9,706 results match your criteria Borderline Personality Disorder


Impulsiveness and Emotional Dysregulation as Stable Features in Borderline Personality Disorder Outpatients Over Time.

J Nerv Ment Dis 2020 Jul 6. Epub 2020 Jul 6.

Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.

Large-scale longitudinal studies show that specific borderline personality disorder (BPD) symptoms are more likely to remit over time, suggesting that clinical features of BPD may vary between younger patients and older ones. The objective of the present report is to provide a direct comparison between younger (age 18-25 years; n = 44) and older (age 40-59 years; n = 49) BPD patients on the nine DSM-4 BPD criteria (self-harm, emotional dysregulation, impulsiveness, and work and social functioning). Younger and older patients reported similar levels of impulsiveness, emotional dysregulation, and work and social functional impairment. Read More

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http://dx.doi.org/10.1097/NMD.0000000000001204DOI Listing

Developments in diagnosis and treatment of people with borderline personality disorder.

Curr Opin Psychiatry 2020 Jul 6. Epub 2020 Jul 6.

Spectrum, Personality Disorder Service, Richmond.

Purpose Of Review: Borderline personality disorder (BPD) attracts significant attention from clinicians and researchers alike. Despite increased recognition and willingness to diagnose BPD, most effective treatment approaches remain inaccessible to most. We consider recent developments in the diagnosis and treatment of BPD. Read More

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http://dx.doi.org/10.1097/YCO.0000000000000625DOI Listing

Trainee experience in diagnosis and management of personality disorders.

Authors:
R Wallace G Rush

Ir J Psychol Med 2020 Jun 26;37(2):136-140. Epub 2018 Jul 26.

St Patrick's University Hospital, Dublin, Ireland.

The diagnosis and management of personality disorders continues to evolve and develop alongside psychiatry internationally, however, not always in a linear fashion. Trainees working in a variety of clinical areas have regular exposure to personality disorder presentations. Psychiatry training bodies continue to adapt their training structure and curriculum, however, there seems to be a lack of sufficient emphasis with regards this area. Read More

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http://dx.doi.org/10.1017/ipm.2018.32DOI Listing

A transdiagnostic examination of affective motivations for drug use.

Addict Behav Rep 2020 Dec 29;12:100279. Epub 2020 Apr 29.

University of Delaware, Department of Psychological and Brain Sciences, United States.

Introduction: Substance use often co-occurs with both internalizing and externalizing disorders, highlighting the importance of understanding reciprocal relations among problematic drug use and psychopathology. We examined affective (approach and avoidance) motivations for drug use as potential transdiagnostic constructs that relate to symptoms of common clinical disorders.

Methods: 175 community adults with a lifetime history of drug use reported on their motivations for use, frequency of use, and DSM-5 lifetime psychopathology symptoms. Read More

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http://dx.doi.org/10.1016/j.abrep.2020.100279DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330877PMC
December 2020

General psychiatric management for adolescents (GPM-A) with borderline personality disorder.

Curr Opin Psychol 2020 Jun 2;37:1-6. Epub 2020 Jun 2.

Gunderson Personality Disorders Institute, McLean Hospital, Belmont, MA, United States; Department of Psychiatry, Harvard Medical School, Boston, MA, United States. Electronic address:

While borderline personality disorder (BPD) has its onset in youth and is highly prevalent in young people, diagnosis and treatment are frequently delayed, leading to disruptions in development. The few treatments for this population are specialized, resource-intensive, and not widely implemented. Generalist treatments could broadly increase early intervention and access to care, at a less intensive level, when symptoms are milder and developmental arrests can be avoided. Read More

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http://dx.doi.org/10.1016/j.copsyc.2020.05.006DOI Listing

Correspondence: Actigraphic patterns, impulsivity and mood instability in bipolar disorder, borderline personality disorder and healthy controls.

Acta Psychiatr Scand 2020 Jul 5. Epub 2020 Jul 5.

Psychiatry, McGill University Faculty of Medicine, Montreal, Quebec, Canada.

