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Borderline personality disorder

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https://www.readbyqxmd.com/read/27910261/borderline-personality-disorder-features-emotion-dysregulation-and-non-suicidal-self-injury-preliminary-findings-in-a-sample-of-community-dwelling-italian-adolescents
#1
Antonella Somma, Carla Sharp, Serena Borroni, Andrea Fossati
In order to assess the relationships among borderline personality disorder features, non-suicidal self-injury (NSSI) and emotion dysregulation, 122 community-dwelling Italian adolescents were administered by the Italian translations of the Borderline Personality Features Scale for Children-11, the Deliberate Self-Harm Inventory and the Difficulties in Emotion Regulation Scale (DERS). Regression models showed that both Deliberate Self-Harm Inventory (DSHI) and DERS scores significantly predicted Borderline Personality Features Scale for Children-11 total score; moreover, the DSHI total score significantly predicted the DERS total score...
December 2, 2016: Personality and Mental Health
https://www.readbyqxmd.com/read/27908898/clinically-useful-screen-for-borderline-personality-disorder-in-psychiatric-out-patients
#2
Mark Zimmerman, Matthew D Multach, Kristy Dalrymple, Iwona Chelminski
A total of 3674 psychiatric out-patients were evaluated with a semi-structured diagnostic interview for DSM-IV borderline personality disorder (BPD). The affective instability criterion had a sensitivity of 92.8%, higher than the sensitivities of the other eight BPD criteria. The negative predictive value of the affective instability criterion was 99%. We recommend that clinicians screen for BPD in the same way that they screen for other psychiatric disorders: by enquiring about a single feature of the disorder (i...
December 1, 2016: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/27906412/multiple-cluster-axis-ii-comorbidity-and-functional-outcome-in-severe-patients-with-borderline-personality-disorder
#3
Nerea Palomares, Antonia McMaster, Marina Díaz-Marsá, Irene de la Vega, Ana Montes, José Luis Carrasco
BACKGROUND: Current literature suggests that personality disorder comorbidity negatively contributes to both the severity and prognosis of other disorders; however, little literature has been devoted to its influence on borderline personality disorder (BPD). The objective of the present work is to study comorbidity with other personality disorders in a severe clinical sample of patients with BPD, and its relationship with global functionality. METHODS: A sample of 65 patients with severe borderline personality disorder was included in the study...
November 2016: Actas Españolas de Psiquiatría
https://www.readbyqxmd.com/read/27898277/editorial-therapeutic-factors-in-treatment-of-patients-with-borderline-personality-disorder
#4
Richard C Friedman, Jennifer I Downey
In this issue of Psychodynamic Psychiatry, Michael Stone discusses therapeutic factors in the treatment of patients with Borderline Personality Disorder (BPD). He emphasizes the great diversity of borderline patients and points out that a number of manual-based therapies, each described by an acronym, generally achieve positive therapeutic results in the short term. Many borderline patients require years of psychotherapy, pharmacotherapy and additional treatments, however. Stone observes that patients with this disorder invariably have other personality characteristics and disorders...
2016: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/27898274/borderline-personality-disorder-therapeutic-factors
#5
Michael H Stone
Proponents of the now half-dozen major psychotherapeutic approaches tend to claim the superiority of their different approaches-known widely by their acronyms: CBT for Cognitive Behavioral Therapy, DBT for Dialectic Behavioral Therapy, MBT for Mentalization-Based Therapy, TFP for Transference- Focused Psychotherapy, and so on. The data thus far support the utility of each method, but do not show clear-cut superiority of any one method. A large percentage of BPD patients eventually improve or even recover, but these favorable results appear to derive from a multiplicity of factors...
2016: Psychodynamic Psychiatry
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
#6
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)...
November 29, 2016: British Journal of Clinical Psychology
https://www.readbyqxmd.com/read/27895922/commentary-to-nicastro-et-al-2016-borderline-personality-disorder-and-emotion-dysregulation
#7
EDITORIAL
Nader Perroud, Ueli Kramer
No abstract text is available yet for this article.
2016: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/27890269/-anorexia-and-borderline-personality-disorder%C3%A2-bonds-pathology
#8
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/27888681/the-buffer-role-of-meaning-in-life-in-hopelessness-in-women-with-borderline-personality-disorders
#9
José H Marco, Veronica Guillén, Cristina Botella
Meaning in life has been found to be a protective factor against suicidal ideation. The aim of this study was to investigate whether meaning in life can moderate and buffer the association between suicide risk factors and hopelessness in women with borderline personality disorders. One hundred twenty-four women diagnosed with borderline personality disorder completed self-report measures of suicide risk factors, hopelessness, and meaning in life. The main result from this study was that meaning in life moderated the association between suicide risk factors and hopelessness...
