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Borderline personality disorders

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https://www.readbyqxmd.com/read/28806607/dissociation-in-patients-with-borderline-personality-disorder-in-acute-inpatient-care-a-latent-profile-analysis
#1
Susanne Jaeger, Tilman Steinert, Carmen Uhlmann, Erich Flammer, Dana Bichescu-Burian, Stefan Tschöke
PURPOSE: Dissociation is a common symptom in Borderline Personality disorder (BPD) and its consideration is important for the therapeutic outcome. The aim of this cross-sectional study was to scrutinize the co-occurrence of BPD symptoms and dissociative experiences. In particular, we were interested in the occurrence of specific symptom clusters characterizing qualitatively different patient groups in a clinical sample of BPD patients. BASIC PROCEDURES: We analyzed the data of 103 patients in a specialized acute inpatient care crisis intervention unit...
July 20, 2017: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/28803030/neurofeedback-sham-neurofeedback-and-cognitive-behavioural-group-therapy-in-adults-with-attention-deficit-hyperactivity-disorder-a-triple-blind-randomised-controlled-trial
#2
Michael Schönenberg, Eva Wiedemann, Alexander Schneidt, Jonathan Scheeff, Alexander Logemann, Philipp M Keune, Martin Hautzinger
BACKGROUND: Many studies suggest that electroencephalographic (EEG) neurofeedback might be beneficial in the treatment of attention-deficit hyperactivity disorder (ADHD). However, numbers of well controlled studies are low and neurofeedback techniques are regarded as highly controversial. The present trial examined the efficacy (compared with sham neurofeedback) and efficiency (compared with meta-cognitive therapy) of a standard EEG neurofeedback protocol in adults with ADHD. METHODS: We did a concurrent, triple-blind, randomised, controlled trial using authorised deception in adults with ADHD from one centre (University of Tübingen) in Tübingen, Germany...
August 9, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28797561/self-reported-psychosis-like-experiences-in-patients-with-mood-disorders
#3
I Baryshnikov, J Suvisaari, K Aaltonen, M Koivisto, T Melartin, P Näätänen, K Suominen, B Karpov, M Heikkinen, J Oksanen, T Paunio, G Joffe, E Isometsä
BACKGROUND: Self-reported psychosis-like experiences (PEs) may be common in patients with mood disorders, but their clinical correlates are not well known. We investigated their prevalence and relationships with self-reported symptoms of depression, mania, anxiety, borderline (BPD) and schizotypal (SPD) personality disorders among psychiatric patients with mood disorders. METHODS: The Community Assessment of Psychic Experiences (CAPE-42), Mood Disorder Questionnaire (MDQ), McLean Screening Instrument (MSI), The Beck Depressive Inventory (BDI), Overall Anxiety Severity and Impairment Scale (OASIS) and Schizotypal Personality Questionnaire-Brief form (SPQ-B) were filled in by patients with mood disorders (n=282) from specialized care...
February 3, 2017: European Psychiatry: the Journal of the Association of European Psychiatrists
https://www.readbyqxmd.com/read/28792130/perceptual-abnormalities-in-an-ultra-high-risk-for-psychosis-population-relationship-to-trauma-and-co-morbid-disorder
#4
Karen O' Connor, Barnaby Nelson, Mary Cannon, Alison Yung, Andrew Thompson
AIMS: The aims of this study were 3-fold. We wished to investigate whether at baseline entry to an ultra-high risk (UHR) clinic whether: (1) perceptual abnormalities are more prevalent in those young people with co-morbid psychiatric diagnoses, (2) perceptual abnormalities are more prevalent in those young people with histories of childhood adversity (childhood trauma, bullying) and (3) perceptual abnormality type is associated with co-morbid psychiatric diagnoses or histories of childhood adversity...
August 9, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28782133/risk-factors-for-suicidal-behavior-depend-on-age-for-veterans-in-the-pacific-islands
#5
Barbara L Pitts, Julia M Whealin, Jackson Kato
We examined whether risk factors for suicidal behavior depend on age among military veterans in the Pacific Islands (N = 29,595). For veterans under 54 years old, having a diagnosis of posttraumatic stress disorder, borderline personality disorder, a drug use disorder, and having a service-related disability predicted suicidal behavior. For veterans 54 years old or older, having a mood disorder predicted suicidal behavior. Having a history of suicidal behavior and a high number of VA health care visits were associated with suicidal behavior for both age groups...