We would like to commend McGowan and colleagues for their study addressing shared core symptoms of Borderline Personality Disorder (BPD) and Bipolar Disorder (BD) (1). These researchers established significant correlations between dysregulated circadian rest-activity variables (including low interdaily stability and weak amplitude) and symptoms of impulsivity and mood instability among their study participants with BPD. These patterns were neither observed in participants with BD nor in healthy controls. Read More

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http://dx.doi.org/10.1111/acps.13207DOI Listing

Change in core symptoms of borderline personality disorder by tDCS: A pilot study.

Psychiatry Res 2020 Jun 28;291:113261. Epub 2020 Jun 28.

Department of Mental Health and Addiction Services, ASST Spedali Civili, Brescia, Italy Piazzale Spedali Civili 1, 25123, Brescia Italy; Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy. Viale Europa 11, 25123, Brescia Italy. Electronic address:

Borderline personality disorder (BPD) recognizes several psychopathological dimensions related to prefrontal cortex impairments. Transcranial Direct Current Stimulation (tDCS) targeting the right prefrontal dorsolateral cortex (DLPFC) positively influence cognitive functions related to impulsivity in healthy subjects. A randomized double-blind study was designed to investigate whether tDCS could modulate core dimensions (impulsivity, aggression, affective dysregulation) of BPD. Read More

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http://dx.doi.org/10.1016/j.psychres.2020.113261DOI Listing

Attention Deficit Hyperactivity Disorder in Prisoners: Increased Substance Use Disorder Severity and Psychiatric Comorbidity.

Eur Addict Res 2020 Jul 2:1-12. Epub 2020 Jul 2.

Center for Evaluation and Sociomedical Research, Graduate School of Public Health, University of Puerto Rico, Rio Piedras, Puerto Rico, USA.

Objectives: Attention deficit hyperactivity disorder (ADHD) and substance use disorders (SUD) are overrepresented among incarcerated populations. We examined whether ADHD was associated with increased severity of comorbid SUD and with increased psychiatric comorbidity among prisoners.

Methods: Cross-sectional study of 500 randomly selected Latino male prisoners in the Puerto Rico Correctional System using validated diagnostic measures to assess Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) ADHD and SUD diagnosis, antisocial personality disorder (ASP) and borderline personality disorder (BPD), major depression, and generalized anxiety disorder (GAD). Read More

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http://dx.doi.org/10.1159/000508829DOI Listing

Emotion Dysregulation and Early Trauma in Borderline Personality Disorder: An Exploratory Study.

Authors:
J Alafia M Manjula

Indian J Psychol Med 2020 May-Jun;42(3):290-298. Epub 2020 Apr 25.

Department of Clinical Psychology, Behavioral Medicine Unit, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.

Background: Borderline personality disorder (BPD) research is in its nascent stage in India though studies have estimated its prevalence in psychiatric conditions. Trauma experiences and emotion regulation difficulties are well documented in BPD in the international literature. Thus, it is imperative to examine the role of trauma experiences and their relation to emotion dysregulation in BPD in the Indian context. Read More

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http://dx.doi.org/10.4103/IJPSYM.IJPSYM_512_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320739PMC

Measuring the shadows: A systematic review of chronic emptiness in borderline personality disorder.

PLoS One 2020 1;15(7):e0233970. Epub 2020 Jul 1.

School of Psychology, University of Wollongong, Wollongong, NSW, Australia.

Background: Chronic feelings of emptiness is an under-researched symptom of borderline personality disorder (BPD), despite indications it may be central to the conceptualisation, course, and outcome of BPD treatment. This systematic review aimed to provide a comprehensive overview of chronic feelings of emptiness in BPD, identify key findings, and clarify differences between chronic feelings of emptiness and related constructs like depression, hopelessness, and loneliness.

Method: A PRISMA guided systematic search of the literature identified empirical studies with a focus on BPD or BPD symptoms that discussed chronic feelings of emptiness or a related construct. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0233970PLOS

Association of Parent-Reported Sleep Problems in Early Childhood With Psychotic and Borderline Personality Disorder Symptoms in Adolescence.

