Julie E M Schulkens, Sjacko Sobczak, Sebastiaan P J van Alphen
Pharmacotherapy in older adults with personality disorders is very complicated. On the one hand, this is caused by interference of the personality disorder in the therapeutic relationship. On the other hand, age specific factors, such as polypharmacy and changing pharmacokinetics and -dynamics play an important complicating role. In this article the difficulties of pharmacotherapy in older adults with personality disorders are illustrated by the description of a case of a 67-year old female with a borderline personality disorder...
June 4, 2020: Tijdschrift Voor Gerontologie en Geriatrie
Julie E M Schulkens, Jamila Ibirane, Sebastiaan P J van Alphen, Sjacko Sobczak
BACKGROUND: Pharmacotherapy in older adults with personality disorders (PD) is a new and important area of attention. Nowadays, symptom based pharmacotherapy in older adults with PD is based on multidisciplinary guidelines, which are constructed on research performed in patients up to 50 years of age. There is no specific guideline for older adults with PD. GOAL: Providing a description of patient characteristics: number of comorbid psychiatric disorders, use of medication, including polypharmacy, in older adults (≥ 65 years) with personality disorders...
November 7, 2019: Tijdschrift Voor Gerontologie en Geriatrie
Ben Geselowitz, Diana J Whalen, Rebecca Tillman, Deanna M Barch, Joan L Luby, Alecia Vogel
OBJECTIVE: Developmental models of Borderline Personality Disorder (BPD) have highlighted the interplay of psychological variables (i.e., impulsivity and emotional reactivity) with social risk factors including invalidating parenting and childhood trauma. Prospective longitudinal studies have demonstrated the association of BPD with social, familial and psychological antecedents. However, to date, few of these studies have studied the interaction of multiple risk domains and their potential manifestations in the preschool period...
September 17, 2020: Journal of the American Academy of Child and Adolescent Psychiatry
Jiwon Min, Stephanie N Mullins-Sweatt, Thomas A Widiger
Borderline personality disorder (BPD) is one of the most studied personality disorders and is associated with significant outcomes such as suicide. Although BPD is represented in DSM-5 as a categorical diagnosis, it may be better characterized dimensionally, such as from the perspective of the five-factor model of general personality (FFM). The Five-Factor Borderline Inventory (FFBI) assesses BPD from the perspective of maladaptive variants of FFM traits. Previous research suggests that informant-reports may increase the validity of personality disorder assessment, providing additional information that may supplement self-report...
September 18, 2020: Assessment
Mariagrazia Di Giuseppe, John Christopher Perry, Ciro Conversano, Omar Carlo Gioacchino Gelo, Alessandro Gennaro
The present study focused on demographic and personality differences in the use of 30 defense mechanisms in adolescents with personality psychopathology and explored the hierarchical organization of personality traits based on the adaptiveness of defensive functioning. A total of 102 self-referred adolescent outpatients were interviewed and assessed on defense mechanisms and personality traits using the Defense Mechanisms Rating Scales and the Shedler-Westen Assessment Procedure 200 for Adolescents, respectively...
September 17, 2020: Journal of Nervous and Mental Disease
Daniel M Low, Laurie Rumker, Tanya Talker, John Torous, Guillermo Cecchi, Satrajit S Ghosh
BACKGROUND: The COVID-19 pandemic is exerting a devastating impact on mental health, but it is not clear how people with different types of mental health problems were differentially impacted as the initial wave of cases hit. OBJECTIVE: We leverage natural language processing (NLP) with the goal of characterizing changes in fifteen of the world's largest mental health support groups (e.g., r/schizophrenia, r/SuicideWatch, r/Depression) found on the website Reddit, along with eleven non-mental health groups (e...
September 13, 2020: Journal of Medical Internet Research
Serena Borroni, Andrea Scalabrini, Elisabetta Masci, Clara Mucci, Diana Diamond, Antonella Somma, Andrea Fossati
The goal of this study was to test in a clinical sample the interrater reliability and convergent validity of the Differentiation-Relatedness Scale (D-RS), a measure that evaluates mental representations based on open-ended descriptions of self and significant others. The study also investigated the ability of the D-RS to predict personality disorders (PDs) from Section II of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), and the dysfunctional trait domains presented in the Alternative DSM-5 Model for Personality Disorders Criterion B in Section III of the DSM-5...
