to examine whether patterns of motor activity differ in euthymic individuals across the full range of mood disorder subtypes (Bipolar I (BPI), Bipolar II (BPII) and major depression (MDD)) compared with unaffected controls in a community-based family study of mood spectrum disorders...
August 22, 2017: Translational Psychiatry
https://www.readbyqxmd.com/read/28889192/the-economic-impact-of-prematurity-and-bronchopulmonary-dysplasia
#11
María Álvarez-Fuente, Luis Arruza, Marta Muro, Carlos Zozaya, Alejandro Avila, Paloma López-Ortego, Carmen González-Armengod, Alba Torrent, Jose Luis Gavilán, María Jesús Del Cerro
Bronchopulmonary dysplasia (BPD) is one of the most serious chronic lung diseases in infancy and one of the most important sequels of premature birth (prevalence of 15-50%). Our objective was to estimate the cost of BPD of one preterm baby, with no other major prematurity-related complications, during the first 2 years of life in Spain. Data from the Spanish Ministry of Health regarding costs of diagnosis-related group of preterm birth, hospital admissions and visits, palivizumab administration, and oxygen therapy in the year 2013 were analyzed...
September 9, 2017: European Journal of Pediatrics
https://www.readbyqxmd.com/read/28886113/the-overlap-between-autistic-spectrum-conditions-and-borderline-personality-disorder
#12
Robert B Dudas, Chris Lovejoy, Sarah Cassidy, Carrie Allison, Paula Smith, Simon Baron-Cohen
BACKGROUND: Both people with autism spectrum conditions (ASC) and borderline personality disorder (BPD) are significantly challenged in terms of understanding and responding to emotions and in interpersonal functioning. AIMS: To compare ASC, BPD, and comorbid patients in terms of autistic traits, empathy, and systemizing. METHODS: 624 ASC, 23 BPD, and 16 comorbid (ASC+BPD) patients, and 2,081 neurotypical controls (NC) filled in the Autism Spectrum Quotient (AQ), the Empathy Quotient (EQ) and the Systemizing Quotient-Revised (SQ-R)...
2017: PloS One
https://www.readbyqxmd.com/read/28885558/the-relationship-between-survival-sex-and-borderline-personality-disorder-symptoms-in-a-high-risk-female-population
#13
Jerreed Ivanich, Melissa Welch-Lazoritz, Kirk Dombrowski
Engaging in survival sex and mental illness are overrepresented within homeless populations. This article assesses the relationship between symptoms of borderline personality disorder (BPD) and engaging in survival sex among homeless women. One hundred and fifty-eight homeless women completed surveys on self-reported BPD symptomology and sexual history. Bivariate and multivariate analyses conducted in this study provided insights into the association of experiencing BPD symptoms and engaging in survival sex...
September 8, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28884321/elevated-rate-of-alcohol-consumption-in-borderline-personality-disorder-patients-in-daily-life
#14
Ryan W Carpenter, Constantine J Trela, Sean P Lane, Phillip K Wood, Thomas M Piasecki, Timothy J Trull
RATIONALE: Borderline personality disorder (BPD) is highly associated with alcohol use disorder, but little is known about how BPD individuals consume alcohol or the immediate effects of their consumption. There is therefore a need for research investigating drinking behavior in BPD. OBJECTIVES: The current study examined rate of alcohol consumption in BPD (N = 54) and community individuals (COM; N = 59) within ecologically valid drinking episodes. We hypothesized that rate of consumption would be elevated in BPD individuals...
September 7, 2017: Psychopharmacology
https://www.readbyqxmd.com/read/28881460/endogenous-oxytocin-is-associated-with-the-experience-of-compassion-and-recalled-upbringing-in-borderline-personality-disorder
#15
Andreas Ebert, Marc-Andreas Edel, Paul Gilbert, Martin Brüne
BACKGROUND/OBJECTIVE: The role of the neuropeptide oxytocin (OT) in Borderline Personality Disorder (BPD) is poorly understood. It is particularly unknown how early experiences with caregivers moderate the action of OT in BPD. Here, we examined the association of plasma OT levels in BPD patients with the experience of compassion and recalled parental behavior during childhood. METHODS: Fifty-seven BPD patients and 43 healthy controls participated in the study. OT plasma levels were analyzed by radioimmunoassay...