JAMA Psychiatry 2020 Jul 1. Epub 2020 Jul 1.

Institute for Mental Health, School of Psychology, University of Birmingham, Birmingham, United Kingdom.

Importance: Persistent nightmares in childhood have been prospectively associated with psychosis and borderline personality disorder (BPD) in adolescence. However, the extent to which this association is also true for behavioral sleep problems is still unknown, and the potential mechanisms are unexplored.

Objective: To examine the prospective associations between several parent-reported sleep problems in early childhood and psychotic and BPD symptoms at 11 to 13 years of age and the potential mediation of the associations by depression at 10 years of age. Read More

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http://dx.doi.org/10.1001/jamapsychiatry.2020.1875DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330826PMC

Impact of Psychotherapy on Psychosocial Functioning in Borderline Personality Disorder Patients.

Int J Environ Res Public Health 2020 Jun 26;17(12). Epub 2020 Jun 26.

Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON L8S 4L8, Canada.

Borderline Personality Disorder (BPD) significantly impairs functioning. Fortunately, effective treatments are available for borderline symptoms but their effect on functioning should be assessed. The objective of this meta-analysis is to assess the effect of specifically-designed versus non-specifically designed psychotherapies on function in adult patients with BPD. Read More

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http://dx.doi.org/10.3390/ijerph17124610DOI Listing

Adolescent Sleep Disturbance, Emotion Regulation and Borderline Features in an Inpatient Setting.

J Clin Child Adolesc Psychol 2020 Jun 17:1-15. Epub 2020 Jun 17.

Department of Psychology, University of Houston.

Objective: The current study aimed to examine the relation between sleep disturbance, emotion dysregulation and borderline personality features in adolescent inpatients.

Method: = 217 adolescents (67.1% female; ages 12-17) with the following racial/ethnic breakdown: 67. Read More

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http://dx.doi.org/10.1080/15374416.2020.1772081DOI Listing

Evaluation of early relational disturbance in high-risk populations: Borderline personality disorder features, maternal mental state, and observed interaction.

Infant Ment Health J 2020 Jun 30. Epub 2020 Jun 30.

Department of Psychiatry, The University of Melbourne, Melbourne, Victoria, Australia.

Despite the longstanding theoretical association in the attachment literature between maternal trauma history and disturbances in the mother-infant interaction, few studies have investigated mechanisms of transmission of traumatogenic relational patterns in high-risk mother-infant dyads. This study investigated interrelationships among maternal trauma history, distorted maternal representations (DMRs, i.e. Read More

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http://dx.doi.org/10.1002/imhj.21880DOI Listing

Day hospital versus intensive outpatient mentalization-based treatment: 3-year follow-up of patients treated for borderline personality disorder in a multicentre randomized clinical trial.

Psychol Med 2020 Jun 30:1-11. Epub 2020 Jun 30.

Viersprong Institute for Studies on Personality Disorders, Halsteren, The Netherlands.

Background: Two types of mentalization-based treatment (MBT), day hospital MBT (MBT-DH) and intensive outpatient MBT (MBT-IOP), have been shown to be effective in treating patients with borderline personality disorder (BPD). This study evaluated trajectories of change in a multi-site trial of MBT-DH and MBT-IOP at 36 months after the start of treatment.

Methods: All 114 patients (MBT-DH n = 70, MBT-IOP n = 44) from the original multicentre trial were assessed at 24, 30 and 36 months after the start of treatment. Read More

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http://dx.doi.org/10.1017/S0033291720002123DOI Listing

Therapeutic Implications Of Personality Disorders In Dermatology.

Dermatol Ther 2020 Jun 28:e13910. Epub 2020 Jun 28.

University of Guglielmo Marconi, Rome, Italy.

There is a significant psychiatric comorbidity that exists in multiple dermatological conditions, stemming from the patient's own psychological make up. This article reviews personality disorders and their types, which influence the course and prognosis of several psychodermatological disorders. Self-inflicted skin lesions, for example, are usually associated with obsessive-compulsive behavior, but they also share connections to Narcissistic and Borderline personality disorders. Read More

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http://dx.doi.org/10.1111/dth.13910DOI Listing

Borderline patients have difficulties describing feelings; bipolar II patients describe difficult feelings. An alexithymia study.

