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https://www.readbyqxmd.com/read/29093819/the-impact-of-borderline-personality-disorder-and-sub-threshold-borderline-personality-disorder-on-the-course-of-self-reported-and-clinician-rated-depression-in-self-harming-adolescents
#1
Ruth-Kari Ramleth, Berit Groholt, Lien M Diep, Fredrik A Walby, Lars Mehlum
Background: Studies on adults suggest that the presence of comorbid depression and Borderline Personality Disorder (BPD) is associated with an elevated risk of self-harming behaviours and that self-harming behaviours, when present, will have higher severity. This comorbidity, furthermore, complicates clinical assessments, which may be an obstacle to early identification and proper intervention. Adolescents who self-harm frequently report high levels of depressive symptoms, but this is often not reflected in the clinicians' assessment...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/29089145/the-empirical-status-of-the-third-wave-behaviour-therapies-for-the-treatment-of-eating-disorders-a-systematic-review
#2
REVIEW
Jake Linardon, Christopher G Fairburn, Ellen E Fitzsimmons-Craft, Denise E Wilfley, Leah Brennan
Although third-wave behaviour therapies are being increasingly used for the treatment of eating disorders, their efficacy is largely unknown. This systematic review and meta-analysis aimed to examine the empirical status of these therapies. Twenty-seven studies met full inclusion criteria. Only 13 randomized controlled trials (RCT) were identified, most on binge eating disorder (BED). Pooled within- (pre-post change) and between-groups effect sizes were calculated for the meta-analysis. Large pre-post symptom improvements were observed for all third-wave treatments, including dialectical behaviour therapy (DBT), schema therapy (ST), acceptance and commitment therapy (ACT), mindfulness-based interventions (MBI), and compassion-focused therapy (CFT)...
December 2017: Clinical Psychology Review
https://www.readbyqxmd.com/read/29061627/smartphone-enhanced-low-threshold-intervention-for-adolescents-with-anorexia-nervosa-seltian-waiting-for-outpatient-psychotherapy-study-protocol-of-a-randomised-controlled-trial
#3
David R Kolar, Florian Hammerle, Ekkehart Jenetzky, Michael Huss
INTRODUCTION: As smartphones are widely distributed nowadays, mental health apps seem to be a promising treatment tool. First self-help apps for eating disorders have been developed recently. However, studies assessing the efficacy of such apps are scarce. A smartphone app could prevent further weight reduction and increase commitment during waiting time for outpatient treatment, especially for adolescents with anorexia nervosa (AN). In this study protocol, a randomised controlled trial to assess the efficacy of a smartphone-enhanced low-threshold intervention for AN during waiting time is described...
October 22, 2017: BMJ Open
https://www.readbyqxmd.com/read/29034599/process-and-impact-of-dialectical-behaviour-therapy-a-systematic-review-of-perceptions-of-clients-with-a-diagnosis-of-borderline-personality-disorder
#4
REVIEW
Hannah Little, Anna Tickle, Roshan das Nair
PURPOSE: To identify, appraise, and synthesize findings from qualitative studies of individuals diagnosed with borderline personality disorder who have experienced dialectical behaviour therapy, to gain further understanding of their perceptions of the process and impact of therapy. METHODS: We conducted a comprehensive systematic search of the literature from several online databases, and appraised them using an adapted version of the Critical Appraisal Skills Programme tool...
October 16, 2017: Psychology and Psychotherapy
https://www.readbyqxmd.com/read/29024577/interpersonal-barriers-to-recovery-from-borderline-personality-disorder-a-qualitative-analysis-of-patient-perspectives
#5
Adam Carmel, Nicole I Torres, Samantha Chalker, Katherine Anne Comtois
Social-environmental factors have been found to be an integral part in the recovery process for individuals with psychiatric disabilities. There are few studies that have obtained patient perspectives of how their social and treatment environments help facilitate or impede the recovery process. The following study examined the self-reported interpersonal barriers to recovery among a sample of individuals (N = 31) with borderline personality disorder who were receiving dialectical behaviour therapy. The goal of study was to identify self-reported problematic behaviour that interferes with recovery goals and identify types of family, friend and/or provider behaviours that increased the likelihood of patients engaging in these problematic behaviours...