November 10, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/27878376/amygdala-structure-and-aggressiveness-in-borderline-personality-disorder
#10
Falk Mancke, Sabine C Herpertz, Dusan Hirjak, Rebekka Knies, Katja Bertsch
Aggressiveness is considered an important clinical feature of borderline personality disorder (BPD) and has been associated with alterations of the amygdala. However, studies that analyzed the exact location of amygdala alterations associated with aggressiveness in BPD or that systematically compared female and male BPD patients are missing. In the current study, we therefore investigated a sex-mixed sample of BPD patients and healthy volunteers and applied an automated segmentation method that allows the study of both, alterations of amygdala volume and localized amygdala shape...
November 22, 2016: European Archives of Psychiatry and Clinical Neuroscience
https://www.readbyqxmd.com/read/27871720/-guidelines-for-the-prescription-of-mood-stabilizers-for-adolescents-a-literature-review
#11
G Munch, N Godart
INTRODUCTION: Adolescence is a unique phase of the human developmental process. In adolescents, psychotropic medications may have different efficacy and tolerance profiles compared to those at other stages of the lifespan. Mood stabilizers are a complex pharmacological category including lithium, some anticonvulsants, and some second generation antipsychotics. Focusing on this class of pharmacological agents, we aim to answer the following questions: in which indications and according to which modalities should mood stabilizers be prescribed during adolescence? METHODS: Information was sought from the websites of the French Haute Autorité de santé (HAS) and Agence nationale de sécurité du médicament et des produits de santé (ANSM), the American Food and Drug Administration (FDA) and the British National Institute for Health and Clinical Excellence (NICE)...
November 18, 2016: L'Encéphale
https://www.readbyqxmd.com/read/27868172/-the-validity-of-acute-assessments-of-psychiatric-conditions-made-by-psychiatric-emergency-staff
#12
E J M Penterman, F G L M Sabelis, S P A Rasing, C P F van der Staak, H L I Nijman
Earlier research carried out by the outreach psychiatric emergency team in the region of Uden / Veghel in the Netherlands indicated that the preliminary diagnosis of patients in crisis was associated with aggressive behaviour during the later contact between the patient and the staff of the psychiatric emergency team. An accurate diagnosis by the staff of the psychiatric emergency team is important because it should guide the patient towards the right type of treatment by the most appropriate team. The staff of the psychiatric emergency service who make the initial diagnosis are pressed for time and have only limited information...
2016: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/27860436/how-do-mothers-with-borderline-personality-disorder-mentalize-when-interacting-with-their-infants
#13
Andrée-Anne Marcoux, Annie Bernier, Jean R Séguin, Jennifer Boike Armerding, Karlen Lyons-Ruth
Mothers with borderline personality disorder (BPD) have been theorized to have decreased mentalization ability, which is the capacity to perceive and interpret mental states. This could increase the risk for troubled relationships with their infants and therefore have adverse consequences for child social and emotional development. Mind-mindedness (MM), which codes the mother's references to her infant's mental states during an interaction, is one method of indexing mothers' mentalizing ability. However, research has yet to examine MM in mothers with BPD...
November 16, 2016: Personality and Mental Health
https://www.readbyqxmd.com/read/27859182/trait-anger-physical-aggression-and-violent-offending-in-antisocial-and-borderline-personality-disorders
#14
Nathan J Kolla, Jeffrey H Meyer, R Michael Bagby, Amanda Brijmohan
Antisocial personality disorder (ASPD) and borderline personality disorder (BPD) are common conditions in forensic settings that present high rates of violence. Personality traits related to the five-factor model personality domains of neuroticism and agreeableness have shown a relationship with physical aggression in nonclinical and general psychiatric samples. The aim of the present investigation was to examine the association of these personality traits with violence and aggression in ASPD and BPD. Results revealed that trait anger/hostility predicted self-reported physical aggression in 47 ASPD and BPD subjects (β = 0...
November 17, 2016: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/27858962/a-randomized-trial-of-brief-dialectical-behaviour-therapy-skills-training-in-suicidal-patients-suffering-from-borderline-disorder
#15
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)...