Acta Psychiatr Scand 2020 Jun 27. Epub 2020 Jun 27.

Institute of Clinical Medicine, University of Oslo, Oslo, Norway.

Objective: Apparent similarities between borderline personality disorder (BPD) and bipolar II disorder (BIP-II) contribute to clinical difficulties in distinguishing between the disorders. Here, we aimed to explore how subjective Difficulties with the Identification and Description of Feelings (DIDF), a major constituent of the alexithymia construct and assessed as a part of the Toronto Alexithymia Scale (TAS), are related to relationship problems and health complaints in these groups.

Methods: Twenty-two patients with BPD; 22 patients with BIP-II; and 23 healthy controls (HC) completed TAS. Read More

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http://dx.doi.org/10.1111/acps.13204DOI Listing

INdividual Vocational and Educational Support Trial (INVEST) for young people with borderline personality disorder: study protocol for a randomised controlled trial.

Trials 2020 Jun 26;21(1):583. Epub 2020 Jun 26.

Orygen, 35 Poplar Road, Parkville, Melbourne, VIC, 3052, Australia.

Background: The clinical onset of borderline personality disorder (BPD) usually occurs in young people (aged 12-25 years) and commonly leads to difficulty achieving and maintaining vocational (education and/or employment) engagement. While current psychosocial interventions lead to improvements in psychopathology, they have little effect upon functioning. Individual Placement and Support (IPS) is a client-driven model that assists individuals with severe mental illness to engage with education and/or employment appropriate to their personal goals, and that provides ongoing support to maintain this engagement. Read More

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http://dx.doi.org/10.1186/s13063-020-04471-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320570PMC

Substance use disorders and criminal justice contact among those with co-occurring antisocial and borderline personality disorders: Findings from a nationally representative sample.

Personal Ment Health 2020 Jun 26. Epub 2020 Jun 26.

New York State Psychiatric Institute, New York, NY, USA.

One variant of borderline personality disorder (BPD), frequently encountered in forensic and correctional samples, is the 'dissocial' subtype that combines borderline and antisocial traits. We tested the hypothesis that this subtype, defined by the co-occurrence of antisocial personality disorder (ASPD) and BPD (ASPD + BPD), would be associated with high rates of substance use disorder and contact with the criminal justice (CJ) system in a large nationally representative sample of North American adults (N = 36 309). Results suggested that the dissocial variant of BPD was associated with a high risk for substance use disorders and CJ contact. Read More

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http://dx.doi.org/10.1002/pmh.1491DOI Listing

Cariprazine treatment of borderline personality disorder: A case report.

Psychiatry Clin Neurosci 2020 Jun 26. Epub 2020 Jun 26.

Department of Psychiatry University of Cambridge Cambridge and Peterborough NHS Foundation Trust Cambridge, United Kingdom.

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http://dx.doi.org/10.1111/pcn.13094DOI Listing

Features of YouTube videos produced by individuals who self-identify with borderline personality disorder.

Digit Health 2020 Jan-Dec;6:2055207620932336. Epub 2020 Jun 12.

Brock University, Canada.

Objectives: Many individuals use YouTube™ to seek out information and share first-hand experiences about mental illnesses, as well as to gain a sense of community. YouTube™ use may be especially appealing when offline supports are lacking or difficult to access, and when there is a fear of stigmatisation. Borderline personality disorder (BPD), also referred to as emotionally unstable personality disorder (EUPD), is a complex and often stigmatised mental-health disorder. Read More

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http://dx.doi.org/10.1177/2055207620932336DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294371PMC

In smiles we trust? Smiling in the context of antisocial and borderline personality pathology.

PLoS One 2020 25;15(6):e0234574. Epub 2020 Jun 25.

Department of Psychology, Harvard University, Cambridge, Massachusetts, United States of America.

