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Dissociative personality disorder

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https://www.readbyqxmd.com/read/29670562/a-non-linear-predictive-model-of-borderline-personality-disorder-based-on-multilayer-perceptron
#1
Nelson M Maldonato, Raffaele Sperandeo, Enrico Moretto, Silvia Dell'Orco
Borderline Personality Disorder is a serious mental disease, classified in Cluster B of DSM IV-TR personality disorders. People with this syndrome presents an anamnesis of traumatic experiences and shows dissociative symptoms. Since not all subjects who have been victims of trauma develop a Borderline Personality Disorder, the emergence of this serious disease seems to have the fragility of character as a predisposing condition. Infect, numerous studies show that subjects positive for diagnosis of Borderline Personality Disorder had scores extremely high or extremely low to some temperamental dimensions (harm Avoidance and reward dependence) and character dimensions (cooperativeness and self directedness)...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29620402/personal-neglect-a-comprehensive-theoretical-and-anatomo-clinical-review
#2
Giorgia Committeri, Claudia Piervincenzi, Luigi Pizzamiglio
Personal neglect (PN) is the hemi-inattention toward the contralesional bodily space that follows a cerebral lesion, usually to the right hemisphere. OBJECTIVE: To provide a historical, comprehensive review of the different theoretical accounts, of the available diagnostic measures, of the relationship with different body representation disorders, and of recovery-related issues. Moreover, to review the anatomo-functional correlates of PN, focusing on group studies that used modern voxel-based lesion-symptoms mapping...
March 2018: Neuropsychology
https://www.readbyqxmd.com/read/29609713/dissociative-identity-disorder-cpap-adherence-an-uncommon-factor-in-obstructive-sleep-apnea
#3
Kamal Gandotra, Joseph Golish, Carl Rosenberg, Kingman Strohl
We present a case of a patient with dissociative identity disorder and symptomatic sleep apnea who was treated with continuous positive airway pressure (CPAP). CPAP use depended upon which personality the patient exhibited but apnea reduction did not. This case illustrates in one individual how personality can positively or negatively affect CPAP adherence.
March 30, 2018: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/29578497/use-of-a-psychophysiological-script-driven-imagery-experiment-to-study-trauma-related-dissociation-in-borderline-personality-disorder
#4
Dana Maria Bichescu-Burian, Benjamin Grieb, Tilman Steinert, Carmen Uhlmann, Jürgen Steyer
This protocol offers a detailed description of a psychophysiological experiment using script-driven trauma-related imagery and standardized clinical instruments within a comparative design assessing physiological and psychopathological features of individuals with BPD. This method aims at studying the psychological and physiological effects of trauma-related dissociation. Since the psychodiagnostic classification of trauma-related disorders relies on the observation of evolutionarily determined responses to life-threat, an integrated assessment paradigm for the study of reactions to traumatic memories proposes a very appropriate methodological approach...
March 8, 2018: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/29577450/posttraumatic-stress-disorder-and-complex-posttraumatic-stress-disorder-in-dsm-5-and-icd-11-clinical-and-behavioral-correlates
#5
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/29577011/current-understanding-of-the-neural-mechanisms-of-dissociation-in-borderline-personality-disorder
#6
REVIEW
Annegret Krause-Utz, Bernet Elzinga
Purpose of Review: In this article, we aim to give an overview over recent neuroimaging research on dissociation in borderline personality disorder (BPD). Stress-related dissociation is highly prevalent in BPD, while so far only little is known about its neural underpinnings. Recent Findings: Based on research in depersonalization and the dissociative subtype of posttraumatic stress disorder, it has been proposed that dissociation involves alterations in a cortico-limbic network...
