9,034 results match your criteria Borderline Personality Disorder


Why go to the emergency department? Perspectives from persons with borderline personality disorder.

Int J Ment Health Nurs 2019 Feb 18. Epub 2019 Feb 18.

Faculty of Health Sciences, School of Nursing, University of Ottawa, Ottawa, Ontario, Canada.

Through this qualitative study, we explored frequent emergency department use by persons with borderline personality disorder from their perspective. Interpretive description guided the study design, and data were collected through interviews with six individuals diagnosed with borderline personality disorder who had at least 12 emergency department visits for reasons related to their mental illness within a 1-year timeframe. Using thematic data analysis, we articulate the participants' experiences through two broad themes: cyclic nature of emergency department use and coping skills and strategies. Read More

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http://dx.doi.org/10.1111/inm.12580DOI Listing
February 2019

Treatment Effects following Residential Dialectical Behavior Therapy for Adolescents with Borderline Personality Disorder.

Evid Based Pract Child Adolesc Ment Health 2018 31;3(2):117-128. Epub 2018 May 31.

Center for Depression, Anxiety and Stress Research, McLean Hospital, Belmont, MA, USA.

Dialectical behavior therapy (DBT) is an empirically supported treatment for borderline personality disorder (BPD) in adults, however fewer studies have examined outcomes in adolescents. This study tested the effectiveness of an intensive 1-month, residential DBT treatment for adolescent girls meeting criteria for BPD. Additionally, given well-established associations between BPD symptoms and childhood abuse, the impact of abuse on treatment outcomes was assessed. Read More

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http://dx.doi.org/10.1080/23794925.2018.1476075DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377246PMC

The effectiveness of individual schema therapy in older adults with borderline personality disorder: Protocol of a multiple-baseline study.

Contemp Clin Trials Commun 2019 Jun 24;14:100330. Epub 2019 Jan 24.

GGz Breburg, Postbus 770, 5000 AT, Tilburg, the Netherlands.

Background: The treatment of borderline personality disorder (BPD) has been examined extensively in adults up to the age of fifty in the past quarter of a century, but there is still a world to discover in treating BPD in older adults. The aim of the study is to investigate the effectiveness of schema therapy in older adults with BPD.

Methods/design: A multiple baseline design is used in which participants are randomly assigned to baseline length. Read More

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http://dx.doi.org/10.1016/j.conctc.2019.100330DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6365387PMC

Response inhibition in borderline personality disorder: neural and behavioral correlates.

Biol Psychol 2019 Feb 14. Epub 2019 Feb 14.

Hospital Clínico San Carlos, Cibersam, Madrid, Spain.

Although response inhibition is thought to be important in borderline personality disorder (BPD), little is known about its neurophysiological basis. This study aimed to provide insight into this issue by capitalizaing on the the high temporal resolution of electroencephalography and information provided by source localization methods. To this end, twenty unmedicated patients with BPD and 20 healthy control subjects performed a modified go/no-go task designed to better isolate the brain activity specifically associated with response inhibition. Read More

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http://dx.doi.org/10.1016/j.biopsycho.2019.02.003DOI Listing
February 2019

Early maladaptive schemas and borderline personality disorder features in a non-clinical sample: A network analysis.

Clin Psychol Psychother 2019 Feb 16. Epub 2019 Feb 16.

Department of Experimental, Clinical and Health Psychology, Ghent University, Ghent, Belgium.

Borderline personality disorder (BPD) is a challenging problem. Early Maladaptive Schema (EMSs) are considered as important vulnerability factors for the development and maintenance of BPD. Literature suggests a complex relationship between BPD and EMSs. Read More

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http://dx.doi.org/10.1002/cpp.2360DOI Listing
February 2019

Psychometric properties of the Spanish version of the Involvement Evaluation Questionnaire in caregivers of patients with borderline personality disorders.

Clin Psychol Psychother 2019 Feb 12. Epub 2019 Feb 12.

Facultad de Psicología, Universidad de Valencia, España.