Research suggests that people behave more cooperatively towards those who smile and less cooperatively towards those with personality pathology. Here, we integrated these two lines of research to model the combined effects of smiles and personality pathology on trust. In two experiments, participants read vignettes portraying a person with either borderline personality disorder, antisocial personality disorder, or no personality pathology. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0234574PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316324PMC

Specific antisocial and borderline personality disorder criteria and general substance use: A twin study.

Personal Disord 2020 Jun 25. Epub 2020 Jun 25.

Department of Mental Disorders.

Antisocial (ASPD) and borderline (BPD) personality disorders (PDs) are associated with increased risk for substance use. They are "specific" risk factors among PDs in that they withstand adjusting for the other PDs, whereas the reverse does not hold. Specificity is a classic sign of causation. Read More

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http://dx.doi.org/10.1037/per0000404DOI Listing

General psychopathology factor and borderline personality disorder: Evidence for substantial overlap from two nationally representative surveys of U.S. adults.

Personal Disord 2020 Jun 25. Epub 2020 Jun 25.

Department of Psychology and Logopedics.

A general psychopathology factor reflects an underlying liability for a wide range of mental disorders. There is suggestive evidence that borderline personality disorder (BPD) may be strongly associated with the general psychopathology factor, but there are no detailed data on the degree of overlap between the general psychopathology factor and BPD or its individual symptoms. This study examined the overlap between the general psychopathology factor and BPD using cross-sectional survey data from two nationally representative samples of U. Read More

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http://dx.doi.org/10.1037/per0000405DOI Listing

The Senses of Agency and Ownership in Patients With Borderline Personality Disorder.

Front Psychiatry 2020 9;11:474. Epub 2020 Jun 9.

Department of Psychiatry and Psychotherapy, University of Bonn, Bonn, Germany.

Patients with borderline personality disorder (BPD) not only experience a strong instability in their affect and interpersonal relations but also disturbances in their self-experience, including dissociation and body-alienation symptoms. It is not yet understood whether an altered sense of ownership (SoO) or sense of agency (SoA) may contribute to these disturbances. One recent hypothesis is that patients with BPD have a reduced sense of self and are therefore more likely to misattribute external objects or actions to their own self than healthy individuals. Read More

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http://dx.doi.org/10.3389/fpsyt.2020.00474DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296131PMC

Oxytocin receptor gene, childhood maltreatment and borderline personality disorder features among male inmates in China.

BMC Psychiatry 2020 Jun 24;20(1):332. Epub 2020 Jun 24.

Medical Psychology Department, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, 210000, China.

Background: Borderline personality disorder (BPD) is caused by a variety of biological and environmental factors. Accumulating evidence suggests that childhood maltreatment is a risk environmental factor in the development of BPD, but research on the genetic pathology of BPD is still in its early stages, and very little is known about the oxytocin receptor (OXTR) gene. The purpose of this study is to further explore the interactive effects between OXTR gene polymorphisms and childhood maltreatment on BPD risk. Read More

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http://dx.doi.org/10.1186/s12888-020-02710-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315490PMC

Attention Deficit/Hyperactivity Disorder and Global Severity Profiles in Treatment-Seeking Patients with Substance Use Disorders.

Eur Addict Res 2020 06 22:1-10. Epub 2020 Jun 22.

Psychiater Radboudumc, Donders Centre for Neuroscience, Afdeling Psychiatrie Wetenschappelijk, Nijmegen Institute for Scientist Practitioners in Addiction (NISPA), Nijmegen, The Netherlands.

Introduction: Comorbid attention deficit/hyperactivity disorder (ADHD) is present in 15-25% of all patients seeking treatment for substance use disorders (SUDs). Some studies suggest that comorbid ADHD increases clinical severity related to SUDs, other psychiatric comorbidities, and social impairment, but could not disentangle their respective influences.

Objectives: To investigate whether comorbid adult ADHD in treatment-seeking SUD patients is associated with more severe clinical profiles in these domains assessed altogether. Read More

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http://dx.doi.org/10.1159/000508546DOI Listing

Exploring the links among borderline personality disorder symptoms, trauma, and pain in patients with chronic pain disorders.

