Database : MEDLINE
Search on : Borderline and Personality and Disorder [Words]
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[PMID]: 29521405
[Au] Autor:Noteboom A; Dil LM; Van HL
[Ti] Title:Is een gepersonaliseerde benadering bij de borderlinepersoonlijkheidsstoornis zinvol? [Is a personalised approach of the borderline personality disorder useful?]
[So] Source:Tijdschr Psychiatr;60(3):174-184, 2018.
[Is] ISSN:0303-7339
[Cp] Country of publication:Netherlands
[La] Language:dut
[Ab] Abstract:BACKGROUND: Borderline personality disorder (bpd) seems to have a progressive course, starting during adolescence. It's prevalence peaks during early adulthood, after which it declines. The symptom profile changes during its course. Consequently, a personalised approach based on staging and profiling appears suitable for bpd. AIM: To describe a useful model for clinical staging and profiling of bpd. METHOD: A literature analysis, reviewing the evidence of clinical stages and risk factors. RESULTS: bpd can be described in different stages, ranging from a preliminary stage associated with a higher risk of developing bpd to a chronic, therapy resistant stage. Although there are no specific predictors, there are several factors that increase the risk of developing bpd. CONCLUSION: Clinical staging and profiling can contribute to a more personalised approach and treatment selection. More research is needed to develop this model further.
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[St] Status:In-Data-Review

  2 / 11009 MEDLINE  
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[PMID]: 29453011
[Au] Autor:Kluczniok D; Boedeker K; Hindi Attar C; Jaite C; Bierbaum AL; Fuehrer D; Paetz L; Dittrich K; Herpertz SC; Brunner R; Winter S; Heinz A; Roepke S; Heim C; Bermpohl F
[Ad] Address:Charité-Universitätsmedizin Berlin, Campus Mitte, Department of Psychiatry and Psychotherapy, Charité, Berlin, Germany. Electronic address: dorothea.kluczniok@charite.de.
[Ti] Title:Emotional availability in mothers with borderline personality disorder and mothers with remitted major depression is differently associated with psychopathology among school-aged children.
[So] Source:J Affect Disord;231:63-73, 2018 Apr 15.
[Is] ISSN:1573-2517
[Cp] Country of publication:Netherlands
[La] Language:eng
[Ab] Abstract:BACKGROUND: Both, maternal borderline personality disorder (BPD) and maternal major depressive disorder (MDD) are often associated with adverse consequences for children, including increased risk for child behavior problems. Reduced maternal emotional availability might play a critical role in transmitting maternal psychopathology on the child. Our aim was to investigate the association between emotional availability and maternal BPD and MDD in remission (rMDD), and if this interrelatedness mediates the association between maternal mental disorders and child behavior problems. METHODS: The interaction of 178 mother-child dyads was assessed during a play situation using the Emotional Availability Scales. Children were between 5 and 12 years old. Regression analyses were used to investigate the impact of maternal BPD and maternal rMDD on emotional availability. Ordinary least squares regression analyses using bootstrapping were conducted to investigate the mediating effect of emotional availability on the association between maternal mental disorders and child behavior problems. RESULTS: Mothers with BPD showed increased hostility during mother-child interaction, whereas history of MDD was associated with reduced sensitivity. Maternal hostility was a mediator between maternal BPD and number of child psychiatric disorders, as well as externalizing and internalizing behavior. Maternal sensitivity mediated the association between maternal rMDD and number of child psychiatric disorders, as well as internalizing child behavior. CONCLUSIONS: Our data suggest that mothers with BPD show a qualitatively different pattern of emotional availability compared to mothers with rMDD. These patterns might reflect two separate pathways of transgenerational transmission of aspects of maternal mental disorders, where intervention and training programs could start: maternal rMDD impacts on child behavior problems via reduced sensitivity, and maternal BPD via increased hostility, which could both be addressed with specific therapeutic interventions.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[St] Status:In-Data-Review