The Involvement Evaluation Questionnaire (IEQ) was created to evaluate the caregiver's experience of burden and the consequences of providing care to people with psychotic disorders. To date, the IEQ has not been validated with caregivers of people diagnosed with Borderline Personality Disorder (BPD). The main objective of the study was to confirm the psychometric properties and factorial structure of the Spanish version of the IEQ in 151 caregivers of people with BPD, with an average age of 54. Read More

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http://dx.doi.org/10.1002/cpp.2359DOI Listing
February 2019
1 Read

Residential eating disorder outcomes associated with screening positive for substance use disorder and borderline personality disorder.

Int J Eat Disord 2019 Feb 11. Epub 2019 Feb 11.

Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.

Objective: We examined whether eating disorder (ED) outcome trajectories during residential treatment differed for patients screening positive for comorbid borderline personality disorder (BPD) and/or substance use disorders (SUDs) than those who do not.

Method: We examined data from patients in a residential ED treatment program. Patients completed validated self-report surveys to screen for SUDs and BPD on admission, and the ED Examination-Questionnaire (EDE-Q) on admission and every 2 weeks until discharge (N = 479 females). Read More

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http://dx.doi.org/10.1002/eat.23028DOI Listing
February 2019
1 Read

The role of personality disorders in obsessive-compulsive disorder.

Indian J Psychiatry 2019 Jan;61(Suppl 1):S114-S118

Senior Consultant Psychiatrist, New Delhi & Formerly Additional Professor of Psychiatry and Head, OCD Clinic, NIMHANS, Bangalore, Karnataka, India.

Personality disorders are a common comorbidity in obsessive-compulsive disorder (OCD). The effect of comorbidity on the symptom presentation, course, and treatment outcome of OCD is being discussed here. OCD and obsessive-compulsive personality disorder (OCPD) though similar in their symptom presentation, are distinct constructs. Read More

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http://dx.doi.org/10.4103/psychiatry.IndianJPsychiatry_526_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343421PMC
January 2019
1 Read

Situating adult attention-deficit/hyperactivity disorder in the externalizing spectrum: Etiological, diagnostic, and treatment considerations.

Indian J Psychiatry 2019 Jan-Feb;61(1):3-12

Department of Psychiatry, Centre for Addiction Medicine, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.

Adult attention-deficit/hyperactivity disorder (ADHD) has a population prevalence of 5%. However, its prevalence is much higher in mental health and substance use treatment settings. It is associated with significant physical and psychiatric morbidity, as well as social, occupational, and legal consequences. Read More

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http://dx.doi.org/10.4103/psychiatry.IndianJPsychiatry_549_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341912PMC
February 2019
2 Reads

Does a history of childhood abuse moderate the association between symptoms of posttraumatic stress disorder and borderline personality disorder in survivors of intimate partner violence?

J Clin Psychol 2019 Feb 11. Epub 2019 Feb 11.

Department of Psychology, The University of Memphis, Memphis, Tennessee.

Objective: This study examined whether a history of childhood abuse (CA) strengthened the association between borderline personality disorder (BPD) and posttraumatic stress disorder (PTSD) in the aftermath of intimate partner violence (IPV). This hypothesis arises from clinical literature but has not been examined empirically. We predicted that a history of CA would enhance associations between BPD features and PTSD symptoms. Read More

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http://dx.doi.org/10.1002/jclp.22756DOI Listing
February 2019
1 Read

The Experience of Maltreatment in Young Children Whose Mothers Have Borderline Personality Disorder: Reflections in Their Narrative Representations.

J Pers Disord 2019 Feb 11:1-15. Epub 2019 Feb 11.

University of Tennessee at Knoxville.

Child maltreatment is an etiological factor in borderline personality disorder (BPD), which may be transmitted to the children of mothers with BPD. We assessed maltreatment in 36 children aged 4-7 whose mothers have BPD and in 34 normative comparisons. Children whose mothers have BPD were more likely to have experienced sexual abuse, physical abuse, and neglect than were normative comparisons. Read More

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http://dx.doi.org/10.1521/pedi_2019_33_407DOI Listing
February 2019
1 Read

Prescribing Practices for Patients With Borderline Personality Disorder During Psychiatric Hospitalizations.

J Pers Disord 2019 Feb 11:1-14. Epub 2019 Feb 11.

Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota.