J Psychosom Res 2020 Jun 1;135:110164. Epub 2020 Jun 1.

Vanderbilt University Medical Center, USA.

Objective: Chronic pain and borderline personality disorder (BPD) are commonly comorbid and jointly associated with increased symptoms of both disorders and clinical and functional impairment. Little is known, however, about specific links between these disorders. In a cross-sectional study of patients with chronic pain, we compared participants high or low on BPD symptoms on patterns of pain experience and types of child and adult traumas. Read More

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http://dx.doi.org/10.1016/j.jpsychores.2020.110164DOI Listing

Attention Deficit Hyperactivity Disorder Increases Nicotine Addiction Severity in Adults Seeking Treatment for Substance Use Disorders: The Role of Personality Disorders.

Eur Addict Res 2020 Jun 19:1-10. Epub 2020 Jun 19.

PhD Program in Clinical Psychology, Universidad Carlos Albizu, San Juan, Puerto Rico,

Aims: To examine the role of attention deficit/hyperactivity disorder (ADHD) and impulsive personality disorders in nicotine addiction severity among treatment-seeking substance use disorder (SUD) patients.

Methods: In a cross-sectional study, we examined data from the second International ADHD in Substance Use Disorders Prevalence Study (IASP-2) on 402 adults in SUD treatment from Puerto Rico, Hungary, and Australia using diagnostic interviews for ADHD, antisocial (ASP) and borderline (BPD) personality disorders, and the self-report Fagerström Test of Nicotine Dependence (FTND). We compared SUD patients with and without ADHD on nicotine addiction severity. Read More

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http://dx.doi.org/10.1159/000508545DOI Listing

Caught in a web of trauma: Network analysis of childhood adversity and adult mental ill-health.

Child Abuse Negl 2020 Jun 17;107:104534. Epub 2020 Jun 17.

Department of Psychiatry and Psychotherapy, University of Lübeck, Lübeck, Germany. Electronic address:

Background: Current interventions for adverse childhood experiences have only limited effectiveness.

Objective: We sought to identify optimal targets for the development of new interventions against adverse childhood experiences (ACE), that is, ACEs that a) are so central in the network of childhood adversity that curbing them is likely to impact other types of adversity, too, and b) are so central to the link of childhood adversity and adult mental ill-health that curbing them is likely to prevent this negative long-term effect from developing.

Participants And Setting: 384 adult psychiatric inpatients. Read More

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http://dx.doi.org/10.1016/j.chiabu.2020.104534DOI Listing

Self-Harming and Sense of Agency in Patients With Borderline Personality Disorder.

Front Psychiatry 2020 29;11:449. Epub 2020 May 29.

MANIBUS Lab, Psychology Department, University of Turin, Turin, Italy.

Self-harm is considered a pervasive problem in several psychopathologies, and especially in Borderline Personality Disorder (BPD). Self-harming behaviors may be enacted for many purposes for example to regulate emotions and to reduce dissociation. BPD patients often report dissociative episodes, which may be related to an altered body awareness, and in particular to an altered awareness of the sense of agency. Read More

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http://dx.doi.org/10.3389/fpsyt.2020.00449DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7273851PMC

[New insights into diagnostics and therapy of personality disorders-Changes in ICD-11].

Nervenarzt 2020 Jun 15. Epub 2020 Jun 15.

Klinik für Allgemeine Psychiatrie, Universitätsklinikum Heidelberg, Voßstr. 2, 69115, Heidelberg, Deutschland.

Personality disorders (PD) occur frequently and show high remission rates in the long term, while psychosocial recovery remains unsuccessful in a substantial proportion of cases. In ICD-11 the traditional view that PDs have a high stability is abandoned. Instead, the minimum duration is 2 years. Read More

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http://dx.doi.org/10.1007/s00115-020-00936-7DOI Listing

Familiarity, empathy and comprehension of metaphors in patients with borderline personality disorder.

Psychiatry Res 2020 May 30;291:113152. Epub 2020 May 30.

