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https://www.readbyqxmd.com/read/29621859/infants-of-emotionally-dysregulated-or-borderline-personality-disordered-mothers-issues-and-management-in-primary-care
#1
Gisèle Apter, Anne E Sved Williams
BACKGROUND: Knowledge has increased regarding the developmental needs and capabilities of infants, and parental behaviours that support optimum infant development. Despite a better understanding of the emotional dysregulation in borderline personality disorder (BPD) and its effects on infants, general practitioners have had few guidelines for how to recognise and help emotionally dysregulated mother-infant dyads. OBJECTIVE: This article focuses on the behaviours and needs of infants whose mothers have BPD, including knowledge and skills for primary care practitioners to help these troubled families...
April 2018: Australian journal of general practice
https://www.readbyqxmd.com/read/29577450/posttraumatic-stress-disorder-and-complex-posttraumatic-stress-disorder-in-dsm-5-and-icd-11-clinical-and-behavioral-correlates
#2
Philip Hyland, Mark Shevlin, Claire Fyvie, Thanos Karatzias
The American Psychiatric Association and the World Health Organization provide distinct trauma-based diagnoses in the fifth edition of the Diagnostic and Statistical Manual (DSM-5), and the forthcoming 11th version of the International Classification of Diseases (ICD-11), respectively. The DSM-5 conceptualizes posttraumatic stress disorder (PTSD) as a single, broad diagnosis, whereas the ICD-11 proposes two "sibling" disorders: PTSD and complex PTSD (CPTSD). The objectives of the current study were to: (a) compare prevalence rates of PTSD/CPTSD based on each diagnostic system; (b) identify clinical and behavioral variables that distinguish ICD-11 CPTSD and PTSD diagnoses; and (c) examine the diagnostic associations for ICD-11 CPTSD and DSM-5 PTSD...
March 25, 2018: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/29505385/a-randomized-controlled-trial-of-group-psychoeducation-for-carers-of-persons-with-borderline-personality-disorder
#3
Brin F S Grenyer, Rachel C Bailey, Kate L Lewis, Michael Matthias, Toni Garretty, Annemaree Bickerton
Carers of persons with borderline personality disorder (BPD) experience high burden. Treatment guidelines advocate involving carers in comprehensive therapy approaches. This study is a randomized controlled trial of group psychoeducation, compared to waitlist. Group psychoeducation involved 6-8 carers per group and focused on improving relationship patterns between carers and relatives with BPD, psychoeducation about the disorder, peer support and self-care, and skills to reduce burden. Carers were randomized into intervention (N = 33) or waitlist (N = 35)...
March 5, 2018: Journal of Personality Disorders
https://www.readbyqxmd.com/read/29482538/dialectical-behaviour-therapy-for-treating-adults-and-adolescents-with-emotional-and-behavioural-dysregulation-study-protocol-of-a-coordinated-implementation-in-a-publicly-funded-health-service
#4
Daniel Flynn, Mary Kells, Mary Joyce, Catalina Suarez, Conall Gillespie
BACKGROUND: In the Republic of Ireland, borderline personality disorder (BPD) is a feature of approximately 11-20% of clinical presentations to outpatient clinics within mental health services. These estimates are similar to other countries including the UK and USA. Dialectical behaviour therapy (DBT) is an intervention with a growing body of evidence that demonstrates its efficacy in treating individuals diagnosed with BPD. While a number of randomised controlled trials (RCTs) have demonstrated the efficacy of DBT, there is limited research which evaluates the effectiveness of this model when applied to real world settings...
February 26, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29433610/accuracy-of-the-whooley-questions-and-the-edinburgh-postnatal-depression-scale-in-identifying-depression-and-other-mental-disorders-in-early-pregnancy
#5
Louise Michele Howard, Elizabeth G Ryan, Kylee Trevillion, Fraser Anderson, Debra Bick, Amanda Bye, Sarah Byford, Sheila O'Connor, Polly Sands, Jill Demilew, Jeannette Milgrom, Andrew Pickles
BACKGROUND: There is limited evidence on the prevalence and identification of antenatal mental disorders. Aims To investigate the prevalence of mental disorders in early pregnancy and the diagnostic accuracy of depression-screening (Whooley) questions compared with the Edinburgh Postnatal Depression Scale (EPDS), against the Structured Clinical Interview DSM-IV-TR. METHOD: Cross-sectional survey of women responding to Whooley questions asked at their first antenatal appointment...