This study aimed to understand prescribing practices during acute psychiatric hospitalization in a large cohort of patients (N = 569) with borderline personality disorder (BPD) at a tertiary care psychiatry unit from January 1, 2013, through January 1, 2015. The mean number of hospitalizations per patient was 1.5 (range, 1-7). Read More

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http://dx.doi.org/10.1521/pedi_2019_33_405DOI Listing
February 2019
1 Read

When Trust Does Not Come Easily: Negative Emotional Information Unduly Influences Trustworthiness Appraisals for Individuals With Borderline Personality Features.

J Pers Disord 2019 Feb 11:1-16. Epub 2019 Feb 11.

Harvard University, Cambridge, Massachusetts.

Individuals with borderline personality disorder and subclinical borderline features perceive others as untrustworthy (e.g., Fertuck, Grinband, & Stanley, 2013). Read More

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http://dx.doi.org/10.1521/pedi_2019_33_404DOI Listing
February 2019
1 Read

Pathological Narcissism: A Study of Burden on Partners and Family.

J Pers Disord 2019 Feb 7:1-15. Epub 2019 Feb 7.

Illawarra Health and Medical Research Institute and School of Psychology, University of Wollongong, Australia.

Pathological narcissism is characterized by impaired interpersonal functioning, but few studies have examined the impact of the disorder on those living in a close relationship. Participants (N = 683; comprising romantic partners [77.8%], mothers [8. Read More

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http://dx.doi.org/10.1521/pedi_2019_33_413DOI Listing
February 2019
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Borderline Personality Disorder Symptom Comorbidity Within a High Externalizing Sample: Relationship to the Internalizing-Externalizing Dimensional Structure of Psychopathology.

J Pers Disord 2019 Feb 7:1-13. Epub 2019 Feb 7.

Department of Psychological and Brain Sciences, Indiana University-Bloomington.

Borderline personality disorder (BPD) is highly comorbid with internalizing and externalizing psychopathology. The current study replicates findings indicating that BPD symptomatology is influenced by the distress subfactor of both the internalizing and the externalizing dimension of psychopathology. Confirmatory factor analysis of the covariance of continuous measures of externalizing pathology, internalizing pathology, and BPD symptoms was assessed in 837 young adults. Read More

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http://dx.doi.org/10.1521/pedi_2019_33_415DOI Listing
February 2019
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Parenting in Patients with Borderline Personality Disorder, Sequelae for the Offspring and Approaches to Treatment and Prevention.

Curr Psychiatry Rep 2019 Feb 7;21(2). Epub 2019 Feb 7.

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

Purpose Of Review: We review recent findings concerning the implications of borderline personality disorder (BPD) on parenting behaviors, the parent-child relationships, and parental and child outcomes. We focus on self-report and interview data characterizing parents with BPD and their children as well as on observational paradigms investigating parent-child relationships and the quality of dyadic interactions. Novel treatment approaches are discussed. Read More

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http://dx.doi.org/10.1007/s11920-019-0996-1DOI Listing
February 2019
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[Oxytocin and maltreatment potential : Influence of maternal depression, borderline personality disorder and experience of early childhood maltreatment].

Nervenarzt 2019 Feb 6. Epub 2019 Feb 6.

Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Psychiatrische Universitätsklinik der Charité im St. Hedwig-Krankenhaus, Große Hamburger Straße 5-11, 10115, Berlin, Deutschland.

Background: The "empathy hormone" oxytocin (OXT) is associated with social interaction and parent-child interaction. Mothers with mental stress factors, e.g. Read More

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http://link.springer.com/10.1007/s00115-019-0688-4
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http://dx.doi.org/10.1007/s00115-019-0688-4DOI Listing
February 2019
7 Reads

[Relationship difficulties with borderline patients in five questions].

Rev Med Suisse 2019 Feb;15(637):333-336

Unité d'investigation et de traitements brefs (UITB 2-JC), Service de psychiatrie de liaison et intervention de crise, HUG, 1211 Genéve 14.

Borderline personality disorder is a common and severe disorder that confronts health professionals with some of their limitations. Relational difficulties with these patients lead to discontinuation of follow-up or unnecessary or even deleterious care. We present here simple answers to the questions that will inevitably arise in the management of your borderline patients. Read More

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February 2019
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Neuropsychological findings in recent onset schizophrenia and borderline personality disorder: a comparison study.

Actas Esp Psiquiatr 2019 Jan 1;47(1):7-15. Epub 2019 Jan 1.