Department of Psychiatry and Psychotherapy, University of Tuebingen, Tuebingen 72076, Germany; Fliedner Klinik Stuttgart, Theodor Fliedner Stiftung, Stuttgart 70378, Germany.

Research on figurative language has a long tradition in psychiatry, as it is employed in psychotherapy and its (mis)comprehension plays a substantial role in differential diagnostics of schizophrenic spectrum disorders. Although often associated with empathy and mentalization, it has never been addressed in borderline personality disorder (BPD). Therefore, this study investigated metaphor comprehension and its relationship to cognitive and affective empathy in 20 patients with BPD and 20 matched healthy controls who completed a metaphor task comprising conventional metaphors (CM), novel metaphors (NM), meaningless stimuli (MS), and a rating scale of familiarity, a factor known to influence performance. Read More

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http://dx.doi.org/10.1016/j.psychres.2020.113152DOI Listing

Efficacy of "Family Connections", a program for relatives of people with borderline personality disorder, in the Spanish population: study protocol for a randomized controlled trial.

BMC Psychiatry 2020 Jun 15;20(1):302. Epub 2020 Jun 15.

Universitat Jaume I, Castellón, Spain.

Background: Patients with borderline personality disorder (BPD) experience significant affect regulation difficulties that cause serious consequences in their work, emotional, and social environments. This dysfunctional pattern also produces great suffering and a heavy burden on their relatives. Fortunately, some studies show that treatment of relatives of people with BPD begins to be important in the patients' recovery and in improving family dynamics. Read More

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http://dx.doi.org/10.1186/s12888-020-02708-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296953PMC

Reciprocal Influences of Parent and Adolescent Borderline Personality Symptoms Over 3 Years.

J Pers Disord 2020 Jun 15:1-16. Epub 2020 Jun 15.

University of Pittsburgh School of Medicine, Department of Psychiatry, Pittsburgh, Pennsylvania.

Leading etiological theories implicate the family environment in shaping borderline personality disorder (BPD). Although a substantive literature explores familial aggregation of this condition, most studies focus on parent influence(s) on offspring symptoms without examining youth symptom influence on the parent. The current study investigated reciprocal relations between parent and adolescent BPD symptoms over time. Read More

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http://dx.doi.org/10.1521/pedi_2020_34_483DOI Listing

Developmental Pathways to BPD-Related Features in Adolescence: Infancy to Age 15.

J Pers Disord 2020 Jun 15:1-26. Epub 2020 Jun 15.

Department of Psychiatry, Harvard Medical School at Cambridge Health Alliance, Cambridge, Massachusetts.

The self-damaging behaviors central to borderline personality disorder (BPD) become prominent in adolescence. Current developmental theories cite both early family processes and childhood dysregulation as contributors to BPD, but longitudinal data from infancy are rare. Using the National Institute of Child Health and Human Development (NICHD) Study of Early Child Care and Youth Development database (SECCYD; = 1,364), we examined path models to evaluate parent and child contributors from infancy/preschool, middle childhood, and adolescence to adolescent BPD-related features. Read More

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http://dx.doi.org/10.1521/pedi_2020_34_480DOI Listing

Intact Classical Fear Conditioning to Interpersonally Threatening Stimuli in Borderline Personality Disorder.

Psychopathology 2020 Jun 12:1-11. Epub 2020 Jun 12.

Department of General Psychiatry, Center for Psychosocial Medicine, University of Heidelberg, Heidelberg, Germany.

Threat hypersensitivity is regarded as a central mechanism of deficient emotion regulation, a core feature of patients with borderline personality disorder (BPD). Here, we employed a classical fear-conditioning protocol in which interpersonally threatening, interpersonally non-threatening, and non-social (neutral) visual stimuli were predictive of an aversive auditory stimulus in a sample of 23 medication-free adult female patients with BPD and 21 age- and IQ-matched healthy women. The results did not confirm the hypothesized enhanced and prolonged conditioned skin conductance responses (SCR) and subjective stress and expectancy ratings to interpersonally threatening stimuli in patients with BPD compared to healthy women. Read More

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http://dx.doi.org/10.1159/000507794DOI Listing

Mobile App Integration Into Dialectical Behavior Therapy for Persons With Borderline Personality Disorder: Qualitative and Quantitative Study.