November 13, 2016: Acta Psychiatrica Scandinavica
https://www.readbyqxmd.com/read/27855714/the-nourished-randomised-controlled-trial-comparing-mentalisation-based-treatment-for-eating-disorders-mbt-ed-with-specialist-supportive-clinical-management-sscm-ed-for-patients-with-eating-disorders-and-symptoms-of-borderline-personality-disorder
#16
Paul Robinson, Jennifer Hellier, Barbara Barrett, Daiva Barzdaitiene, Anthony Bateman, Alexandra Bogaardt, Ajay Clare, Nadia Somers, Aine O'Callaghan, Kimberley Goldsmith, Nikola Kern, Ulrike Schmidt, Sara Morando, Catherine Ouellet-Courtois, Alice Roberts, Finn Skårderud, Peter Fonagy
BACKGROUND: In this multi-centre randomized controlled trial (RCT) we compared modified mentalisation-based treatment (MBT-ED) to specialist supportive clinical management (SSCM-ED) in patients with eating disorders (EDs) and borderline personality disorder symptoms (BPD). This group of patients presents complex challenges to clinical services, and a treatment which addresses their multiple problems has the potential to improve outcome. MBT has been shown to be effective in improving outcome in patients with BPD, but its use has not been reported in ED...
November 17, 2016: Trials
https://www.readbyqxmd.com/read/27853437/the-use-of-virtual-reality-to-facilitate-mindfulness-skills-training-in-dialectical-behavioral-therapy-for-borderline-personality-disorder-a-case-study
#17
Maria V Nararro-Haro, Hunter G Hoffman, Azucena Garcia-Palacios, Mariana Sampaio, Wadee Alhalabi, Karyn Hall, Marsha Linehan
Borderline personality disorder (BPD) is a severe mental disorder characterized by a dysfunctional pattern of affective instability, impulsivity, and disturbed interpersonal relationships. Dialectical Behavior Therapy (DBT®) is the most effective treatment for Borderline Personality Disorder, but demand for DBT® far exceeds existing clinical resources. Most patients with BPD never receive DBT®. Incorporating computer technology into the DBT® could help increase dissemination. Immersive Virtual Reality technology (VR) is becoming widely available to mainstream consumers...
2016: Frontiers in Psychology
https://www.readbyqxmd.com/read/27851804/experimentally-assessed-reactive-aggression-in-borderline-personality-disorder
#18
Olga Kogan-Goloborodko, Elisabeth Brügmann, Jonathan Repple, Ute Habel, Benjamin Clemens
Approximately 73% of patients suffering from Borderline personality disorder (BPD) exhibit aggressive behaviour, which severely hinders therapeutic work and clinical improvement. Because the underlying mechanisms of aggression in BPD are not yet completely understood, additional research in this domain has a high clinical and scientific relevance. We employed a modified version of the Taylor Aggression Paradigm (mTAP), in order to examine for the first time whether this task can be used to differentiate between BPD patients and healthy controls with regard to reactive aggression...
2016: PloS One
https://www.readbyqxmd.com/read/27846624/the-new-hamburg-hannover-agitation-scale-in-clinical-samples-manifestation-and-differences-of-agitation-in-depression-anxiety-and-borderline-personality-disorder
#19
Stefanie Jung, Miriam Proske, Kai G Kahl, Tillmann H C Krüger, M Axel Wollmer
BACKGROUND/AIMS: Agitation is a burdening phenomenon that occurs in a variety of psychiatric disorders. The aim of this study was to give a first direction for agitation occurrence in depression, anxiety disorder, and borderline personality disorder (BPD) as well as in healthy controls with and without psychiatric record. METHODS: Using the Hamburg-Hannover Agitation Scale (H2A), an instrument that allows for the measurement of agitation independently of the presence of a specific disorder, a patient sample (n = 158) and a healthy control group (n = 685) with (n = 94) and without (n = 591) psychiatric record were examined...
November 16, 2016: Psychopathology
https://www.readbyqxmd.com/read/27845530/romantic-relationship-dysfunction-in-borderline-personality-disorder-a-naturalistic-approach-to-trustworthiness-perception
#20
Annemarie Miano, Eric A Fertuck, Stefan Roepke, Isabel Dziobek
Patients with borderline personality disorder (BPD) suffer greatly from their unstable interpersonal relationships. Studies on explanatory mechanisms driving social dysfunctions in patients' real-life relationships are, however, lacking. Here, we aimed to investigate one of the most central aspects of close relationships, interpersonal trust, in romantic relationships of persons with BPD. We tested the hypothesis that patients with BPD show unstable trustworthiness perception toward their partner, which we expected to be most pronounced after a relationship-threatening situation...
June 16, 2016: Personality Disorders
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