Instituto de Investigación Sanitaria del Hospital Clínico San Carlos. Madrid. Spain Departamento de Psiquiatría y Psicología Médica, Facultad de Medicina, Universidad Complutense. Madrid. Spain Centro de Investigación en Red de Salud Mental (CIBERSAM). Madrid. Spain.

Introduction: Neurocognitive impairment is considered an essential symptom of schizophrenia, particularly in its early stages. Nonetheless, the neuropsychological features of borderline personality disorder (BPD) could cast doubt on the specificity of neurocognitive dysfunctions. The aim of this study is to determine whether neurocognitive deficits are specific to schizophrenia-spectrum conditions as compared to a similarly severe psychiatric illness like BPD. Read More

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January 2019
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Emotional Responsiveness in Borderline Personality Disorder: The Role of Basal Hyperarousal and Self-Reported Emotional Regulation.

J Nerv Ment Dis 2019 Jan 31. Epub 2019 Jan 31.

Vita-Salute San Raffaele University.

The present study aims to test the hypothesis of biological hyperarousal and hyperreactivity underpinning the dysfunctional emotional processes of borderline personality disorder (BPD). Self-reported (quality and intensity of emotions) and physiological (respiratory sinus arrhythmia [RSA] and heart rate) data were collected in 14 clinical subjects with BPD and in 14 control subjects (healthy controls [HCs]), during the administration of six video clips with different emotional contents. Our findings showed a constant hyperarousal state (lower RSA) in the clinical group, supporting the hypothesis of a biological vulnerability to emotional dysregulation. Read More

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http://dx.doi.org/10.1097/NMD.0000000000000939DOI Listing
January 2019
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Optimizing borderline personality disorder treatment by incorporating significant others: A review and synthesis.

Personal Disord 2019 Feb 4. Epub 2019 Feb 4.

Department of Psychology, Ryerson University.

Borderline personality disorder (BPD) is a debilitating mental health condition that is highly associated with distress in close relationships and in romantic and nonromantic (e.g., familial) significant others. Read More

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http://dx.doi.org/10.1037/per0000328DOI Listing
February 2019
2 Reads

The within-person effects of validation and invalidation on in-session changes in affect.

Personal Disord 2019 Feb 4. Epub 2019 Feb 4.

Department of Psychology, The Ohio State University.

Validation is the accurate reflection of someone's internal experiences. Validation has been theorized to enhance the process of therapy and facilitate effective outcomes (Lynch, Chapman, Rosenthal, Kuo, & Linehan, 2006). Additionally, validation may play an integral role in reducing emotional arousal specifically for individuals with borderline personality disorder (BPD). Read More

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http://dx.doi.org/10.1037/per0000331DOI Listing
February 2019
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Emotions at the border: Increased punishment behavior during fair interpersonal exchanges in borderline personality disorder.

J Abnorm Psychol 2019 Feb;128(2):162-172

Clinical and Affective Neuroscience Lab, Department of Psychology and Cognitive Sciences, University of Trento.

This study evaluated whether the impairment in cooperation that characterizes individuals with borderline personality disorder (BPD) can be explained by the difficulty to use emotion regulation strategies and to accurately perceive the fairness of others' behavior. Forty-one patients with BPD and 41 sex and age matched healthy controls (HC) played the responder's role in a Modified Ultimatum Game during which they were asked to apply 3 different emotion regulation strategies: look, distancing, and reappraisal. Offer rejection rates were used as an index of punishment behavior. Read More

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http://dx.doi.org/10.1037/abn0000404DOI Listing
February 2019
1 Read

Metacognitive improvement and symptom change in a 3-month treatment for borderline personality disorder.

Psychol Psychother 2019 Feb 3. Epub 2019 Feb 3.

Institute of Psychotherapy-University Hospital Center, University of Lausanne, Switzerland.

Objectives: Recognizing and reflecting on one's own and other people's mental states represent a major difficulty for patients with borderline personality disorder (BPD). Only recently have studies begun exploring whether these capacities increase with successful therapies and if such an improvement is linked with outcome. The present study investigated whether metacognition would improve and if its improvement was related with symptom change in BPD patients. Read More

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http://dx.doi.org/10.1111/papt.12219DOI Listing
February 2019
1 Read
1.817 Impact Factor

Hallucinations in patients with borderline personality disorder: characteristics, severity and relationship with schizotypy and loneliness.

