Aysegul Kart, Bengu Yucens
OBJECTIVE: The comorbidity of obsessive-compulsive disorder (OCD) and personality disorders (PDs) is frequent but there are conflicting findings about which PDs are the most common. This study aimed to investigate the personality beliefs that exist on a more pathological level among OCD patients, to explore the association between personality beliefs and OCD severity, and to clarify the mediator effect of depression in this relationship. METHODS: 202 OCD patients and 76 healthy controls with similar sociodemographic features were included in the study...
August 6, 2020: Psychiatry Investigation
Lotte C F Gosens, Roy Otten, Robert Didden, Evelien A P Poelen
Background: The prevalence of substance use disorder (SUD) in people with Mild Intellectual Disabilities or Borderline Intellectual Functioning (MID-BIF) is high. However, an effective personalized treatment for people with MID-BIF and SUD is lacking. This paper describes the study protocol of the effectiveness study of Take it Personal!+, a personalized treatment for people with MID-BIF and SUD. Methods: The effectiveness of Take it Personal!+ in decreasing substance use will be assessed in a non-concurrent multiple baseline across individuals design comprising ten participants with MID-BIF and SUD...
September 2020: Contemporary Clinical Trials Communications
J L Carrasco, E Buenache, K S MacDowell, I De la Vega, J M López-Villatoro, B Moreno, M Díaz-Marsá, J C Leza
INTRODUCTION: Borderline personality disorder (BPD) is characterized by intense affective reactions with underlying social and interpersonal cognitive deficits. Oxytocin has largely been associated with both stress regulation and social cognition in psychiatric patients and in non-clinical populations in previous studies. Finally, abnormal oxytocin levels have been preliminary reported in BPD patients. METHODS: 53 patients with moderate-severe BPD and 31 healthy control subjects were investigated for plasma levels of oxytocin and protein expression of oxytocin receptor in blood mononuclear cells...
August 2, 2020: Acta Psychiatrica Scandinavica
Katharine D McCloskey, Daniel W Cox, John S Ogrodniczuk, Olivier Laverdière, Anthony S Joyce, David Kealy
OBJECTIVE(S): Interpersonal problems are one of the most persistent difficulties facing those with personality disorders (PDs) and are linked with dysfunction across numerous social domains. Using an interpersonal model of PDs, we examined the indirect effects of Avoidant PD (AvPD) symptoms and social dysfunction through interpersonal problems, as well as Borderline PD (BPD) symptoms and social dysfunction. METHODS: Participants were 226 adults taking part in an outpatient treatment program...
August 1, 2020: Journal of Clinical Psychology
Lance O Bauer
BACKGROUND: An impaired ability to change behavior in the face of cues indicating a need for change is one means of defining risk for substance dependence. The present study used a cognitive task administered in a laboratory as a model of this process. It focused on two known and related correlates of risk (Conduct Disorder, Borderline Personality Disorder) and examined their associations with reactivity to cues requesting a change in motor behavior. METHODS: 224 teenagers, 14-19 years of age, performed a task during which white noise bursts were used to cue a requirement to reverse the mapping of right and left key press responses onto high and low frequency pure tones during a subsequent trial block...
July 31, 2020: Alcoholism, Clinical and Experimental Research
Fredrika Sundberg, Isabell Fridh, Berit Lindahl, Ingemar Kåreholt
OBJECTIVES: The objective of the research was to study the visitors' experiences of different healthcare environment designs of intensive care unit (ICU) patient rooms. BACKGROUND: The healthcare environment may seem frightening and overwhelming in times when life-threatening conditions affect a family member or close friend and individuals visit the patient in an ICU. A two-bed patient room was refurbished to enhance the well-being of patients and their families according to the principles of evidence-based design (EBD)...
July 31, 2020: HERD
Maya J L Schutte, Mascha M J Linszen, Theresa M Marschall, Dominic H Ffytche, Sanne Koops, Edwin van Dellen, Sophie M Heringa, Arjen J C Slooter, Rob Teunisse, Odile A van den Heuvel, Afina W Lemstra, Elisabeth M J Foncke, Christina W Slotema, Joop de Jong, Susan L Rossell, Iris E C Sommer
Although psychotic experiences are prevalent across many psychiatric, neurological, and medical disorders, investigation of these symptoms has largely been restricted to diagnostic categories. This study aims to examine phenomenological similarities and differences across a range of diagnoses. We assessed frequency, severity and phenomenology of psychotic experiences in 350 outpatients including; participants with schizophrenia spectrum disorders, hearing impairment, Parkinson's disease, Lewy Body Dementia, Alzheimer's disease, visual impairment, posttraumatic stress disorder, borderline personality disorder, and participants with recent major surgery...
