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Borderline personality disorder

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https://www.readbyqxmd.com/read/28914095/depressed-multiple-suicide-attempters-a-high-risk-phenotype
#1
Leo Sher, Michael F Grunebaum, Ainsley K Burke, Sadia Chaudhury, J John Mann, Maria A Oquendo
BACKGROUND: There is compelling evidence that suicide attempts are among the strongest predictors of suicide and future suicide attempts. AIM: This study aimed to examine psychopathology in multiple-suicide attempters. METHOD: We compared the demographic and clinical features of three groups: depressed patients without a history of suicide attempts (non-attempters), depressed patients with a history of one to three suicide attempts (attempters), and depressed patients with a history of four or more suicide attempts (multiple attempters)...
September 15, 2017: Crisis
https://www.readbyqxmd.com/read/28910215/substance-misuse-is-associated-with-increased-psychiatric-severity-among-treatment-seeking-individuals-with-borderline-personality-disorder
#2
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
#3
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/28910213/the-challenge-of-transforming-the-diagnostic-system-of-personality-disorders
#4
Sabine C Herpertz, Steven K Huprich, Martin Bohus, Andrew Chanen, Marianne Goodman, Lars Mehlum, Paul Moran, Giles Newton-Howes, Lori Scott, Carla Sharp
While the DSM-5 alternative model of personality disorder (PD) diagnosis allows the field to systematically compare categorical and dimensional classifications, the ICD-11 proposal suggests a radical change by restricting the classification of PDs to one category, deleting all specific types, basing clinical service provision exclusively upon a severity dimension, and restricting trait domains to secondary qualifiers without defining cutoff points. This article reflects broad international agreement about the state of PD diagnosis...
September 14, 2017: Journal of Personality Disorders
https://www.readbyqxmd.com/read/28903103/change-of-unresolved-attachment-in-borderline-personality-disorder-rct-study-of-transference-focused-psychotherapy
#5
Anna Buchheim, Susanne Hörz-Sagstetter, Stephan Doering, Michael Rentrop, Peter Schuster, Peter Buchheim, Dan Pokorny, Melitta Fischer-Kern
No abstract text is available yet for this article.
September 14, 2017: Psychotherapy and Psychosomatics
https://www.readbyqxmd.com/read/28903102/-abandonment-psychotherapy-for-suicidal-patients-with-borderline-personality-disorder-long-term-outcome
#6
Yvonne Burnand, Antonio Andreoli, Laura Frambati, Donna Manning, Alessandra Canuto, Allen Frances
No abstract text is available yet for this article.
September 14, 2017: Psychotherapy and Psychosomatics
https://www.readbyqxmd.com/read/28902896/pathological-grooming-evidence-for-a-single-factor-behind-trichotillomania-skin-picking-and-nail-biting
#7
Aniko Maraz, Borbála Hende, Róbert Urbán, Zsolt Demetrovics
Although trichotillomania (TTM), skin picking (SP), and nail biting (NB) have been receiving growing scientific attention, the question as to whether these disorders can be regarded as separate entities or they are different manifestations of the same underlying tendency is unclear. Data were collected online in a community survey, yielding a sample of 2705 participants (66% women, mean age: 29.1, SD: 8.6). Hierarchical factor analysis was used to identify a common latent factor and the multiple indicators and multiple causes (MIMIC) modelling was applied to test the predictive effect of borderline personality disorder symptoms, impulsivity, distress and self-esteem on pathological grooming...
2017: PloS One
https://www.readbyqxmd.com/read/28902571/pain-perception-and-body-awareness-among-individuals-with-borderline-personality-disorder
#8
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
#9
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
#10
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/28891300/borderline-personality-disorder-and-polycystic-ovary-syndrome-a-review-of-the-literature
#11
Raelene Ym Tan, Jasmin Grigg, Jayashri Kulkarni
OBJECTIVE: This review examines the existing evidence for the relationship between borderline personality disorder and polycystic ovary syndrome, and to identify commonalities in etiological mechanisms of borderline personality disorder and polycystic ovary syndrome that might explain the relationship between these seemingly disparate disorders. METHODS: A search of Medline, EMBASE and Cochrane Central was undertaken on 5 December 2016 to identify studies investigating women with borderline personality disorder and polycystic ovary syndrome (or symptoms and markers specific to polycystic ovary syndrome)...
September 1, 2017: Australian and New Zealand Journal of Psychiatry
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/28876148/how-is-a-label-of-borderline-personality-disorder-constructed-on-twitter-a-critical-discourse-analysis
#16
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
#17
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/28866714/significance-of-personality-disorders-in-the-face-of-drop-outs-from-psychiatric-hospitalizations-the-case-of-selected-psychiatric-units
#18
Maja Biała, Andrzej Kiejna
OBJECTIVES: The World Health Organization's estimations indicate that about 50% of patients in well-developed countries may not adhere to long-term therapies. In the field of psychiatry, drop-outs from psychiatric treatment are particularly important. Personality disorders are a significant part of this sphere. The aim of this research was to empirically verify the hypothesis regarding the relation between comorbid personality disorders and drop-outs from treatment among patients of psychiatric wards...
June 18, 2017: Psychiatria Polska
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/28861273/family-connections-versus-optimised-treatment-as-usual-for-family-members-of-individuals-with-borderline-personality-disorder-non-randomised-controlled-study
#20
Daniel Flynn, Mary Kells, Mary Joyce, Paul Corcoran, Sarah Herley, Catalina Suarez, Padraig Cotter, Justina Hurley, Mareike Weihrauch, John Groeger
BACKGROUND: Borderline personality disorder (BPD) is challenging for family members who are often required to fulfil multiple roles such as those of advocate, caregiver, coach and guardian. To date, two uncontrolled studies by the treatment developers suggest that Family Connections (FC) is an effective programme to support, educate and teach skills to family members of individuals with BPD. However, such studies have been limited by lack of comparison to other treatment approaches. This study aimed to compare the effectiveness of FC with an optimised treatment-as-usual (OTAU) programme for family members of individuals with BPD...
2017: Borderline Personality Disorder and Emotion Dysregulation
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