Acta Psychiatr Scand 2019 Feb 3. Epub 2019 Feb 3.

Department of Psychiatry, University Medical Center Utrecht, Utrecht, the Netherlands.

Objective: In patients with borderline personality disorder (BPD), data are lacking on characteristics and severity of hallucinations in modalities other than the auditory (verbal) type. The same applies to relationships between hallucinations and the severity of depression, anxiety, schizotypy and loneliness.

Methods: In 60 female patients with BPD (37 also with hallucinations), this cross-sectional study explored characteristics and severity of i) hallucinations and ii) schizotypal features,, iii) severity of depression and anxiety, and iv) loneliness, and the relationships between hallucinations and the other characteristics. Read More

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http://dx.doi.org/10.1111/acps.13012DOI Listing
February 2019
2 Reads

FKBP5 gene variants and borderline personality disorder.

J Affect Disord 2019 Apr 27;248:26-28. Epub 2019 Jan 27.

INSERM UMRS1266, Institute of Psychiatry and Neuroscience of Paris, France; Sainte-Anne hospital (Paris-Descartes university), Paris, France.

Background: Genes associated with the physiological response to stress in the hypothalamic-pituitary-adrenal axis are considered as good candidates for genetic research in borderline personality disorder (BPD).

Methods: In this study, five FKBP5 (a co-chaperone of the glucocorticoid receptor) SNPs (rs3800373, rs9296158, rs737054, rs1360780, rs9470080) were genotyped in a sample of 101 unrelated Caucasian patients with BPD and 111 ethnically matched healthy controls. The interaction between FKBP5 polymorphisms and childhood trauma was also tested. Read More

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http://dx.doi.org/10.1016/j.jad.2019.01.025DOI Listing
April 2019
3 Reads

Dangerous weapons or dangerous people? The temporal associations between gun violence and mental health.

Authors:
Yu Lu Jeff R Temple

Prev Med 2019 Jan 31;121:1-6. Epub 2019 Jan 31.

University of Texas Medical Branch, Galveston, TX 77555-0587, USA. Electronic address:

Despite the public, political, and media narrative that mental health is at the root of gun violence, evidence is lacking to infer a causal link. This study examines the temporal associations between gun violence (i.e. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00917435193001
Publisher Site
http://dx.doi.org/10.1016/j.ypmed.2019.01.008DOI Listing
January 2019
9 Reads

Differentiating bipolar disorder from borderline personality disorder: Diagnostic accuracy of the difficulty in emotion regulation scale and personality inventory for DSM-5.

J Affect Disord 2019 02 13;245:856-860. Epub 2018 Nov 13.

University of Hawaii, 200 West Kawili St., Hilo, HI 96720, United States.

Background: Confusion abounds when differentiating the diagnoses of bipolar disorder (BD) from borderline personality disorder (BPD). This study explored the relative clinical utility of affective instability and self-report personality trait measures for accurate identification of BD and BPD.

Methods: Receiver operator characteristics and diagnostic efficiency statistics were calculated to ascertain the relative diagnostic efficiency of self-report measures. Read More

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http://dx.doi.org/10.1016/j.jad.2018.11.079DOI Listing
February 2019
1 Read

Comparative economic evaluation of quetiapine plus lamotrigine combination vs quetiapine monotherapy(and folic acid vs placebo) in patients with bipolar depression (CEQUEL).

Bipolar Disord 2019 Jan 30. Epub 2019 Jan 30.

Research Office Hospital Moinhos de Vento - Porto alegre, Brazil.

Economic evaluations in the field of psychiatry are still scarce. The article by Simon et al (2018) is unique as it proposes a comparative economic analysis of the association between lamotrigine and quetiapine (first-line treatment) in acute bipolar depression . Different economic analyses have already been performed with lamotrigine for disorders such as epilepsy, borderline personality disorder, and Lennox-Gastaut Syndrome. Read More

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http://dx.doi.org/10.1111/bdi.12747DOI Listing
January 2019
2 Reads

Clinical utility of the cold pressor test: evaluation of pain patients, treatment of opioid-induced hyperalgesia and fibromyalgia with low dose naltrexone.