  3 / 11009 MEDLINE  
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[PMID]: 29393279
[Au] Autor:Ferrer M; Andión Ó; Calvo N; Hörz S; Fischer-Kern M; Kapusta ND; Schneider G; Clarkin JF; Doering S; European STIPO Research Group
[Ad] Address:Psychiatry Department, Hospital Universitari Vall d'Hebron, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain.
[Ti] Title:Clinical Components of Borderline Personality Disorder and Personality Functioning.
[So] Source:Psychopathology;51(1):57-64, 2018.
[Is] ISSN:1423-033X
[Cp] Country of publication:Switzerland
[La] Language:eng
[Ab] Abstract:BACKGROUND: Impairment in personality functioning (PF) represents a salient criterion of the DSM-5 alternative diagnostic model for personality disorders (AMPD). The main goal of this study is to analyze the relationship of the borderline personality disorder (BPD) clinical components derived from the DSM-5 categorical diagnostic model (affective dysregulation, behavioral dysregulation, and disturbed relatedness) with personality organization (PO), i.e., PF, assessed by the Structured Interview of Personality Organization (STIPO). METHODS: STIPO and the Structured Clinical Interviews for DSM-IV (SCID-I and -II) were administered to 206 BPD patients. The relationship between PO and BPD components were studied using Spearman correlations and independent linear regression analyses. RESULTS: Significant positive correlations were observed between STIPO scores and several DSM-5 BPD criteria and comorbid psychiatric disorders. STIPO dimensions mainly correlated with disturbed relatedness and, to a lesser extent, affective dysregulation components. Each BPD clinical component was associated with specific STIPO dimensions. CONCLUSIONS: Both diagnostic models, DSM-5 BPD criteria and PO, are not only related but complementary concepts. The results of this study particularly recommend STIPO for the assessment of relational functioning, which is a major domain of the Personality Functioning Scale Levels of the DSM-5 AMPD.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180308
[Lr] Last revision date:180308
[St] Status:In-Process
[do] DOI:10.1159/000486243

  4 / 11009 MEDLINE  
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[PMID]: 29252206
[Au] Autor:Marais I; Moir VK; Lee CW
[Ad] Address:Ida Marais, Pearson Psychometrics Laboratory, Graduate School of Education, University of Western Australia, 35 Stirling Highway, Crawley, WA 6009, Australia, ida.marais@uwa.edu.au.
[Ti] Title:The Effects of Item Placement in the Young Schema Questionnaire.
[So] Source:J Appl Meas;18(4):370-382, 2017.
[Is] ISSN:1529-7713
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:The Young Schema Questionnaire (YSQ) was developed to measure Early Maladaptive Schemas (EMS), a construct central to Schema Therapy (ST). Traditionally YSQ items were placed in a grouped format for each schema but in recent versions of the questionnaire, items are presented in a random order. This study investigates the effect of item placement on the psychometric properties of the questionnaire. On different occasions, participants completed two versions of the YSQ short form, one with items grouped according to schemas and another where items were placed in a random order. Responses were analysed using the polytomous Rasch model of measurement (partial credit parameterization). Results show that the two versions are not psychometrically equivalent. There were greater differences between the clinical and non-clinical group means for the grouped format than the random format and greater person separation. There was more response dependence between items in the grouped format which has been linked to inflated reliability indices.
[Mh] MeSH terms primary: Borderline Personality Disorder/diagnostic imaging
Borderline Personality Disorder/psychology
Models, Statistical
Surveys and Questionnaires
[Mh] MeSH terms secundary: Adult
Aged
Computer Simulation
Female
Humans
Male
Middle Aged
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180308
[Lr] Last revision date:180308
[Js] Journal subset:IM
[Da] Date of entry for processing:171219
[St] Status:MEDLINE

  5 / 11009 MEDLINE  
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[PMID]: 29483341
[Au] Autor:Blair RJR
[Ad] Address:Center for Neurobehavioral Research, Boys Town National Research Hospital, Boys Town, Omaha, NE 68131, USA james.blair@boystown.org.
[Ti] Title:Traits of empathy and anger: implications for psychopathy and other disorders associated with aggression.
[So] Source:Philos Trans R Soc Lond B Biol Sci;373(1744), 2018 Apr 19.
[Is] ISSN:1471-2970
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:Empathy and anger are two social emotions that modulate an individual's risk for aggression. Empathy is an emotional reaction to another individual's emotional state. Anger is an emotional reaction to threat, frustration or social provocation. Reduced empathy, seen in psychopathy, increases the risk for goal-directed aggression. Atypically increased anger (i.e. irritability), seen in conditions like disruptive mood dysregulation disorder and borderline personality disorder, increases the risk for reactive aggression. In this paper, I will outline core neurocognitive functions that correspond to empathy and which are compromised in individuals with psychopathic traits. In addition, I will outline neurocognitive functions involved in either the generation or regulation of anger and which are compromised in psychiatric conditions at increased risk for irritability/reactive aggression. It can be hoped that improved understanding of empathy and anger will lead to better assessment tools and improved interventions to reduce aggression risk.This article is part of the theme issue 'Diverse perspectives on diversity: multi-disciplinary approaches to taxonomies of individual differences'.
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1802
[Cu] Class update date: 180307
[Lr] Last revision date:180307
[St] Status:In-Data-Review

