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https://www.readbyqxmd.com/read/28329406/treating-veterans-with-ptsd-and-borderline-personality-symptoms-in-a-12-week-intensive-outpatient-setting-findings-from-a-pilot-program
#1
Laura Meyers, Emily K Voller, Ethan B McCallum, Paul Thuras, Sandra Shallcross, Tina Velasquez, Laura Meis
Rates of comorbidity between borderline personality disorder and posttraumatic stress disorder (PTSD) are high in veteran populations, and clinicians are hesitant to treat PTSD given high rates of suicidality. Given promising early work integrating dialectical behavior therapy (DBT) and prolonged exposure (PE) therapy, we created a 12-week intensive outpatient program combining these two treatments. PE and DBT were provided concurrently to 33 veterans with PTSD symptoms and BPD symptoms at a large, midwestern Veteran Affairs medical center...
March 22, 2017: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/28327444/unblending-borderline-personality-and-bipolar-disorders
#2
Ester di Giacomo, Flora Aspesi, Maria Fotiadou, Arnoud Arntz, Eugenio Aguglia, Lavinia Barone, Silvio Bellino, Bernardo Carpiniello, Fabrizia Colmegna, Marina Lazzari, Liliana Lorettu, Federica Pinna, Aldo Sicaro, Maria Salvina Signorelli, Massimo Clerici
Borderline Personality (BPD) and Bipolar (BP) disorders stimulate an academic debate between their distinction and the inclusion of Borderline in the Bipolar spectrum. Opponents to this inclusion attribute the important differences and possible diagnostic incomprehension to overlapping symptoms. We tested 248 Borderline and 113 Bipolar patients, consecutively admitted to the Psychiatric Unit, through DSM-IV Axis I and II Disorders (SCID-I/II), Hamilton Depression Rating Scale (HAM-D), Hamilton Anxiety Rating Scale (HAM-A), Young Mania Rating Scale (YMRS) and Borderline Personality Disorder Severity Index-IV (BPDSI-IV)...
March 7, 2017: Journal of Psychiatric Research
https://www.readbyqxmd.com/read/28321919/borderline-personality-disorder-and-regularly-drinking-alcohol-before-sex
#3
Ronald G Thompson, Nicholas R Eaton, Mei-Chen Hu, Deborah S Hasin
INTRODUCTION AND AIMS: Drinking alcohol before sex increases the likelihood of engaging in unprotected intercourse, having multiple sexual partners and becoming infected with sexually transmitted infections. Borderline personality disorder (BPD), a complex psychiatric disorder characterised by pervasive instability in emotional regulation, self-image, interpersonal relationships and impulse control, is associated with substance use disorders and sexual risk behaviours. However, no study has examined the relationship between BPD and drinking alcohol before sex in the USA...
March 20, 2017: Drug and Alcohol Review
https://www.readbyqxmd.com/read/28317414/anxiety-depression-and-the-suicidal-spectrum-a-latent-class-analysis-of-overlapping-and-distinctive-features
#4
Matthew C Podlogar, Megan L Rogers, Ian H Stanley, Melanie A Hom, Bruno Chiurliza, Thomas E Joiner
Anxiety and depression diagnoses are associated with suicidal thoughts and behaviours. However, a categorical understanding of these associations limits insight into identifying dimensional mechanisms of suicide risk. This study investigated anxious and depressive features through a lens of suicide risk, independent of diagnosis. Latent class analysis of 97 depression, anxiety, and suicidality-related items among 616 psychiatric outpatients indicated a 3-class solution, specifically: (1) a higher suicide-risk class uniquely differentiated from both other classes by high reported levels of depression and anxious arousal; (2) a lower suicide-risk class that reported levels of anxiety sensitivity and generalised worry comparable to Class 1, but lower levels of depression and anxious arousal; and (3) a low to non-suicidal class that reported relatively low levels across all depression and anxiety measures...