Discov Med 2018 Nov;26(144):197-206

Department of Psychiatry, State University of New York (SUNY) Upstate Medical University, Syracuse, NY 13210, USA.

Background: The cold pressor test (CPT) has been used in experimental paradigms to measure pain tolerance. It is used clinically to evaluate for opioid-induced hyperalgesia (OIH), as part of the clinical evaluation of fibromyalgia, to document reversal of OIH by low dose naltrexone (LDN), and to document the clinical response of fibromyalgia to LDN.

Methods: We reviewed charts of 254 outpatients admitted to addiction medicine with chronic opioid treatment for pain, opioid addiction, or fibromyalgia. Read More

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November 2018
4 Reads

Predictors of psychotic symptoms among young people with special educational needs.

Br J Psychiatry 2019 Jan 29:1-6. Epub 2019 Jan 29.

Professor of Psychiatry,Division of Psychiatry,University of Edinburgh,UK.

Background: Psychotic symptoms and psychotic disorders occur at increased rates in adults with intellectual disability, including borderline intellectual functioning, compared with the general population. Little is known about the development of such symptoms in this population.AimsTo examine whether clinical factors predictive of psychotic disorder in a familial study of schizophrenia also apply to those with intellectual disability. Read More

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http://dx.doi.org/10.1192/bjp.2018.296DOI Listing
January 2019
1 Read

Number of Borderline Personality Disorder Criteria and Depression Predict Poor Functioning and Quality of Life in Outpatient Youth.

J Pers Disord 2019 Jan 28:1-14. Epub 2019 Jan 28.

Orygen, The National Centre of Excellence in Youth Mental Health, Parkville, Australia.

This study aimed to investigate which factors contribute to poor functioning and poor quality of life in youth (aged 15-25 years) with borderline personality disorder (BPD), and whether the number of BPD criteria might be an independent predictor of these outcomes. A sample of 499 help-seeking outpatient youth, aged 15-25 years, was assessed. Stepwise multiple regression analyses showed that the number of BPD criteria was the best predictor of poor functioning, followed by number of mental health visits in the past month, female sex, and a current diagnosis of depression. Read More

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http://dx.doi.org/10.1521/pedi_2019_33_411DOI Listing
January 2019
2 Reads

Mentalizing Based on External Features in Borderline Personality Disorder Compared With Healthy Controls: The Role of Attachment Dimensions and Childhood Trauma.

J Pers Disord 2019 Jan 28:1-15. Epub 2019 Jan 28.

University Psychiatric Hospital UPC KU Leuven, Campus Kortenberg and Department of Neurosciences, Faculty of Medicine, KU Leuven, Leuven, Belgium.

Extant research suggests that borderline personality disorder (BPD) is associated with impairments in mentalizing, that is, comprehending behavior in terms of underlying mental states. However, the precise nature of these impairments remains unclear. The literature is mixed concerning mentalizing based on external features of others, and specifically facial emotion recognition (FER) in BPD patients. Read More

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http://dx.doi.org/10.1521/pedi_2019_33_373DOI Listing
January 2019
2 Reads

The Therapeutic Alliance Over 10 Sessions of Therapy for Borderline Personality Disorder: Agreement and Congruence Analysis and Relation to Outcome.

J Pers Disord 2019 Jan 28:1-21. Epub 2019 Jan 28.

General Psychiatry Service, Department of Psychiatry, CHUV, University of Lausanne, Lausanne, Switzerland.

The authors examined whether alliance dynamics are affected by tailoring the therapeutic relationship to the individual patient in brief psychotherapy of borderline personality disorder. Sixty patients were randomized to 10-session Good Psychiatric Management (GPM-BV) or GPM combined with Motive-Oriented Therapeutic Relationship techniques (MOTR+GPM-BV). Patient- and therapist-rated alliance was assessed weekly. Read More

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http://dx.doi.org/10.1521/pedi_2019_33_376DOI Listing
January 2019
2 Reads

Biased Attention to Facial Expressions of Ambiguous Emotions in Borderline Personality Disorder: An Eye-Tracking Study.

J Pers Disord 2019 Jan 28:1-28. Epub 2019 Jan 28.

Department of Biological and Clinical Psychology, University of Trier, Germany.