JMIR Ment Health 2020 Jun 11;7(6):e14913. Epub 2020 Jun 11.

Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.

Background: The advancement of and access to technology such as smartphones has implications for psychotherapeutic health care and how interventions for a range of mental health disorders are provided.

Objective: The objective of this study was to describe the experiences of participants while using a mobile phone app that was designed to enhance and support dialectical behavior therapy for personality disorders.

Methods: A combination of in-depth interviews and questionnaires were used to capture the experiences of participants who used the app while undergoing dialectical behavior therapy treatment. Read More

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http://dx.doi.org/10.2196/14913DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317633PMC

Elevated fatty acid amide hydrolase in the prefrontal cortex of borderline personality disorder: a [C]CURB positron emission tomography study.

Neuropsychopharmacology 2020 Jun 10. Epub 2020 Jun 10.

Centre for Addiction and Mental Health (CAMH), Toronto, ON, Canada.

Amygdala-prefrontal cortex (PFC) functional impairments have been linked to emotion dysregulation and aggression in borderline personality disorder (BPD). Fatty acid amide hydrolase (FAAH), the major catabolic enzyme for the endocannabinoid anandamide, has been proposed as a key regulator of the amygdala-PFC circuit that subserves emotion regulation. We tested the hypothesis that FAAH levels measured with [C]CURB positron emission tomography in amygdala and PFC would be elevated in BPD and would relate to hostility and aggression. Read More

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http://dx.doi.org/10.1038/s41386-020-0731-yDOI Listing

Empathy, Alexithymia, and Theory of Mind in Borderline Personality Disorder.

J Nerv Ment Dis 2020 Jun 8. Epub 2020 Jun 8.

Departments of Psychiatry.

The purpose of this research was to determine the differences in empathy, alexithymia features, and theory of mind between healthy controls and patients with borderline personality disorder (BPD). Thirty-five patients with BPD and 35 healthy controls were included in the study. To measure the clinical variables, the Empathy Quotient (EQ), Reading the Mind in the Eyes Test (RMET), Toronto Alexithymia Scale (TAS-20), Barratt Impulsivity Scale-11 (BIS-11), and Beck Depression Inventory (BDI) were applied. Read More

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http://dx.doi.org/10.1097/NMD.0000000000001196DOI Listing

How Personality Disorders Change in Psychotherapy: a Concise Review of Process.

Curr Psychiatry Rep 2020 Jun 9;22(8):41. Epub 2020 Jun 9.

Department of Psychiatry-CHUV, Institute of Psychotherapy, University of Lausanne, Place Chauderon 18, CH-1003, Lausanne, Switzerland.

Purpose Of Review: The present review summarizes the current state of the art in psychotherapy processes during treatments for clients with personality disorders. We outline some methodological challenges in the discipline of process research, give a brief historical account on process research, and then focus on specific processes studied from an empirical perspective.

Recent Findings: The current review acknowledges the centrality of the therapeutic relationship, in particular the therapeutic alliance, therapist empathy, and responsiveness in explaining outcome across treatment modalities for personality disorders. Read More

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http://dx.doi.org/10.1007/s11920-020-01162-3DOI Listing

Improving Research Practice for Studying Borderline Personality Disorder: Lessons From the Clinic.

Chronic Stress (Thousand Oaks) 2020 Jan-Dec;4:2470547020912504. Epub 2020 Apr 1.

Department of Psychiatry, Yale School of Medicine, Yale University, New Haven, CT, USA.

Borderline personality disorder is an often misunderstood and underdiagnosed mental illness characterized in part by affective lability. Clinicians' unique understanding of the disorder has allowed them to develop disorder-specific approaches to treatment. In this review, we highlight how borderline personality disorder research can benefit from greater engagement with key disorder-specific features, including symptom variability and interpersonal sensitivity. Read More

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http://dx.doi.org/10.1177/2470547020912504DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7254581PMC