October 12, 2017: Personality and Mental Health
https://www.readbyqxmd.com/read/28989706/standard-12-month-dialectical-behaviour-therapy-for-adults-with-borderline-personality-disorder-in-a-public-community-mental-health-setting
#6
Daniel Flynn, Mary Kells, Mary Joyce, Paul Corcoran, Conall Gillespie, Catalina Suarez, Mareike Weihrauch, Padraig Cotter
BACKGROUND: Dialectical behaviour therapy (DBT) is noted to be an intervention with a growing body of evidence that demonstrates its efficacy in treating individuals diagnosed with borderline personality disorder (BPD). Evidence for the effectiveness of DBT in publicly funded community mental health settings is lacking however. No study to our knowledge has been published on the effectiveness of a 12 month standard DBT programme without adaptations for individuals with BPD in a publicly funded community mental health setting and no study has included data across multiple time-points...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28745011/enhancing-prevention-and-intervention-for-youth-concurrent-mental-health-and-substance-use-disorders-the-research-and-action-for-teens-study
#7
Joanna L Henderson, E B Brownlie, Shelley McMain, Gloria Chaim, David A Wolfe, Brian Rush, Tali Boritz, Joseph H Beitchman
BACKGROUND: Concurrent mental health and substance use disorders among youth are associated with functional impairment in developmentally salient domains, yet research on prevention and intervention for this vulnerable population is sparse. This paper describes the rationale and design of the Research and Action for Teens study, an initiative designed to strengthen the evidence base for prevention, screening, treatment and service delivery for youth concurrent mental health and substance use concerns...
July 26, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28648090/effectiveness-of-a-10-week-group-program-based-on-dialectical-behaviour-therapy-skills-among-patients-with-personality-and-mood-disorders-findings-from-a-pilot-study
#8
Agatha M Conrad, Anoop Sankaranarayanan, Terry J Lewin, Anna Dunbar
OBJECTIVES: Community mental health services are often required to manage people experiencing repeated crises. Personality disorders are not uncommon, accounting for up to one-third of such presentations. These patients are often difficult to treat, leading to a revolving-door phenomenon. This study evaluated the effectiveness of a pilot intervention in reducing psychological symptoms and distress, and examined the impact of the intervention on mental health service utilization. METHODS: A pre- versus post-treatment evaluation was conducted of the effectiveness of a 10-week group psychological intervention based on Dialectical Behaviour Therapy skills, conducted in a regional Australian community mental health service with patients diagnosed with either Cluster B personality disorder or a mood disorder...
June 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28480806/mechanisms-of-change-in-dialectical-behaviour-therapy-and-cognitive-behaviour-therapy-for-borderline-personality-disorder-a-critical-review-of-the-literature
#9
Susie Rudge, Janet Denise Feigenbaum, Peter Fonagy
BACKGROUND: Little is known about the "active ingredients" of psychological therapy for Borderline Personality Disorder (BPD) despite a growing evidence base documenting its clinical effectiveness. This information can be used by clinicians to inform service planning and care pathways. AIMS: The aim of this study was to review published empirical research investigating the potential mechanisms underlying therapeutic change in Dialectical Behaviour Therapy (DBT) and Cognitive Behaviour Therapy (CBT) for BPD...
May 8, 2017: Journal of Mental Health
https://www.readbyqxmd.com/read/27959459/-compliance-and-patience-is-needed-when-meeting-patients-with-personality-disorder
#10
REVIEW
Göran Rydén, Kent-Inge Perseius
Compliance and patience is needed when meeting patients with personality disorder To encounter patients with personality disorders in health care settings is often challenging. Most treatment studies published have included only patients with borderline personality disorder. Of evaluated psychological treatments in borderline personality disorder, dialectical behaviour therapy (DBT) has the strongest research support, followed by mentalization based therapy (MBT). Pharmacological treatment in personality disorders should focus on time-limited crisis intervention and treatment of comorbidity...