January 2018: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/29223951/heart-rate-variability-in-bipolar-disorder-and-borderline-personality-disorder-a-clinical-review
#6
REVIEW
Oliver Carr, Maarten de Vos, Kate E A Saunders
Heart rate variability (HRV) in psychiatric disorders has become an increasing area of interest in recent years following technological advances that enable non-invasive monitoring of autonomic nervous system regulation. However, the clinical interpretation of HRV features remain widely debated or unknown. Standardisation within studies of HRV in psychiatric disorders is poor, making it difficult to reproduce or build on previous work. Recently, a Guidelines for Reporting Articles on Psychiatry and Heart rate variability checklist has been proposed to address this issue...
February 2018: Evidence-based Mental Health
https://www.readbyqxmd.com/read/29167651/nonsuicidal-self-injury-a-systematic-review
#7
Annarosa Cipriano, Stefania Cella, Paolo Cotrufo
Objective: Nonsuicidal self-injury (NSSI) refers to the intentional self-inflicted destruction of body tissue without suicidal intention and for purposes not socially sanctioned. Our paper presents an up-to-date overview on nonsuicidal, self-injurious behaviors. Method: In accordance with PRISMA guidelines, a systematic literature search was conducted across two databases, PubMed and PsycARTICLES, regarding the main features of NSSI with a focus on epidemiological and etiologic data, diagnostic criteria, and functions...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28910213/the-challenge-of-transforming-the-diagnostic-system-of-personality-disorders
#8
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...
October 2017: Journal of Personality Disorders
https://www.readbyqxmd.com/read/28892598/helping-mothers-with-the-emotional-dysregulation-of-borderline-personality-disorder-and-their-infants-in-primary-care-settings
#9
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/28686468/the-experiences-of-people-with-borderline-personality-disorder-admitted-to-acute-psychiatric-inpatient-wards-a-meta-synthesis
#10
Anna Stapleton, Nicola Wright
BACKGROUND: Acute psychiatric inpatient care is recommended for people with borderline personality disorder (BPD) to manage a crisis. Qualitative research exploring service user experience is valuable for the development of evidence-based treatment guidelines. AIM: To conduct a meta-synthesis of qualitative research exploring the experiences of people with BPD on acute psychiatric inpatient wards. METHODS: Literatures searches of five electronic databases...
July 7, 2017: Journal of Mental Health
https://www.readbyqxmd.com/read/28669135/changes-over-the-last-15-years-in-the-psychopharmacological-management-of-persons-with-borderline-personality-disorder
#11
A Martín-Blanco, A Ancochea, J Soler, M Elices, C Carmona, J C Pascual
OBJECTIVE: To describe the pharmacological management of borderline personality disorder (BPD) in Spain from 2001 through 2016, the factors associated with prescriptions, and changes in pharmacotherapy over this time period. METHODS: Retrospective, cross-sectional, observational study conducted in a sample of 457 patients with BPD consecutively admitted to a specialist BPD Program between January 2001 and November 2016. Data on sociodemographic and clinical variables, as well as pharmacological treatment upon the admission to the programme, were used to describe pharmacological prescriptions, the factors associated with these medications, and changes in prescription over the last 15 years...
September 2017: Acta Psychiatrica Scandinavica
https://www.readbyqxmd.com/read/28555557/-psychological-treatments-for-borderline-personality-disorder-a-review-of-cognitive-behavioral-oriented-therapies
#12
REVIEW
Sofia Marques, Daniel Barrocas, Daniel Rijo
INTRODUCTION: Borderline personality disorder is the most common personality disorder, with a global prevalence rate between 1.6% and 6%. It is characterized by affective disturbance and impulsivity, which lead to a high number of self-harm behaviors and great amount of health services use. International guidelines recommend psychotherapy as the primary treatment for borderline personality disorder. This paper reviews evidence about the effects and efficacy of cognitive-behavioral oriented psychological treatments for borderline personality disorder...
April 28, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28516734/does-co-occurring-borderline-personality-disorder-influence-acute-phase-treatment-for-first-episode-psychosis
#13
Shona M Francey, Martina Jovev, Christina Phassouliotis, Sue M Cotton, Andrew M Chanen
BACKGROUND: This aims of this study were: (1) to determine the prevalence of co-occurring borderline personality disorder (BPD) in a first-episode psychosis (FEP) sample; (2) to determine differences between patients with and without BPD on demographics, comorbidities and clinical risks and other variables; and (3) to examine whether BPD comorbidity influenced treatment received by patients for FEP during their first 3 months after service entry to a specialist early psychosis service...