August 7, 2017: Suicide & Life-threatening Behavior
https://www.readbyqxmd.com/read/28776212/-use-of-social-media-by-psychiatric-in-patients-case-report-and-further-perspectives
#6
O M Czech, K Podoll, F Schneider
Communication by means of social networks and messenger programs as well as the use of smartphones have rapidly increased during recent years and are constantly present in everyday life. We report about a 25-year-old patient with a diagnosis of borderline personality disorder who posted photographs of acute self-injuries to a group of fellow patients by means of a messenger app while on weekend leave during psychiatric hospital treatment. The implications about possible effects of the use of social media by psychiatric in-patients on treatment and group dynamics are discussed...
August 3, 2017: Der Nervenarzt
https://www.readbyqxmd.com/read/28774224/-i-couldn-t-change-the-past-the-answer-wasn-t-there-a-case-study-on%C3%A2-the-subjective-construction-of-psychotherapeutic-change-of-a-patient-with-a-borderline-personality-disorder-diagnosis-and-her-therapist
#7
Javiera Duarte, Martina Fischersworring, Claudio Martínez, Alemka Tomicic
BACKGROUND: Qualitative research has provided knowledge about the subjective experiences of therapists and patients regarding the psychotherapy process and its results. Only few studies have attempted to integrate both perspectives, considering the influence of a patient's characteristics and diagnosis in the construction of this experience. AIM: To identify aspects of psychotherapy that contribute to therapeutic change based on the experience of a patient and her therapist, and to construct an integrated comprehension of the change process of a patient with Borderline Personality Disorder...
August 3, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28771978/parent-child-relationship-associated-with-the-development-of-borderline-personality-disorder-a-systematic-review
#8
Marie-Ève Boucher, Jessica Pugliese, Catherine Allard-Chapais, Serge Lecours, Lola Ahoundova, Rachel Chouinard, Sarah Gaham
The parent-child relationship (PCR) is considered as a central factor in most contemporary theories on the aetiology of borderline personality disorder (BPD). This systematic review aimed to answer the three following questions: (1) How is the PCR described by BPD participants and their parents in comparison to other normative and clinical groups? (2) Which aspects of the PCR are specifically associated with a BPD diagnosis in adulthood? (3) How can the facets of the PCR identified in the reviewed studies shed light on the general aetiological models of BPD? Forty studies were retained and divided into three categories: perspective of BPD probands, perspective of their parents and perspective of family...
August 2, 2017: Personality and Mental Health
https://www.readbyqxmd.com/read/28768322/state-dependent-cross-brain-information-flow-in-borderline-personality-disorder
#9
Edda Bilek, Gabriela Stößel, Axel Schäfer, Laura Clement, Matthias Ruf, Lydia Robnik, Corinne Neukel, Heike Tost, Peter Kirsch, Andreas Meyer-Lindenberg
Importance: Although borderline personality disorder (BPD)-one of the most common, burdensome, and costly psychiatric conditions-is characterized by repeated interpersonal conflict and instable relationships, the neurobiological mechanism of social interactive deficits remains poorly understood. Objective: To apply recent advancements in the investigation of 2-person human social interaction to investigate interaction difficulties among people with BPD. Design, Setting, and Participants: Cross-brain information flow in BPD was examined from May 25, 2012, to December 4, 2015, in pairs of participants studied in 2 linked functional magnetic resonance imaging scanners in a university setting...
August 2, 2017: JAMA Psychiatry
https://www.readbyqxmd.com/read/28768209/borderline-personality-disorder-in-men-a-literature-review-and-illustrative-case-vignettes
#10
Adam Bayes, Gordon Parker
The aim is to review the salient literature on borderline personality disorder (BPD) in men and link those findings with case vignettes. We provide a literature review and then report case examples of those who met DSM and clinical BPD criteria, and consider the extent to which the small male sub-set corresponded developmentally and phenomenologically with prototypic BPD in women. The review considered phenomenological, epidemiological, biological and developmental BPD factors, finding BPD men evidence elevated substance abuse, and 'externalising' patterns of behavior, antisocial personality traits, violent self-harm and interpersonal aggression, whereas women display more 'internalising' strategies...
