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Borderline personality disorders

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https://www.readbyqxmd.com/read/28933888/identifying-stable-variants-of-callous-unemotional-traits-a-longitudinal-study-of-at-risk-girls
#1
Natalie Goulter, Eva R Kimonis, Samuel W Hawes, Stephanie Stepp, Alison E Hipwell
Callous-unemotional (CU) traits have proven important for designating children and adolescents showing a pattern of particularly severe, stable, and aggressive antisocial behaviors (Frick, Ray, Thornton, & Kahn, 2014). Individuals with secondary CU traits represent a subpopulation that are distinguished from those with primary CU traits by their high anxiety levels and marked histories of social/environmental adversity; however, evidence is largely based on cross-sectional male samples and this study is the first to examine stable trajectories of CU variants among an all-girl population...
September 21, 2017: Developmental Psychology
https://www.readbyqxmd.com/read/28927866/efficacy-of-metacognitive-training-for-patients-with-borderline-personality-disorder-preliminary-results
#2
Lisa Schilling, Steffen Moritz, Levente Kriston, Maria Krieger, Matthias Nagel
'Metacognitive training for borderline personality disorder' (B-MCT) represents a complementary group intervention. It aims at raising awareness for cognitive biases that may play an important role in the development and maintenance of borderline symptomatology. For the present study, we evaluated the effectiveness of this new approach against a control condition. Seventy-four inpatients with borderline personality disorder (BPD) were randomly assigned to metacognitive training for BPD or progressive muscle relaxation training as an add-on intervention to treatment as usual...
September 11, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28926304/substance-use-in-youth-with-borderline-personality-disorder
#3
Franco Scalzo, Carol A Hulbert, Jennifer K Betts, Sue M Cotton, Andrew M Chanen
Co-occurring substance misuse and borderline personality disorder (BPD) in adults is associated with more severe dysfunction and poorer prognosis than BPD alone. However, it is unknown to what extent substance use in youth with BPD is normative for this age group or pathological. This study compared substance use in 117 help-seeking youth (aged 15-25 years) with their first presentation for treatment of BPD, with an epidemiological general population sample and with healthy, age- and gender-matched controls...
September 19, 2017: Journal of Personality Disorders
https://www.readbyqxmd.com/read/28926303/subgroups-of-adolescent-girls-with-borderline-personality-disorder-symptoms
#4
Claire Slavin-Stewart, Khrista Boylan, Jeffrey D Burke
The aim of this study was to determine whether borderline personality disorder (BPD) can be differentiated from other disorders in a clinical sample of adolescent girls. Participants (N = 75) were grouped based on the pattern of BPD symptom endorsement using a latent class analysis. Four latent classes were identified. The most impaired class endorsed seven BPD symptoms and an average of three comorbid disorders. An intermediate class endorsed three BPD symptoms and had the highest prevalence of PTSD (41.7%)...
September 19, 2017: Journal of Personality Disorders
https://www.readbyqxmd.com/read/28923434/personality-organization-and-its-association-with-clinical-and-functional-features-in-borderline-personality-disorder
#5
Álvaro Esguevillas, Covadonga M Díaz-Caneja, Celso Arango, Ángel Luis Del Rey-Mejías, Enrique G Bernardo, Carlos Delgado, John F Clarkin, José Luis Carrasco
Patients with borderline personality disorder (BPD) show poor psychosocial functioning over the course of their lives. To date, predictors of functionality in BPD patients have remained mostly unexplored. In this study, we aimed to assess the association between personality organization and clinical and functional features in a sample of 50 patients with BPD referred to a specialized outpatient clinic. We used the Structured Interview of Personality Organization (STIPO) to assess personality organization and the Global Assessment of Functioning (GAF) scale to measure functionality...
September 11, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28922736/reduced-white-matter-integrity-in-borderline-personality-disorder-a-diffusion-tensor-imaging-study
#6
Taiga Ninomiya, Harumi Oshita, Yoshihisa Kawano, Chiharu Goto, Mai Matsuhashi, Koji Masuda, Fuku Takita, Toshihiko Izumi, Ayako Inoue, Haruka Higuma, Masayuki Kanehisa, Jotaro Akiyoshi
BACKGROUND: Borderline personality disorder (BPD) has a pervasive pattern of instability in interpersonal relationships, self-image, and emotions. BPD may be linked to an abnormal brain anatomy, but little is known about possible impairments of the white matter microstructure in BPD or their relationship with impulsivity or risky behaviors. The aims of the present study were to explore the relationship between BPD and diffusion tensor imaging (DTI) parameters and psychological tests. METHODS: We evaluated 35 un-medicated BPD patients in a medication-free state and 50 healthy controls (HCs)...
September 12, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28922592/determining-if-borderline-personality-disorder-and-bipolar-disorder-are-alternative-expressions-of-the-same-disorder-results-from-the-national-epidemiologic-survey-on-alcohol-and-related-conditions
#7
Iris de la Rosa, María A Oquendo, Gemma García, Barbara Stanley, Ana González-Pinto, Shang-Min Liu, Carlos Blanco
OBJECTIVE: To examine whether bipolar disorder and borderline personality disorder represent 2 different disorders or alternative manifestations of the same disorder. METHODS: The data were collected between January 1, 2004, and December 31, 2005. The analyses were conducted between December 21 and December 27, 2010. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed on 25 symptoms assessing depression, mania, and borderline personality disorder from the National Epidemiologic Survey on Alcohol and Related Conditions, a large nationally representative sample of the US adult population (N = 34,653)...
September 5, 2017: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/28922005/behavioral-activation-in-tfp-the-role-of-the-treatment-contract-in-transference-focused-psychotherapy
#8
Frank E Yeomans, Jill C Delaney, Kenneth N Levy
Transference-focused psychotherapy (TFP) is a manualized evidence-based treatment for borderline and other severe personality disorders that is based on psychoanalytic object relations theory. Similar to other psychodynamic psychotherapies, TFP focuses on changing psychological structures, but also focuses on symptom and behavioral change, particularly the importance of being active (e.g., obtaining a job or involvement in similar activities). In TFP, the establishment of the treatment contract, also known as the treatment frame, is where goals such as work and other activities are agreed upon...
September 2017: Psychotherapy
https://www.readbyqxmd.com/read/28920008/seven-year-course-of-borderline-personality-disorder-features-borderline-pathology-is-as-unstable-as-depression-during-adolescence
#9
Christopher C Conway, Alison E Hipwell, Stephanie D Stepp
Borderline personality disorder (PD) historically is construed as an unremitting condition with poor prognosis. The present study takes a new approach to examining stability and change in borderline PD by explaining symptom expression in terms of an unchanging foundation-termed borderline proneness-on one hand, and transitory influences on the other. We monitored borderline PD symptoms annually in a large sample of high-risk adolescent girls (N = 2,450) from ages 14 to 20. Trait-state-occasion modeling revealed that just over half (52-57%) of borderline PD symptom variation was attributable to fixed borderline proneness, whereas the remainder was subject to change across yearly measurement occasions...
July 2017: Clinical Psychological Science
https://www.readbyqxmd.com/read/28914095/depressed-multiple-suicide-attempters-a-high-risk-phenotype
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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