September 2020: Journal of Psychiatric Practice
Christopher C Conway, Kristin Naragon-Gainey, Molly T Harris
Distress tolerance has fuzzy boundaries with neighboring emotion regulation abilities. In the present study, we probed the structure of this domain and examined its link to emotional disorder outcomes. We recruited mental health patient ( n s = 225 and 210) and university student ( n = 1,525) samples to report on diverse components of distress tolerance, emotion dysregulation, experiential avoidance, and anxiety sensitivity. Confirmatory factor analysis supported a one-factor model of these individual differences; this broad dimension was closely related to depressive symptoms (standardized effect range = ...
September 16, 2020: Assessment
Erin A Kaufman, Brianna Meddaoui
Pathological identity-related functioning is a core feature of borderline personality disorder (BPD) that is grievously underrepresented in the empirical literature. Burgeoning evidence indicates that identity pathology is multifaceted, influenced by transactions between social and endogenous processes, and associated with a wide variety of maladaptive outcomes. Although historically defined by patterns of instability (e.g. frequent and rapid changes to career goals, religious beliefs, core values, friend groups, etc...
August 25, 2020: Current Opinion in Psychology
Kelly Brogan, Alyssa Jarvi, Hannah Klopf, Tiffany Turner
Background: This case report illustrates that the use of a series of lifestyle interventions delivered via the "Vital Mind Reset" online program led to the resolution of disabling psychiatric symptoms. Summary: A 40-year-old, married, Caucasian female, with onset of suicidal ideation as a teenager, was treated with antidepressants and was later formally diagnosed with dissociative identity disorder (DID), borderline personality traits, and bipolar disorder (BD)...
July 2020: Advances in Mind-body Medicine
R Lakeman, J Crighton
Dialectical Behavioural Therapy (DBT) is an evidence-based treatment for borderline personality disorder and other problems associated with emotional dysregulation. It has traditionally been deployed as a face-to-face programme comprised of attendance at group skills training, individual therapy and phone coaching. Social distancing measures arising from the COVID-19 pandemic led to a cessation of therapeutic programmes in many places. This survey of DBT clinicians in a regional State mental health service in Australia explored the impact of the cessation of DBT programmes in the region and obstacles to engaging with people via online platforms...
September 15, 2020: Issues in Mental Health Nursing
Paola Bozzatello, Paola Rocca, Silvio Bellino
Prodromal symptoms of borderline personality disorder (BPD) often arise in young age, especially in early adolescence. Several factors for early BPD onset have been identified to consent a precocious detection of high-risk population. The present study is aimed: (1) to identify what psychopathological, traumatic, and functional factors are significantly associated to early onset in a sample of BPD patients and (2) to evaluate what factors are associated to the time interval between symptoms onset and first psychiatric visit (Δ age)...
September 2, 2020: Journal of Psychiatric Research
Hollie Melton, Nick Meader, Holly Dale, Kath Wright, Julie Jones-Diette, Melanie Temple, Iram Shah, Karina Lovell, Dean McMillan, Rachel Churchill, Corrado Barbui, Simon Gilbody, Peter Coventry
BACKGROUND: People with a history of complex traumatic events typically experience trauma and stressor disorders and additional mental comorbidities. It is not known if existing evidence-based treatments are effective and acceptable for this group of people. OBJECTIVE: To identify candidate psychological and non-pharmacological treatments for future research. DESIGN: Mixed-methods systematic review. PARTICIPANTS: Adults aged ≥ 18 years with a history of complex traumatic events...
September 2020: Health Technology Assessment: HTA
Noha Eskander, Mina Emamy, Suhail M Saad-Omer, Farah Khan, Nusrat Jahan
The symptomatic overlap between borderline personality disorder (BPD) and bipolar disorder (BD) is a topic of scientific and academic debates. Emotional dysregulation and impulsivity are common features of both disorders. Several studies have shown that both BPD and BD lie on a spectrum; others have suggested that they are separate entities that coexist.  BPD is characterized by impulsive and dangerous behaviors such as driving recklessly, inappropriate sexual behavior, eating disorders, and substance abuse...