July 26, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28767333/leaving-distress-behind-a-randomized-controlled-study-on-change-in-emotional-processing-in-borderline-personality-disorder
#11
Laurent Berthoud, Antonio Pascual-Leone, Franz Caspar, Hervé Tissot, Sabine Keller, Kristina B Rohde, Yves de Roten, Jean-Nicolas Despland, Ueli Kramer
OBJECTIVE: The marked impulsivity and instability of clients suffering from borderline personality disorder (BPD) greatly challenge therapists' understanding and responsiveness. This may hinder the development of a constructive therapeutic relationship despite it being of particular importance in their treatment. Recent studies have shown that using motive-oriented therapeutic relationship (MOTR), a possible operationalization of appropriate therapist responsiveness, can enhance treatment outcome for BPD...
2017: Psychiatry
https://www.readbyqxmd.com/read/28767018/poor-sleep-and-its-relation-to-impulsivity-in-patients-with-antisocial-or-borderline-personality-disorders
#12
M M Van Veen, J Karsten, M Lancel
Studies investigating sleep and personality disorders consistently demonstrate a relation between personality disorders characterized by behavioral disinhibition and/or emotional dysregulation (traditionally termed cluster B personality disorders) and poor sleep. This finding is in line with previous studies associating insomnia with impulsive behavior, since this is a core characteristic of both antisocial and borderline personality disorder. The current study investigates a group (n = 112) of forensic psychiatric inpatients with antisocial or borderline personality disorder or traits thereof...
July 2017: Behavioral Medicine
https://www.readbyqxmd.com/read/28767014/hiv-risk-substance-use-and-personality-characteristics-among-adults-with-history-of-serious-mental-illness
#13
Cathryn H Mainville, Mark A Richardson, Stephen M Brady, Jori Berger-Greenstein, Janine Bacic
The present study examined the relationship between characteristics associated with personality disorders, substance use, and HIV risk among adults with a history of serious mental illness. Participants included 103 adults with antisocial or borderline personality disorder, serious mental illness, and recent HIV risk behavior. The sample was predominately male (64%), diverse (42% African American and 13% Hispanic), and homeless/marginally housed (76%). In order to examine the relationship between personality characteristics and risk we constructed a risk index comprising key symptoms of antisocial and borderline personality disorders, namely; impulsivity, affective instability, and disregard for safety of self/others...
July 2017: Behavioral Medicine
https://www.readbyqxmd.com/read/28767012/role-of-borderline-personality-disorder-in-the-treatment-of-military-sexual-trauma-related-posttraumatic-stress-disorder-with-cognitive-processing-therapy
#14
Nicholas Holder, Ryan Holliday, Anushka Pai, Alina Surís
Cognitive Processing Therapy (CPT) is an effective evidence-based treatment for many, but not all, veterans with posttraumatic stress disorder (PTSD). Understanding the factors that contribute to poorer response to CPT is important for providing the best care to veterans diagnosed with PTSD. Researchers investigating the effectiveness of CPT for individuals with comorbid personality symptoms have found that borderline personality disorder (BPD) characteristics do not negatively affect treatment outcome; however, participants in those studies were not diagnosed with BPD...
July 2017: Behavioral Medicine
https://www.readbyqxmd.com/read/28759336/patterns-of-non-suicidal-self-injury-and-their-relationship-with-suicide-attempts-in-youth-with-borderline-personality-disorder
#15
Holly E Andrewes, Carol Hulbert, Susan M Cotton, Jennifer Betts, Andrew M Chanen
No abstract text is available yet for this article.