March 20, 2017: Cognition & Emotion
https://www.readbyqxmd.com/read/28301180/borderline-personality-disorder-and-mental-health-care-utilization-the-role-of-self-harm
#5
Randy A Sansone, Martin Sellbom, Douglas A Songer
The current study examined the associations for borderline personality disorder (BPD) and a specific trait of the disorder, self-harm, with mental health care utilization. Our sample consisted of 145 psychiatric inpatients who completed 3 measures of BPD (Personality Diagnostic Questionnaire-4 [PDQ-4], McLean Screening Inventory for borderline personality disorder [MSI-BPD], Structured Clinical Interview for DSM-IV Axis II Disorders-Personality Questionnaire [SCID-II-PQ]) and the Self-Harm Inventory (SHI). In relationship to mental health care utilization, the correlation for the SHI was significantly larger than those for the PDQ-4, MSI-BPD, or SCID-II-PQ...
March 16, 2017: Personality Disorders
https://www.readbyqxmd.com/read/28291035/borderline-or-schizotypal-differential-psychodynamic-assessment-in-severe-personality-disorders
#6
Laura VAN Riel, Theo J M Ingenhoven, Quin D VAN Dam, Marike G Polak, Meinte G Vollema, Anne E Willems, Han Berghuis, Harold VAN Megen
Considerable overlap in symptoms between patients with borderline personality disorder (BPD) and schizotypal personality disorder (STPD) complicates personality diagnostics. Yet very little is known about the level of psychodynamic functioning of both personality disorders. Psychodynamic assessment procedures may specify personality characteristics relevant for differential diagnosis and treatment planning. In this cross-sectional study we explored the differences and similarities in level of personality functioning and psychodynamic features of patients with severe BPD or STPD...
March 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28290062/understanding-negative-self-evaluations-in-borderline-personality-disorder-a-review-of-self-related-cognitions-emotions-and-motives
#7
REVIEW
Dorina Winter, Martin Bohus, Stefanie Lis
Self-conscious emotions, such as guilt, shame, or self-disgust, as well as self-related motives, such as self-enhancement or self-verification, influence how people perceive, evaluate, memorize, and respond to self-related information. They not only influence peoples' concepts of themselves but may also affect their behavior in social environments. In the current review, we describe alterations of self-related processing in borderline personality disorder (BPD). We chose BPD as an example of a mental disorder of which impairments in self-functioning and identity constitute a major feature...
March 2017: Current Psychiatry Reports
https://www.readbyqxmd.com/read/28285316/the-interaction-of-childhood-maltreatment-sex-and-borderline-personality-features-in-the-prediction-of-the-cortisol-awakening-response-in-adolescents
#8
Michael Kaess, Sarah Whittle, Julian G Simmons, Martina Jovev, Nicholas B Allen, Andrew M Chanen
AIMS: The study aimed to investigate childhood maltreatment, sex, and borderline personality disorder (BPD) symptoms as prospective predictors of adolescent hypothalamic-pituitary-adrenal (HPA) axis reactivity. METHOD: A sample of 69 adolescents (30 female and 39 male) were selected from a larger longitudinal study of adolescent development and assessed at 3 time points. BPD symptoms were assessed at T1 (approx. 12.5 years), childhood maltreatment was assessed at T2 (approx...
March 11, 2017: Psychopathology
https://www.readbyqxmd.com/read/28271272/psychotherapy-for-borderline-personality-disorder-progress-and-remaining-challenges
#9
REVIEW
Paul S Links, Ravi Shah, Rahel Eynan
PURPOSE: The main purpose of this review was to critically evaluate the literature on psychotherapies for borderline personality disorder (BPD) published over the past 5 years to identify the progress with remaining challenges and to determine priority areas for future research. METHOD: A systematic review of the literature over the last 5 years was undertaken. RESULTS: The review yielded 184 relevant abstracts, and after applying inclusion criteria, 16 articles were fully reviewed based on the articles' implications for future research and/or clinical practice...