July 22, 2020: Psychiatry Research
Suzanne Léveillée, Carolanne Vignola-Lévesque
Violence against children is a major public health concern and involves significant consequences. However, compared to research on the impact of violence on children, far less is known about the perpetrators of violence against children. The present study aimed to evaluate the psychosocial characteristics and motives of perpetrators of filicide in order to identify their psychosocial profile. Our study analyzed 50 perpetrators of filicides committed in the province of Quebec between 1997 and 2012. Data was obtained from the Office of the Chief Coroner of Quebec, and additional information were retrieved from newspapers...
July 30, 2020: Journal of Psychology
Ivan Llorens Ruiz, Fernando Lopez Seco, Adela Masana Marín, Esmeralda San Martín Águila, Dina Martínez Pinar, Sonsoles Martín Alonso, Elisabet Vilella, Alfonso Gutierrez-Zotes
BACKGROUND: Borderline personality disorder (BPD) usually begins in adolescence and manifests itself in adult life. Early intervention can improve the prognosis or reduce its severity. Nevertheless, there are currently few studies of adolescent patients with severe emotion instability and borderline personality traits. AIMS: To evaluate the effectiveness of the Systems Training for Emotional Predictability and Problem Solving (STEPPS) programme in a sample of 21 adolescents (aged 13-17 years) in the Child and Adolescents Mental Health Center of Tarragona in Spain...
July 30, 2020: Behavioural and Cognitive Psychotherapy
Liliana Lorettu, Giovanni Mario Pes, Maria Pina Dore, Paolo Milia, Alessandra Nivoli
The relationship between eating disorders and diabetes is complex in terms of both reciprocity and comorbidity. In some cases, patients with eating disorders and diabetes develop 'purging' behaviours through the use of insulin as a bodyweight control tool, with serious physical complications that can compared to those of untreated diabetes (diabulimia). The clinical cases presented have in common the distorted use of insulin: one patient failed to take the required amounts of insulin, incurring hyperglycaemia, while the other overused it, incurring hypoglycaemia...
July 2020: Rivista di Psichiatria
Wanrong Peng, Zhaoxia Liu, Qian Liu, Jun Chu, Kaili Zheng, Jingwei Wang, Hao Wei, Mingtian Zhong, Yu Ling, Jinyao Yi
BACKGROUND: Previous studies suggested that childhood trauma is an important etiologic factor for the development of borderline personality disorder (BPD). Moreover, insecure attachment and maladaptive emotion regulation (ER) might be related to childhood trauma and BPD. This study was aimed to explore the relationships among childhood trauma, insecure attachment, maladaptive ER, and BPD features. METHODS: A cohort of 637 patients with psychological disorders completed a series of psychometric instruments such as the Personality Diagnostic Questionnaire-4+ (PDQ-4+), the 23-Item Borderline Symptom List, the Childhood Trauma Questionnaire, the Attachment Style Questionnaire, and the Cognitive Emotion Regulation Questionnaire...
July 27, 2020: Depression and Anxiety
Matthew M Yalch, Amber M Stewart, Ryanne M Dehart
Antisocial personality disorder (ASPD) is linked to a number of social problems and accordingly is the focus of intensive empirical study. There is reason to believe that ASPD is influenced at least in part by exposure to trauma, but there has been minimal research on the association between trauma and ASPD traits. Specifically, research has not examined how traumatic experiences with different degrees of interpersonal betrayal differentially influence ASPD traits. This is notable in light of recent studies indicating that exposure to traumatic experiences high in betrayal (i...
July 27, 2020: Journal of Trauma & Dissociation
Timothy A Allen, Alexandre Y Dombrovski, Paul H Soloff, Michael N Hallquist
BACKGROUND: Individuals diagnosed with borderline personality disorder (BPD) often describe their lives as stressful and unpredictable. However, it is unclear whether the adversity faced by those with BPD is a product of stress reactivity or stress generation. Here, we examined the dynamic, prospective associations between BPD and stressful life events over 3 years. Given the heterogeneity present in BPD, we sought to understand which empirically derived dimensions of this heterogeneous disorder explain stress reactivity v...