December 6, 2016: Läkartidningen
https://www.readbyqxmd.com/read/27897326/exploring-the-effectiveness-of-combined-mentalization-based-group-therapy-and-dialectical-behaviour-therapy-for-inpatients-with-borderline-personality-disorder-a-pilot-study
#11
Marc-Andreas Edel, Vanessa Raaff, Giancarlo Dimaggio, Anna Buchheim, Martin Brüne
OBJECTIVES: Borderline personality disorder (BPD) is characterized by emotional instability, interpersonal dysfunction, and other features that typically develop before a background of insecure attachment and traumatic experiences. Dialectical behaviour therapy (DBT) has proven highly effective in reducing self-harm and improving emotion regulation, whereby problems concerning social cognition, which are also characteristic of BPD, may need additional approaches such as mentalization-based treatment (MBT)...
March 2017: British Journal of Clinical Psychology
https://www.readbyqxmd.com/read/27890269/-anorexia-and-borderline-personality-disorder%C3%A2-bonds-pathology
#12
Delphine Cayn, Alexandra Pham-Scottez
Comorbidity with a borderline personality disorder is far from rare in patients suffering from eating disorders. Clinically, this presents as chronic instability in many areas: interpersonal relationships, self-image, emotions, mood and acting out. Treatment is mainly based on a containing and reassuring therapeutic framework. A care plan may be put in place that incorporates reducing impulsive harmful, eating and self-harming behaviours. Dialectical behaviour therapy is intended in particular to prevent suicide risk in borderline personality disorder patients...
November 2016: Soins. Psychiatrie
https://www.readbyqxmd.com/read/27858962/a-randomized-trial-of-brief-dialectical-behaviour-therapy-skills-training-in-suicidal-patients-suffering-from-borderline-disorder
#13
RANDOMIZED CONTROLLED TRIAL
Shelley F McMain, Tim Guimond, Ryan Barnhart, Liat Habinski, David L Streiner
OBJECTIVE: Evidence-based therapies for borderline personality disorder (BPD) are lengthy and scarce. Data on brief interventions are limited, and their role in the treatment of BPD is unclear. Our aim was therefore to evaluate the clinical effectiveness of brief dialectical behaviour therapy (DBT) skills training as an adjunctive intervention for high suicide risk in patients with BPD. METHOD: Eighty-four out-patients were randomized to 20 weeks of DBT skills (n = 42) or a waitlist (WL; n = 42)...
February 2017: Acta Psychiatrica Scandinavica
https://www.readbyqxmd.com/read/27504235/health-related-quality-of-life-for-young-people-receiving-dialectical-behaviour-therapy-dbt-a-routine-outcome-monitoring-pilot
#14
M Swales, R A B Hibbs, L Bryning, R P Hastings
PURPOSE: Adults presenting with borderline personality disorder (BPD) score poorly on measures of health related quality of life (HRQoL). Little is known about HRQoL in adolescents with BPD type presentations and how treatment impacts quality of life. Our primary aim was to use routinely collected quality-of-life outcome measures pre and post-treatment in dialectical behaviour therapy (DBT) for adolescents to address this gap. Secondary aims were to benchmark these data against EuroQol 5 dimensions (EQ-5D™) outcomes for clients treated in clinical trials and to assess the potential of the EQ-5D™ as a benchmarking tool...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27456814/dialectical-behaviour-therapy-dbt-with-people-with-intellectual-disabilities-a-systematic-review-and-narrative-analysis
#15
REVIEW
Louisa McNair, Ceri Woodrow, Dougal Hare
BACKGROUND: There is mixed evidence regarding the effectiveness of psychological therapies for people with intellectual and developmental disorders. Although systematic reviews have supported the use of dialectical behaviour therapy with people with borderline personality disorder, there are no comparable reviews regarding DBT with people with intellectual and development disabilities. METHODS: Studies were identified using a systematic approach and were selected if they reported an intervention that included a DBT skills group and then assessed using the Evaluative Method for Determining Evidence Based Practice...