March 2017: Current Psychiatry Reports
https://www.readbyqxmd.com/read/28264784/the-10-year-course-of-adult-aggression-toward-others-in-patients-with-borderline-personality-disorder-and-axis-ii-comparison-subjects
#10
Mary C Zanarini, Christina M Temes, Alexandra M Ivey, Danielle M Cohn, Lindsey C Conkey, Frances R Frankenburg, Garrett M Fitzmaurice
This study had two aims. The first was to assess and compare various types of aggressive behavior toward others reported by borderline patients and axis II comparison subjects over time. The second was to determine the best baseline and time-varying predictors of aggressive behavior in these borderline patients. At baseline, a series of interviews and self-report measures were administered to 290 borderline patients and 72 axis II comparison subjects. Measures assessing aggression toward others, axis I and II disorders as well as adult adversity were re-administered every two years over the course of ten years...
February 27, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28263092/suicidal-behavior-and-psychosocial-outcome-in-borderline-personality-disorder-at-8-year-follow-up
#11
Paul H Soloff, Laurel Chiappetta
We sought predictors of both suicidal behavior and psychosocial outcome in subjects with BPD followed for 8 years and asked if there was a relationship between these outcomes. One hundred twenty-three BPD subjects, recruited from inpatient (35.8%), outpatient (30.9%) and community (33.3%) sources, were assessed annually for known risk factors for suicidal behavior. Interval attempts were reported by 25 subjects (20.2%). Increased risk of suicide attempt was associated with negative affectivity, aggression, inpatient recruitment, hospitalizations, minority race, and frequent changes in employment...
March 6, 2017: Journal of Personality Disorders
https://www.readbyqxmd.com/read/28263091/attachment-and-reflective-functioning-in-women-with-borderline-personality-disorder
#12
Deborah Badoud, Paco Prada, Rosetta Nicastro, Charlotte Germond, Patrick Luyten, Nader Perroud, Martin Debbané
Insecure attachment and impairments in reflective functioning (RF) are thought to play a critical role in borderline personality disorder (BPD). In particular, the mentalization-based model argues that insecure attachment indirectly accounts for increased BPD features, notably via disruption of RF capacities. Although the mediation relationship between attachment, RF, and BPD is supported by previous evidence, it remains to be directly tested in adults with BPD. In the current study, a sample of 55 female adult BPD patients and 105 female healthy controls completed a battery of self-report measures to investigate the interplay between attachment, RF capacities, and BPD clinical status...
March 6, 2017: Journal of Personality Disorders
https://www.readbyqxmd.com/read/28262260/-suicidal-attempts-in-child-and-adolescent-and-bipolar-disorders
#13
N Dugand, S Thümmler, C Pradier, F Askenazy
BACKGROUND: Child and adolescent psychiatrists are frequently confronted with suicide attempts and comorbid mood disorders. Diagnoses of juvenile bipolar disorders (BD) are rare and controversial and standardized assessment is helpful for a reliable diagnosis. The main objective of this study was to identify the number of juvenile bipolar disorder diagnoses according to DSM-5 criteria in a population of children and adolescents hospitalized for suicide attempts. Secondary objectives were the assessment of a patient's characteristics and the comparison of suicide attempt recurrence during 12 months of follow-up...
March 2, 2017: L'Encéphale
https://www.readbyqxmd.com/read/28259033/an-ecological-momentary-assessment-investigation-of-complex-and-conflicting-emotions-in-youth-with-borderline-personality-disorder
#14
Holly E Andrewes, Carol Hulbert, Susan M Cotton, Jennifer Betts, Andrew M Chanen
Non-suicidal self-injury (NSSI) is a prevalent behaviour among people with borderline personality disorder (BPD) but many aspects of the emotional changes that trigger and maintain this behaviour are unknown. This study examines the relationships between NSSI and the number of negative ('negative complex') and opposing valence ('conflicting') emotions. One hundred and seven youth (aged 15-25 years) with first-presentation BPD were assessed using a combination of self-report and ecological momentary assessment to investigate trait levels of emotional acceptance and in vivo changes in the number of negative complex and conflicting emotions before and after self-injurious thoughts and behaviours...