August 5, 2020: Curēus
Adrian P Mundt, Gergő Baranyi
Background: Information on the comorbidity of mental health problems in prison populations is scarce. The aim of the present study was to assess the prevalence of comorbidities at intake to prison between three diagnostic groups: severe mental illnesses (SMIs), personality disorders (PDs), and substance use disorders (SUDs). The co-occurrence of those disorders in prison populations may require the integration of differential treatment approaches and novel treatment trials. Methods: A consecutive sample of N = 427 (229 male and 198 female) individuals committed to imprisonment in Santiago de Chile was assessed with the Mini Neuropsychiatric Interview and the Structured Clinical Interview for DSM-IV (module for borderline personality disorders) on arrival at prison...
2020: Frontiers in Psychiatry
Juana Villarroel, Valeria Salinas, Hernán Silva, Luisa Herrera, Cristián Montes, Sonia Jerez, Paul A Vöhringer, Maria Leonor Bustamante
Background: The relationship between borderline personality disorder (BPD) and type-II bipolar disorder (BDII) is not clearly understood. Nevertheless, in clinical practice and research, most efforts focus on establishing a categorical distinction between the two. We propose using personality traits as a more informative strategy to describe them. Methods: Five-Factor Model personality traits were measured in 73 individuals with either BPD or BDII. Latent class cluster analysis was applied to the sample...
2020: Frontiers in Psychiatry
Kezanne Tong, Sinead Costello, Evelyn McCabe, Anne Marie Doherty
BACKGROUND: Irish Travellers are a marginalised ethnic minority with poor health outcomes, especially in mental health: the suicide rate in this population is 6-7 times that in the general population. There is a paucity of research into associated clinical risk factors including self-harm and mental illnesses. AIMS: To examine the prevalence and treatments of mental disorders among Travellers attending a community mental health team (CMHT) in Galway. METHODS: This is a cross-sectional study of the CMHT database, and included all Travellers who were active cases on the study day were included in this study...
September 12, 2020: Irish Journal of Medical Science
Sophia Choukas-Bradley, Alison E Hipwell, Savannah R Roberts, Anne J Maheux, Stephanie D Stepp
Adolescence is a developmental period during which youth tend to initiate sexual behavior, which may include sexual risk behavior. Symptoms of borderline personality disorder (BPD) are associated with increased rates of risky behaviors. However, little is known about longitudinal associations between BPD symptoms and sexual risk behaviors during adolescence. This study examines developmental trajectories of adolescent girls' BPD symptoms and sexual risk behaviors in a community sample of Black and White girls from the Pittsburgh Girls Study (n = 1620)...
September 12, 2020: Journal of Abnormal Child Psychology
Milena Mancini, Giovanni Stanghellini
This is an explorative study on values of 25 patients affected by borderline personality disorder interviewed in a clinical setting (phenomenological-dynamic psychotherapy) and re-classified following Consensual Qualitative Research. We identified three main categories of values: recognition (the importance for attention, acknowledgment, commendation and acceptance by the other), authenticity (the importance of absolute emotional fusion with the other), and immediacy (the importance of instantaneous, hic et nunc satisfaction of one's needs/desires)...
May 20, 2020: Research in psychotherapy: psychopathology, process, and outcome
Tara L Spitzen, Matthew T Tull, Margaret M Baer, Katherine L Dixon-Gordon, Alexander L Chapman, Kim L Gratz
BACKGROUND: Despite theories that negative reinforcement in the form of relief from negative emotions maintains nonsuicidal self-injury (NSSI), no studies have examined the extent to which specific emotional consequences of NSSI predict the maintenance of NSSI over time or explain the greater risk for NSSI found among individuals with borderline personality disorder (BPD) pathology. This study examined whether specific emotional consequences of NSSI relate to the continuance of NSSI behavior over a 12-month period and explain the relation of baseline BPD pathology to future NSSI...
August 26, 2020: Journal of Affective Disorders
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"