July 27, 2020: Psychological Medicine
Louis Favril, Rongqin Yu, Keith Hawton, Seena Fazel
BACKGROUND: Self-harm is a leading cause of morbidity in prisoners. Although a wide range of risk factors for self-harm in prisoners has been identified, the strength and consistency of effect sizes is uncertain. We aimed to synthesise evidence and assess the risk factors associated with self-harm inside prison. METHODS: In this systematic review and meta-analysis, we searched four electronic databases (PubMed, Embase, Web of Science, and PsycINFO) for observational studies on risk factors for self-harm in prisoners published from database inception to Oct 31, 2019, supplemented through correspondence with authors of studies...
August 2020: Lancet Psychiatry
Mirra R Seigerman, Jennifer K Betts, Carol Hulbert, Ben McKechnie, Victoria K Rayner, Martina Jovev, Sue M Cotton, Louise McCutcheon, Catharine McNab, Emma Burke, Andrew M Chanen
Background: Family and friends ('carers') of adults with borderline personality disorder (BPD) and carers of young people with other serious illnesses experience significant adversity but research on the experiences of caring for a young person with BPD features is sparse. This study aimed to: (i) describe the experiences of carers of young people with BPD features; (ii) compare them with published data assessing carers of young people with other serious illnesses and with adults from the general population...
2020: Borderline Personality Disorder and Emotion Dysregulation
Talar R Moukhtarian, Iris Reinhard, Alfonso Morillas-Romero, Celine Ryckaert, Florence Mowlem, Natali Bozhilova, Paul Moran, Ulrich Ebner-Priemer, Philip Asherson
Attention-deficit/hyperactivity Disorder (ADHD) and borderline personality disorder (BPD) have overlapping symptoms. We proposed that excessive spontaneous mind wandering (MW-S) might reflect a component of psychopathology that distinguishes ADHD from borderline personality disorder (BPD). Using a questionnaire measure of MW-S and an experience sampling method, we investigated MW-S in daily life, in 28 ADHD, 19 BPD, 22 comorbid ADHD+BPD, and 29 control females. The clinical groups reported heightened frequency and intensity of MW-S compared to controls, but no differences from each other...
July 20, 2020: European Neuropsychopharmacology: the Journal of the European College of Neuropsychopharmacology
Sana Khan, Usama Bin Zubair, Rashid Qayyum, Nomita Sohail
June 2020: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Linda Orth, Jana Zweerings, Camellia N Ibrahim, Irene Neuner, Pegah Sarkheil
Self-relevant functional abnormalities and identity disorders constitute the core psychopathological components in borderline personality disorder (BPD). Evidence suggests that appraising the relevance of environmental information to the self may be altered in BPD. However, only a few studies have examined self-relevance (SR) in BPD, and the neural correlates of SR processing has not yet been investigated in this patient group. The current study sought to evaluate brain activation differences between female patients with BPD and healthy controls during SR processing...
June 25, 2020: NeuroImage: Clinical
Gamze Abramov, Sebastien Miellet, Jason Kautz, Brin F S Grenyer, Frank P Deane
Borderline personality disorder (BPD) is associated with paradoxical trust cognitions and behaviours. While BPD is associated with difficulty forming trust and maintaining cooperation in trust-based exchanges, design and analytical methodology best suited to reveal the temporal ebb and flow of trust have been underutilized. We used an economic game to examine the trajectories of trust as it forms, dissolves, and restores in response to trust violation and repair, and to explain how these vary as a function of borderline pathology...
2020: PloS One
Katie Aafjes-van Doorn, Céline Kamsteeg, Kathy Portier, Geetali Chitre
This exploratory study reports on the implementation and effectiveness of a 20-week Dialectical Behavior Therapy (DBT) skills group provided to 8 outpatients (7 women, average age 33 years old) within a psychoanalytic community clinic. We report on the practical implementation of this DBT skills group, and describe how the theoretical/technical differences between DBT and psychoanalysis were negotiated by the two co-therapists. The effectiveness of the skills group was evaluated on standardized measures of borderline personality symptoms, depression, anxiety, interpersonal problems, quality of life, and mindfulness skills that patients completed before and after treatment...
January 1, 2020: Journal of Cognitive Psychotherapy
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