2018: Current Behavioral Neuroscience Reports
https://www.readbyqxmd.com/read/29575447/relations-of-mindfulness-facets-with-psychological-symptoms-among-individuals-with-a-diagnosis-of-obsessive-compulsive-disorder-major-depressive-disorder-or-borderline-personality-disorder
#7
Fabrizio Didonna, Roberta Rossi, Clarissa Ferrari, Luca Iani, Laura Pedrini, Nicoletta Rossi, Erica Xodo, Mariangela Lanfredi
OBJECTIVES: To explore differences in mindfulness facets among patients with a diagnosis of either obsessive-compulsive disorder (OCD), major depressive disorder (MDD), or borderline personality disorder (BPD), and healthy controls (HC), and their associations with clinical features. DESIGN AND METHOD: One hundred and fifty-three patients and 50 HC underwent a clinical assessment including measures of mindfulness (Five Facets Mindfulness Questionnaire - FFMQ), psychopathological symptoms (Symptom Check List-90-R), dissociation (Dissociative Experience Scale), alexithymia (Alexithymia Scale 20), and depression (Beck Depression Inventory-II)...
March 25, 2018: Psychology and Psychotherapy
https://www.readbyqxmd.com/read/29561204/safety-and-efficacy-of-maintenance-ketamine-treatment-in-patients-with-treatment-refractory-generalised-anxiety-and-social-anxiety-disorders
#8
Paul Glue, Shona M Neehoff, Natalie J Medlicott, Andrew Gray, Guy Kibby, Neil McNaughton
OBJECTIVE: In this maintenance treatment study, we sought to evaluate the effect on anxiety ratings, safety and tolerability of 3 months of weekly ketamine in 20 patients with treatment-refractory DSM IV generalised anxiety disorder (GAD) and/or social anxiety disorder (SAD), and subsequent assessment of remission post-treatment. METHODS: This was an uncontrolled open-label study in 20 patients who had been responders in an ascending dose ketamine study. The study was undertaken in a university clinic...
March 1, 2018: Journal of Psychopharmacology
https://www.readbyqxmd.com/read/29543578/childhood-trauma-and-dissociative-symptoms-predict-frontal-eeg-asymmetry-in-borderline-personality-disorder
#9
Stoyan Popkirov, Vera Flasbeck, Uwe Schlegel, Georg Juckel, Martin Brüne
Frontal EEG asymmetry (FEA) has been studied as both state and trait parameter in emotion regulation and affective disorders. Its significance in borderline personality disorder (BPD) remains largely unknown. Twenty-six BPD patients and 26 healthy controls underwent EEG before and after mood induction using aversive images. A slight but significant shift from left- to right-sided asymmetry over prefrontal electrodes occurred across all subjects. In BPD baseline FEA over F7 and F8 correlated significantly with childhood trauma and functional neurological "conversion" symptoms as assessed by respective questionnaires...
March 15, 2018: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/29533077/borderline-personality-disorder-does-its-clinical-features-show-specificity-to-differing-developmental-risk-factors
#10
Gordon Parker, Stacey McCraw, Adam Bayes
OBJECTIVES: To determine if differing developmental factors show specificity to differing manifestations of borderline personality disorder (BPD). METHODS: A clinical sample of 73 females diagnosed with BPD undertook a psychiatrist interview and completed self-report questionnaires, including the semi-structured Diagnostic Interview for DSM-IV Personality Disorders (DIPD-IV) assessing for BPD status. A set of negative and potentially traumatic developmental factors were included in the assessment...
March 1, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29410773/affect-dysregulation-psychoform-dissociation-and-adult-relational-fears-mediate-the-relationship-between-childhood-trauma-and-complex-posttraumatic-stress-disorder-independent-of-the-symptoms-of-borderline-personality-disorder
#11
Annemiek van Dijke, Juliette A B Hopman, Julian D Ford
Objective: Complex posttraumatic stress disorder (CPTSD) as defined by the Disorders of Extreme Stress Not Otherwise Specified (DESNOS) formulation is associated with childhood relational trauma and involves relational impairment, affect dysregulation, and identity alterations. However, the distinct contributions of relational impairment (operationalized in the form fears of closeness or abandonment), affect dysregulation (operationalized in the form of overregulation and under-regulation of affect), and identity alterations (operationalized in the form of positive or negative psychoform or somatoform dissociation) to the relationship between childhood trauma and CPTSD/DESNOS have not been systematically tested...