  6 / 11009 MEDLINE  
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[PMID]: 29448136
[Au] Autor:Harned MS; Wilks CR; Schmidt SC; Coyle TN
[Ad] Address:University of Washington, Seattle, WA, USA. Electronic address: mharned@u.washington.edu.
[Ti] Title:Improving functional outcomes in women with borderline personality disorder and PTSD by changing PTSD severity and post-traumatic cognitions.
[So] Source:Behav Res Ther;103:53-61, 2018 Apr.
[Is] ISSN:1873-622X
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:Although functional impairment typically improves during evidence-based psychotherapies (EBPs) for borderline personality disorder (BPD), functional levels often remain suboptimal after treatment. The present pilot study evaluated whether and how integrating PTSD treatment into an EBP for BPD would improve functional outcomes. Participants were 26 women with BPD, PTSD, and recent suicidal and/or self-injurious behavior who were randomized to receive one year of Dialectical Behavior Therapy (DBT) or DBT with the DBT Prolonged Exposure (DBT PE) protocol for PTSD. Five domains of functioning were assessed at 4-month intervals during treatment and at 3-months post-treatment. DBT + DBT PE was superior to DBT in improving global social adjustment, health-related quality of life, and achieving good global functioning, but not interpersonal problems or quality of life. Results of time-lagged mixed effects models indicated that, across both treatments, reductions in PTSD severity significantly predicted subsequent improvement in global social adjustment, global functioning, and health-related quality of life, whereas reductions in post-traumatic cognitions significantly predicted later improvement in all functional outcomes except global social adjustment. These findings provide preliminary evidence supporting the role of change in PTSD severity and trauma-related cognitions as active mechanisms in improving functional outcomes among individuals with BPD and PTSD.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180307
[Lr] Last revision date:180307
[St] Status:In-Data-Review

  7 / 11009 MEDLINE  
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[PMID]: 29508180
[Au] Autor:Navarro-Haro MV; Harned MS; Korslund KE; DuBose A; Chen T; Ivanoff A; Linehan MM
[Ad] Address:Behavioral Research and Therapy Clinics, Department of Psychology, University of Washington, Seattle, WA, USA. mrvnavarro@gmail.com.
[Ti] Title:Predictors of Adoption and Reach Following Dialectical Behavior Therapy Intensive Training™.
[So] Source:Community Ment Health J;, 2018 Mar 05.
[Is] ISSN:1573-2789
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Dialectical behavior therapy (DBT) is an evidence-based treatment for borderline personality disorder. The DBT Intensive Training™ is widely used to train community clinicians to deliver DBT, but little is known about its effectiveness. This study prospectively evaluated predictors of adoption and reach of DBT among 52 community teams (212 clinicians) after DBT Intensive Training™. Pre-post training questionnaires were completed by trainees and a follow-up survey by team leaders approximately 8 months later. Overall, 75% of teams adopted all DBT modes and delivered DBT to an average of 118 clients. Lower training and program needs, fewer bachelor's-level clinicians, and greater prior DBT experience predicted adoption of more DBT modes. More prior DBT experience, smaller team size, more negative team functioning, and staff with lower job satisfaction, growth, efficacy, and influence predicted greater DBT reach. DBT Intensive Training™ appears effective in promoting DBT adoption and reach in routine clinical practice settings.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180306
[Lr] Last revision date:180306
[St] Status:Publisher
[do] DOI:10.1007/s10597-018-0254-8