September 7, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28880261/bronchopulmonary-dysplasia-associated-pulmonary-hypertension-clues-from-placental-pathology
#16
A M Kunjunju, K R Gopagondanahalli, Y Chan, A Sehgal
OBJECTIVES: Bronchopulmonary dysplasia (BPD) and the associated complication of pulmonary hypertension (PH) leads to increased mortality and a longer length of stay among survivors. Placental histopathology may give early clues of subsequent events. The objective was to evaluate the relationship of maternal vascular underperfusion (MVU) changes on placental histopathology with subsequent development of BPD-associated PH in a cohort of extremely premature infants. STUDY DESIGN: In a cohort of preterm infants '⩽28 weeks' gestational age (GA) and with 'severe' BPD, this retrospective study evaluated specific placental histopathological changes and assessed the relationship with subsequent development of PH...
September 7, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/28876148/how-is-a-label-of-borderline-personality-disorder-constructed-on-twitter-a-critical-discourse-analysis
#17
Heather Dyson, Lucy Gorvin
This research took a social constructionist stance and explored how Borderline Personality Disorder (BPD) is constructed by Twitter users who identify with this diagnostic label. Consistent with this position, a critical discourse analysis (CDA) methodology was employed. The data comprised two-hundred and twenty-five tweets. Tweets from professionals, or links to blogs, were excluded, in an attempt to ensure only personal tweets were used. Two interpretative repertoires were produced from the analysis: BPD as an existence of tension and BPD as a different existence...
September 6, 2017: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/28871714/borderline-personality-disorder-and-unmet-needs
#18
Ales Grambal, Jan Prasko, Marie Ociskova, Milos Slepecky, Antonia Kotianova, Zuzana Sedlackova, Marta Zatkova, Petra Kasalova, Dana Kamaradova
BACKGROUND: Borderline personality disorder (BPD) is a disabling psychiatric condition with a chronic and challenging course. BPD is reflected as a disorder of self-regulation" and is associated with both psychological vulnerabilities and social relations that fail to support basic emotional needs. The objective of the paper is to provide the up-to-date data on the unmet needs of BPD patients and their families. METHOD: A computerized search of the literature printed between January 1990 and May 2017 was conducted in PubMed, and additional papers were extracted using keywords "borderline personality disorder,"needs," "pharmacotherapy," "psychotherapy," "CBT," and "family" in various combinations...
August 5, 2017: Neuro Endocrinology Letters
https://www.readbyqxmd.com/read/28865721/to-see-in-a-mirror-dimly-the-looking-glass-self-is-self-shaming-in-borderline-personality-disorder
#19
Zsolt Unoka, Gabriella Vizin
Symptoms of borderline personality disorder (BPD) can be conceptualized as the expression of and defenses against or response to the painful emotion of chronic shame, which may relate to early maladaptive schemas (EMS). The goal of this research is to examine levels of early maladaptive schemas, self-reported shame, and anxious or angry reactions to social put-downs as well as their associations. We also looked to assess the association of shame with BPD symptoms. Fifty-six patients with BPD completed self-report measures of EMSs, chronic shame, and reactions to put-downs...
August 24, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28861696/treatment-of-vitamin-and-mineral-deficiencies-after-biliopancreatic-diversion-with-or-without-duodenal-switch-a-major-challenge
#20
Jens Homan, Wendy Schijns, Edo O Aarts, Ignace M C Janssen, Frits J Berends, Hans de Boer
BACKGROUND: Vitamin and mineral deficiencies are a major concern after biliopancreatic diversion (BPD) and BPD with duodenal switch (BPD/DS). Evidence-based guidelines how to prevent or how to treat deficiencies in these patients are currently lacking. The aim of the current study is to give an overview of postsurgical deficiencies and how to prevent and treat these deficiencies. METHODS: Retrospective evaluation of a 1-year structured monitoring and treatment schedule for various deficiencies in 34 patients after BPD or BPD/DS...
August 31, 2017: Obesity Surgery
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