2018: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/29407572/borderline-personality-disorder-and-sexual-abuse-a-systematic-review
#12
Lucas Fortaleza de Aquino Ferreira, Fábio Henrique Queiroz Pereira, Ana Maria Luna Neri Benevides, Matias Carvalho Aguiar Melo
Although sexual abuse (SA) is known to be frequent among borderline personality disorder (BPD) patients, few reviews evaluating that relationship have been published. This systematic review aimed to investigate SA (including adulthood) as a predictor of BPD diagnosis, clinical presentation and prognosis. Studies written in English or Portuguese from January 1997 until January 2017 were identified by searching the following keywords in three international databases: "borderline personality disorder" OR "borderline disorder" AND "sexual abuse" OR "sexual violence" OR "sexual victimization" OR "sexual assault" OR "rape"...
April 2018: Psychiatry Research
https://www.readbyqxmd.com/read/29403129/psychological-dissection-of-patients-having-dissociative-disorder-a-cross-sectional-study
#13
Lohit Somashekar Reddy, N M Patil, Raghavendra B Nayak, Sameeran S Chate, Saba Ansari
Background: Patients present with dissociative disorders as a decompensation to underlying stressful situation. It is clinically important to evaluate the presence, type, and temporal relation of the stressors resulting in dissociation. Further knowing the sociodemographic and psychological profile of the dissociative patient helps in better management. Materials and Methods: The study included 55 dissociative patients aged between 5 to 45 years. Psychiatric diagnosis was made using ICD-10 DCR...
January 2018: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/29372016/dialectical-behaviour-therapy-for-posttraumatic-stress-disorder-related-to-childhood-sexual-abuse-a-pilot-study-in-an-outpatient-treatment-setting
#14
Regina Steil, Clara Dittmann, Meike Müller-Engelmann, Anne Dyer, Anne-Marie Maasch, Kathlen Priebe
Background : Dialectical behaviour therapy for posttraumatic stress disorder (DBT-PTSD), which is tailored to treat adults with PTSD and co-occurring emotion regulation difficulties, has already demonstrated its efficacy, acceptance and safety in an inpatient treatment setting. It combines elements of DBT with trauma-focused cognitive behavioural interventions. Objective : To investigate the feasibility, acceptance and safety of DBT-PTSD in an outpatient treatment setting by therapists who were novice to the treatment, we treated 21 female patients suffering from PTSD following childhood sexual abuse (CSA) plus difficulties in emotion regulation in an uncontrolled clinical trial...
2018: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/29353595/autonoesis-and-dissociative-identity-disorder
#15
John Morton
Dissociative identity disorder is characterised by the presence in one individual of two or more alternative personality states (alters). For such individuals, the memory representation of a particular event can have full episodic, autonoetic status for one alter, while having the status of knowledge or even being inaccessible to a second alter. This phenomenon appears to create difficulties for a purely representational theory and is presented to Mahr & Csibra (M&C) for their consideration.
January 2018: Behavioral and Brain Sciences
https://www.readbyqxmd.com/read/29353179/features-of-borderline-personality-disorder-as-a-mediator-of-the-relation-between-childhood-traumatic-experiences-and-psychosis-like-experiences-in-patients-with-mood-disorder
#16
Ilya Baryshnikov, Kari Aaltonen, Jaana Suvisaari, Maaria Koivisto, Martti Heikkinen, Grigori Joffe, Erkki Isometsä
BACKGROUND: Psychosis-like experiences (PEs) are common in patients with non-psychotic disorders. Several factors predict reporting of PEs in mood disorders, including mood-associated cognitive biases, anxiety and features of borderline personality disorder (BPD). Childhood traumatic experiences (CEs), often reported by patients with BPD, are an important risk factor for mental disorders. We hypothesized that features of BPD may mediate the relationship between CEs and PEs. In this study, we investigated the relationships between self-reported PEs, CEs and features of BPD in patients with mood disorders...