  8 / 11009 MEDLINE  
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[PMID]: 29505390
[Au] Autor:Kolbeck K; Moritz S; Bierbrodt J; Andreou C
[Ad] Address:Department of Psychiatry and Psychotherapy, University Medical Center Hamburg, Hamburg, Germany.
[Ti] Title:Borderline Personality Disorder: Associations Between Dimensional Personality Profiles and Self-Destructive Behaviors.
[So] Source:J Pers Disord;:1-13, 2018 Mar 05.
[Is] ISSN:1943-2763
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Ongoing research is shifting towards a dimensional understanding of borderline personality disorder (BPD). Aim of this study was to identify personality profiles in BPD that are predictive of self-destructive behaviors. Personality traits were assessed (n = 130) according to the five-factor model of personality (i.e., Neuroticism, Extraversion, Openness to Experience, Agreeableness, Conscientiousness) and an additional factor called Risk Preference. Self-destructive behavior parameters such as non-suicidal self-injury (NSSI) and other borderline typical dyscontrolled behaviors (e.g., drug abuse) were assessed by self-report measures. Canonical correlation analyses demonstrated that Neuroticism, Extraversion, and Conscientiousness are predictors of NSSI. Further, Neuroticism, Agreeableness, and Risk Preference were associated with dyscontrolled behaviors. Our results add further support on personality-relevant self-destructive behaviors in BPD. A combined diagnostic assessment could offer clinically meaningful insights about the causes of self-destruction in BPD to expand current therapeutic repertoires.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180305
[Lr] Last revision date:180305
[St] Status:Publisher
[do] DOI:10.1521/pedi_2018_32_346

  9 / 11009 MEDLINE  
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[PMID]: 29505389
[Au] Autor:Borkum DB; Frankenburg FR; Fitzmaurice GM; Athanasiadi A; Temes CM; Reich DB; Zanarini MC
[Ti] Title:Predictors of Slower Time-to-Cessation of Individual Therapy for Borderline Patients Over 16 Years of Prospective Follow-Up.
[So] Source:J Pers Disord;:1-10, 2018 Mar 05.
[Is] ISSN:1943-2763
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:The current study assesses time-to-cessation of individual therapy for patients with borderline personality disorder (BPD) and comparison subjects with other personality disorders (OPD) after 16 years of prospective follow-up. It also details the multivariate factors that predict this outcome for those with BPD. At baseline, 290 patients met criteria for BPD and 72 met criteria for OPD. Individuals with BPD had a significantly slower time-to-cessation of individual therapy than OPD comparison subjects. Seven baseline variables were found to be significant multivariate predictors of a slower time-to-cessation of individual therapy: older age, being white, severity of childhood neglect, history of a mood disorder, an IQ less than 90, poor vocational record prior to index admission, and higher level of trait neuroticism. The results of this study suggest that prediction of slower time-to-cessation of individual therapy is multifactorial in nature, involving factors related to demographics, childhood adversity, comorbidity, individual competence, and temperament.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180305
[Lr] Last revision date:180305
[St] Status:Publisher
[do] DOI:10.1521/pedi_2018_32_335

  10 / 11009 MEDLINE  
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[PMID]: 29505387
[Au] Autor:Hastrup LH; Kongerslev MT; Simonsen E
[Ad] Address:Psychiatric Research Unit, Region Zealand, Slagelse, Denmark.
[Ti] Title:Low Vocational Outcome Among People Diagnosed With Borderline Personality Disorder During First Admission to Mental Health Services in Denmark: A Nationwide 9-Year Register-Based Study.
[So] Source:J Pers Disord;:1-15, 2018 Mar 05.
[Is] ISSN:1943-2763
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Earlier studies report that although people with borderline personality disorder (BPD) experience symptom reduction in the long term, they continue to have difficulties in work recovery. This nationwide 9-year register-based study (N = 67,075) investigated the long-term labor-market attachment of all individuals diagnosed with BPD during first admission to Danish mental health services in comparison with other psychiatric disorders. Controlling for baseline characteristics and co-occurring secondary psychiatric diagnoses, the BPD group had 32% lower odds (OR = 0.68; 95% CI [0.61, 0.76]) of being in work/under education after 9 years. Individuals diagnosed with BPD also showed more impairment in long-term vocational outcome than other personality disorders, and lower labor-market attachment than other psychiatric disorders except for schizophrenia, schizotypal and delusional disorders, and mental and behavioral disorders due to psychoactive substance use. Intervention programs addressing social psychiatric aspects of BPD in terms of work functioning is henceforth an important area for future research.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180305
[Lr] Last revision date:180305
[St] Status:Publisher
[do] DOI:10.1521/pedi_2018_32_344


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