September 2017: Journal of Applied Research in Intellectual Disabilities: JARID
https://www.readbyqxmd.com/read/27422028/psychosocial-interventions-following-self-harm-in-adults-a-systematic-review-and-meta-analysis
#16
REVIEW
Keith Hawton, Katrina G Witt, Tatiana L Taylor Salisbury, Ella Arensman, David Gunnell, Philip Hazell, Ellen Townsend, Kees van Heeringen
BACKGROUND: Self-harm (intentional acts of non-fatal self-poisoning or self-injury) is common, particularly in young adults aged 15-35 years, often repeated, and strongly associated with suicide. Effective aftercare of individuals who self-harm is therefore important. We have undertaken a Cochrane systematic review and meta-analysis of the effectiveness of psychosocial interventions for self-harm in adults. METHODS: We searched five electronic databases (CCDANCTR-Studies and References, CENTRAL, MEDLINE, Embase, and PsycINFO) between Jan 1, 1998, and April 29, 2015, for randomised controlled trials of psychosocial interventions for adults after a recent (within 6 months) episode of self-harm...
August 2016: Lancet Psychiatry
https://www.readbyqxmd.com/read/27394042/effectiveness-of-a-modified-dialectical-behaviour-therapy-for-adolescents-within-a-stepped-care-model
#17
Sarosh Khalid-Khan, Shira C Segal, Ellen N Jopling, Kathy Southmayd, Patricia Marchand
OBJECTIVE: Early intervention with evidence-based treatment is important to halt the progression from early manifestations of personality disorder traits to adult personality disorders. The purpose of this study is to evaluate dialectical behaviour therapy (DBT) modified for an adolescent population with borderline personality disorder (BPD), offered within a stepped-care model. METHODS: Seven adolescents (M=1, F=6, Mage=16.86) diagnosed with either BPD or BPD traits participated in a modified 15-week DBT group...
July 9, 2016: International Journal of Adolescent Medicine and Health
https://www.readbyqxmd.com/read/27185387/examination-of-an-intervention-to-enhance-relationship-satisfaction-after-brain-injury-a-feasibility-study
#18
Samantha Backhaus, Dawn Neumann, Devan Parrot, Flora M Hammond, Claire Brownson, James Malec
BACKGROUND: Brain injury (BI) can adversely affect marriage satisfaction, which can impact rehabilitation outcomes. The objectives of this study were to (1) examine the feasibility of providing a group intervention to individuals with BI and (2) examine if improvements occur in relationship satisfaction and communication following participation. METHODS: Nine individuals with BI and their partner participated in a 16-week group intervention targeting relationship skills training...
2016: Brain Injury: [BI]
https://www.readbyqxmd.com/read/27168519/psychosocial-interventions-for-self-harm-in-adults
#19
REVIEW
Keith Hawton, Katrina G Witt, Tatiana L Taylor Salisbury, Ella Arensman, David Gunnell, Philip Hazell, Ellen Townsend, Kees van Heeringen
BACKGROUND: Self-harm (SH; intentional self-poisoning or self-injury) is common, often repeated, and associated with suicide. This is an update of a broader Cochrane review first published in 1998, previously updated in 1999, and now split into three separate reviews. This review focuses on psychosocial interventions in adults who engage in self-harm. OBJECTIVES: To assess the effects of specific psychosocial treatments versus treatment as usual, enhanced usual care or other forms of psychological therapy, in adults following SH...
May 12, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27132175/skills-use-and-common-treatment-processes-in-dialectical-behaviour-therapy-for-borderline-personality-disorder
#20
Kirsten Barnicot, Rafael Gonzalez, Rosemarie McCabe, Stefan Priebe
BACKGROUND AND OBJECTIVES: Dialectical behaviour therapy (DBT) trains participants to use behavioural skills for managing their emotions. The study aimed to evaluate whether skills use is associated with positive treatment outcomes independently of treatment processes that are common across different therapeutic models. METHOD: Use of the DBT skills and three common treatment processes (therapeutic alliance, treatment credibility and self-efficacy) were assessed every 2 months for a year in 70 individuals with borderline personality disorder receiving DBT...
September 2016: Journal of Behavior Therapy and Experimental Psychiatry
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