March 2018: European Psychiatry: the Journal of the Association of European Psychiatrists
https://www.readbyqxmd.com/read/29296086/brain-functional-integration-an-epidemiologic-study-on-stress-producing-dissociative-phenomena
#17
Raffaele Sperandeo, Vincenzo Monda, Giovanni Messina, Marco Carotenuto, Nelson Mauro Maldonato, Enrico Moretto, Elena Leone, Vincenzo De Luca, Marcellino Monda, Antonietta Messina
Dissociative phenomena are common among psychiatric patients; the presence of these symptoms can worsen the prognosis, increasing the severity of their clinical conditions and exposing them to increased risk of suicidal behavior. Personality disorders as long duration stressful experiences may support the development of dissociative phenomena. In 933 psychiatric outpatients consecutively recruited, presence of dissociative phenomena was identified with the Dissociative Experience Scale (DES). Dissociative phenomena were significantly more severe in the group of people with mental disorders and/or personality disorders...
2018: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/29276971/child-abuse-and-neglect-in-institutional-settings-cumulative-lifetime-traumatization-and-psychopathological-long-term-correlates-in-adult-survivors-the-vienna-institutional-abuse-study
#18
Brigitte Lueger-Schuster, Matthias Knefel, Tobias M Glück, Reinhold Jagsch, Viktoria Kantor, Dina Weindl
Child maltreatment (CM) in foster care settings (i.e., institutional abuse, IA) is known to have negative effects on adult survivor's mental health. This study examines and compares the extent of CM (physical, emotional, and sexual abuse; physical and emotional neglect) and lifetime traumatization with regard to current adult mental health in a group of survivors of IA and a comparison group from the community. Participants in the foster care group (n = 220) were adult survivors of IA in Viennese foster care institutions, the comparison group (n = 234) consisted of persons from the Viennese population...
February 2018: Child Abuse & Neglect
https://www.readbyqxmd.com/read/29242985/increasing-risk-of-psychiatric-morbidity-after-childhood-onset-type-1-diabetes-a-population-based-cohort-study
#19
Daniel Dybdal, Janne S Tolstrup, Stine M Sildorf, Kirsten A Boisen, Jannet Svensson, Anne Mette Skovgaard, Grete K Teilmann
AIMS/HYPOTHESIS: The aim of this study was to investigate psychiatric morbidity following childhood onset of type 1 diabetes. METHODS: In a matched, population-based cohort study based on Danish national registers, we identified children and adolescents who had been diagnosed as an in- or outpatient with type 1 diabetes before the age of 18, and afterwards diagnosed with a psychiatric disorder (n = 5084). Control individuals were matched according to sex and date of birth (n = 35,588)...
April 2018: Diabetologia
https://www.readbyqxmd.com/read/29236543/rorschach-assessment-of-two-distinctive-personality-states-of-a-person-with-dissociative-identity-disorder
#20
Ellen Hartmann, Kirsten Benum
This case study used test data from a patient with Dissociative Identity Disorder (DID; American Psychiatric Association, 2013 ) to illustrate how two main personality states of the patient ("Ann" and "Ben") seemed to function. The Rorschach Performance Assessment System (R-PAS; Meyer, Viglione, Mihura, Erard, & Erdberg, 2011 ) and the Inventory of Interpersonal Problems-Circumplex (IIP-64; Horowitz, Alden, Wiggins, & Pincus, 2000 ), administered to Ann and Ben in separate settings, exposed two diverse R-PAS and IIP-64 profiles...
December 13, 2017: Journal of Personality Assessment
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