July 31, 2017: Archives of Suicide Research: Official Journal of the International Academy for Suicide Research
https://www.readbyqxmd.com/read/28758885/dimensional-traits-of-schizotypy-associated-with-glycine-receptor-glra1-polymorphism-an-exploratory-candidate-gene-association-study
#16
Anvi K Vora, Amanda M Fisher, Antonia S New, Erin A Hazlett, Margaret McNamara, Qiaoping Yuan, Zhifeng Zhou, Colin Hodgkinson, David Goldman, Larry J Siever, Panos Roussos, M Mercedes Perez-Rodriguez
Schizotypy captures the underlying genetic vulnerability to schizophrenia. However, the genetic underpinnings of schizotypy remain unexplored. The authors examined the relationship between single nucleotide polymorphisms (SNPs) and schizotypy. A sample of 137 subjects (43 healthy controls, 34 subjects with schizotypal personality disorder [SPD], 32 with borderline personality disorder, and 25 with other personality disorders) completed the Schizotypal Personality Questionnaire (SPQ). Subjects were genotyped using a custom array chip...
July 31, 2017: Journal of Personality Disorders
https://www.readbyqxmd.com/read/28758884/clinical-characteristics-of-comorbid-narcissistic-personality-disorder-in-patients-with-borderline-personality-disorder
#17
Susanne Hörz-Sagstetter, Diana Diamond, John F Clarkin, Kenneth N Levy, Michael Rentrop, Melitta Fischer-Kern, Nicole M Cain, Stephan Doering
This study examines psychopathology and clinical characteristics of patients with borderline personality disorder (BPD) and comorbid narcissistic personality disorder (NPD) from two international randomized controlled trials. From a combined sample of 188 patients with BPD, 25 also fulfilled criteria for a comorbid diagnosis of NPD according to DSM-IV. The BPD patients with comorbid NPD, compared to the BPD patients without comorbid NPD, showed significantly more BPD criteria (M = 7.44 vs. M = 6.55, p < ...
July 31, 2017: Journal of Personality Disorders
https://www.readbyqxmd.com/read/28755605/affective-and-cognitive-theory-of-mind-in-borderline-personality-disorder-the-role-of-comorbid-depression
#18
Abbas Zabihzadeh, Gheysar Maleki, Mara J Richman, AmirJalal Hatami, Zahedeh Alimardani, Mostafa Heidari
Disturbed interpersonal relationships and misreading of others' intentions are core symptoms of borderline personality disorder (BPD). Despite these impairments, some studies have found an enhanced theory of mind (ToM) in BPD patients. Taking this into consideration, the current study attempts to further understand these discrepancies by separating ToM into two domains: affective and cognitive. Moreover, the study considered the role of comorbid symptoms of depression in these patients. Subjects were 21 patients with BPD, 23 patients with BPD and comorbid major depressive disorder (MDD), and 25 healthy controls (HC)...
July 19, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28749828/therapists-metacognitive-monitoring-of-the-psychotherapeutic-process-with-patients-with-borderline-personality-disorder
#19
Marianne E Bourke, Brin F S Grenyer
BACKGROUND: Therapy for borderline personality disorder (BPD) is challenging, in part, because of the impact of BPD on the therapeutic relationship. The therapist's metacognitive capacity within therapy may be perturbed due to the complexity of verbal and nonverbal affect and cognition in the therapeutic interchange; however, research on this issue is lacking. METHODS: Therapists (N=20 clinical psychologists) were asked to discuss the treatment process when working with their patients with BPD (N=40) and their patients with major depressive disorder (N=40)...
July 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28747932/prescribing-practices-of-quetiapine-for-insomnia-at-a-tertiary-care-inpatient-child-and-adolescent-psychiatry-unit-a-continuous-quality-improvement-project
#20
Elaine Stephanie Chow, Azadeh Zangeneh-Kazemi, Olabode Akintan, Elizabeth Chow-Tung, Alan Eppel, Khrista Boylan
OBJECTIVE: To examine the prescribing practices of quetiapine for insomnia at a tertiary care child and adolescent psychiatric inpatient unit. METHOD: A retrospective chart review was conducted on all admissions in 2013 involving night-time only prescription of quetiapine. We examined patient demographics, discharge diagnoses, physician's written indications for prescriptions, and maximum doses used. If used for insomnia only, we noted any documentation of past sedative trials, concurrent prescriptions of other sedative agents, whether quetiapine was started in hospital or continued as a part of a community regimen, and whether quetiapine was continued on discharge...
July 2017: Journal of the Canadian Academy of Child and Adolescent Psychiatry
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