May 18, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28488379/barriers-and-facilitators-to-the-implementation-of-mentalization-based-treatment-mbt-for-borderline-personality-disorder
#14
Dawn L Bales, Roel Verheul, Joost Hutsebaut
There are several evidence-based treatments for borderline personality disorder, but very little is known about the success or failure of implementation in daily practice. This study aims to investigate the success or failure of newly started mentalization-based treatment programs, and to explore the barriers and facilitators. The implementation trajectories of seven different mentalization-based treatment programs in six mental health clinics in the Netherlands were included in a multiple case study combining a qualitative and quantitative design...
May 2017: Personality and Mental Health
https://www.readbyqxmd.com/read/28353141/a-focused-systematic-review-of-pharmacological-treatment-for-borderline-personality-disorder
#15
REVIEW
Ella Hancock-Johnson, Chris Griffiths, Marco Picchioni
BACKGROUND: Medicines are routinely prescribed to treat borderline personality disorder (BPD) despite a relative lack of high-quality evidence and in breach of some treatment guidelines. An earlier Cochrane review of pharmacotherapy in BPD underlined the lack of evidence, encouraged the replication of earlier studies, but also emphasised the pressing need for more randomised placebo-controlled trials, and for those studies to employ broadened inclusion criteria. METHOD: The authors searched bibliographic databases, reference lists of articles and trials registers...
May 2017: CNS Drugs
https://www.readbyqxmd.com/read/28350144/-clinical-staging-and-early-intervention-for-borderline-personality-disorder
#16
J Hutsebaut, C J Hessels
Within the accumulating evidence for a life span perspective on borderline personality disorder (BPD), the key factor is a developmental perspective.<br/> AIM: To demonstrate that the lessons learnt from early intervention in somatic medicine and psychosis should be used to improve the diagnosis and treatment of BPD.<br/> METHOD: We describe the rationale for early detection and intervention and present a staging model which can serve as a guideline for the development and selection of interventions for BPD...
2017: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/28248560/borderline-personality-disorder-treatment-from-the-contextual-perspective
#17
REVIEW
Michael H Stone
In relation to the psychotherapy of borderline personality disorder (BPD), the contextual model embraces the subjective components that operate alongside the more readily objectifiable elements of the medical model. The latter include the guidelines of the various psychodynamic and cognitive approaches, the randomized control trials of these approaches, follow-up studies, and data from MRI and other neurophysiological tests. The contextual model focuses on less easily measurable factors that comprise the real relationship between therapist and patient, including the heterogeneity in the BPD domain...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/28104065/borderline-personality-disorder-psychological-treatment-an-integrative-review
#18
REVIEW
Beverly Reeves-Dudley
Borderline personality disorder (BPD) is a complex and at times debilitating mental disorder, treatment of which has eluded effective pharmacotherapy (Gunderson, 2007). Although once considered untreatable, psychodynamic therapy and cognitive therapy (two types of psychological therapies) have provided hope for better lives for patients with this diagnosis (Gunderson). The author performed an integrative review of the literature pertaining to the present role of evidence-based practice (EBP) using the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision (DSM-IV-TR) definition of BPD to identify symptoms of the disorder...
February 2017: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/27896637/seom-clinical-guideline-for-the-treatment-of-pancreatic-cancer-2016
#19
R Vera, E Dotor, J Feliu, E González, B Laquente, T Macarulla, E Martínez, J Maurel, M Salgado, J L Manzano
Pancreatic cancer remains an aggressive disease with a 5 year survival rate of 5%. Only 15% of patients with pancreatic cancer are eligible for radical surgery. Evidence suggests a benefit on survival with adjuvant chemotherapy (gemcitabine o fluourouracil) after R1/R0 resection. Adjuvant chemoradiotherapy is also a valid option in patients with positive margins. Borderline resectable pancreatic cancer is defined as the involvement of the mesenteric vasculature with a limited extension. These tumors are technically resectable, but with a high risk of positive margins...
December 2016: Clinical & Translational Oncology
https://www.readbyqxmd.com/read/27871720/-guidelines-for-the-prescription-of-mood-stabilizers-for-adolescents-a-literature-review
#20
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)...
October 2017: L'Encéphale
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