February 27, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28257980/the-affect-stabilization-function-of-nonsuicidal-self-injury-in-borderline-personality-disorder-an-ecological-momentary-assessment-study
#15
Kristof Vansteelandt, Marlies Houben, Laurence Claes, Ann Berens, Ellen Sleuwaegen, Pascal Sienaert, Peter Kuppens
Nonsuicidal Self-Injury (NSSI) is prominent in individuals with Borderline Personality Disorder (BPD), and there is abundant evidence that affect regulation plays an important role in NSSI in the majority of patients. Affective variability is a core feature of BPD, and thus, we hypothesize that NSSI has an affect stabilization function in BPD. Affect stabilization is a process through which individuals attempt to make their affect more stable by reducing affective variability. We tested this hypothesis in 32 participants with BPD who reported on their NSSI and affect -using a displeasure-pleasure (valence) and activation-deactivation (activation) dimension- in an experience sampling study with 10 random signals scheduled per day for 8 days...
February 21, 2017: Behaviour Research and Therapy
https://www.readbyqxmd.com/read/28254578/the-association-between-traumatic-life-events-and-psychological-symptoms-from-a-conservative-transdiagnostic-perspective
#16
Lauren E Gibson, Shanna Cooper, Lauren E Reeves, Deidre M Anglin, Lauren M Ellman
Exposure to traumatic life events (TLEs) is strongly linked to the onset and exacerbation of an array of psychological sequelae. While studies yield minimal evidence of specificity for one disorder emerging in the aftermath of TLEs versus another, most studies do not adopt a conservative approach in controlling for multiple psychological symptoms linked to TLEs. The present study explored the association between TLEs and eight psychological constructs before and after adjusting for concurrent symptomatology in a diverse sample of 2342 undergraduates...
February 22, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28252983/assessing-inter-model-continuity-between-the-section-ii-and-section-iii-conceptualizations-of-borderline-personality-disorder-in-dsm-5
#17
Chloe M Evans, Leonard J Simms
DSM-5 includes 2 competing models of borderline personality disorder (BPD) in Sections II and III. Empirical comparisons between these models are required to understand and improve intermodel continuity. We compared Section III BPD traits to Section II BPD criteria assessed via semistructured interviews in 455 current/recent psychiatric patients using correlation and regression analyses, and also evaluated the incremental predictive power of other Section III traits. In addition, we tested the hypothesis that self-harm would incrementally predict BPD Criterion 5 over the Section III traits...
March 2, 2017: Personality Disorders
https://www.readbyqxmd.com/read/28249086/efficacy-of-psychotherapies-for-borderline-personality-disorder-a-systematic-review-and-meta-analysis
#18
Ioana A Cristea, Claudio Gentili, Carmen D Cotet, Daniela Palomba, Corrado Barbui, Pim Cuijpers
Importance: Borderline personality disorder (BPD) is a debilitating condition, but several psychotherapies are considered effective. Objective: To conduct an updated systematic review and meta-analysis of randomized clinical trials to assess the efficacy of psychotherapies for BPD populations. Data Sources: Search terms were combined for borderline personality and randomized trials in PubMed, PsycINFO, EMBASE, and the Cochrane Central Register of Controlled Trials (from database inception to November 2015), as well as the reference lists of earlier meta-analyses...
March 1, 2017: JAMA Psychiatry
https://www.readbyqxmd.com/read/28249080/treating-borderline-personality-disorder-with-psychotherapy-where-do-we-go-from-here
#19
Peter Fonagy, Patrick Luyten, Anthony Bateman
No abstract text is available yet for this article.
March 1, 2017: JAMA Psychiatry
https://www.readbyqxmd.com/read/28249032/the-value-of-psychological-treatment-for-borderline-personality-disorder-systematic-review-and-cost-offset-analysis-of-economic-evaluations
#20
Denise Meuldijk, Alexandra McCarthy, Marianne E Bourke, Brin F S Grenyer
AIM: Borderline Personality Disorder (BPD) is a common mental health condition with high patterns of service utilisation of inpatient and community treatment. Over the past five years there has been significant growth in research with economic data, making this systematic review a timely update. METHODS: Empirical studies written in English or German, published up to December 2015, and cited in major electronic databases were examined using the PRISMA systematic review method...
2017: PloS One
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