Preliminary evidence suggests that biased attention could be crucial in fostering the emotion recognition abnormalities in borderline personality disorder (BPD). We compared BPD patients to Cluster-C personality disorder (CC) patients and non-patients (NP) regarding emotion recognition in ambiguous faces and their visual attention allocation to the eyes. The role of comorbid posttraumatic stress disorder (PTSD) in BPD regarding emotion recognition and visual attention was explored. Read More

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http://dx.doi.org/10.1521/pedi_2019_33_363DOI Listing
January 2019
1 Read

Women With Borderline Personality Disorder Show Reduced Identification of Emotional Facial Expressions and a Heightened Negativity Bias.

J Pers Disord 2019 Jan 28:1-22. Epub 2019 Jan 28.

Department of Psychology, University of Copenhagen, Denmark.

Individuals with borderline personality disorder (BPD) frequently display impairments in the identification of emotional facial expressions paralleled by a negativity bias. However, it remains unclear whether misperception of facial expressions is a key psychopathological marker of BPD. To address this question, the authors examined 43 women diagnosed with BPD and 56 healthy female controls using an emotion face identification task and a face dot-probe task together with measures on psychopathology. Read More

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http://dx.doi.org/10.1521/pedi_2019_33_409DOI Listing
January 2019
1 Read

Relations of Maternal Borderline Personality Disorder Features With Preschooler Executive Functioning and Theory of Mind.

J Pers Disord 2019 Jan 28:1-12. Epub 2019 Jan 28.

Department of Psychology, University of Oregon, Eugene, Oregon.

Although children of mothers who have elevated borderline personality disorder (BPD) features are a high-risk group, there remains little research examining developmental mechanisms that place these offspring at risk for emerging psychopathology. The current study included 68 mother-pre-schooler dyads, in which mothers with elevated BPD features were oversampled. Preschoolers (aged 3 and 4 years) completed a battery of executive functioning (EF) and theory of mind (ToM) measures. Read More

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http://dx.doi.org/10.1521/pedi_2019_33_412DOI Listing
January 2019
1 Read

Aripiprazole compared with placebo for auditory verbal hallucinations in youth with borderline personality disorder: Protocol for the VERBATIM randomized controlled trial.

Early Interv Psychiatry 2019 Jan 28. Epub 2019 Jan 28.

Orygen, the National Centre of Excellence in Youth Mental Health, Melbourne, Victoria, Australia.

Aim: Up to half of patients with borderline personality disorder report auditory verbal hallucinations that are phenomenologically indistinguishable from those in schizophrenia, occur early in the course of the disorder, and are enduring, distressing and disabling. In clinical practice, this symptom is widely assumed to be unresponsive to treatment with antipsychotic medication and early intervention is rarely offered. The Verbal Experiences Response in Borderline personality disorder to Aripiprazole TrIal Medication (VERBATIM) study aims to be the first controlled trial to investigate the effectiveness of conventional pharmacotherapy for this symptom in this patient group. Read More

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http://doi.wiley.com/10.1111/eip.12774
Publisher Site
http://dx.doi.org/10.1111/eip.12774DOI Listing
January 2019
4 Reads

Altered Oscillatory Responses to Feedback in Borderline Personality Disorder are Linked to Symptom Severity.

Brain Topogr 2019 Jan 28. Epub 2019 Jan 28.

Psychiatry Neuroimaging Branch, Department of Psychiatry and Psychotherapy, University Medical Center Hamburg Eppendorf, Hamburg, Germany.

Several studies using electroencephalography (EEG) demonstrate that the processing of feedback in patients suffering from borderline personality disorder (BPD) is altered in comparison to healthy controls. Differences occur in the theta (ca. 5 Hz) and high-beta frequency-ranges (ca. Read More

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http://dx.doi.org/10.1007/s10548-019-00700-4DOI Listing
January 2019
1 Read

Acceptance and present-moment awareness in psychiatric disorders: Is mindfulness mood dependent?

Psychiatry Res 2019 Jan 11;273:363-368. Epub 2019 Jan 11.

Department of Psychiatry. Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Madrid, Spain; Department of Psychiatry and Legal Medicine, Autonomous University of Barcelona, UAB, Barcelona, Spain. Electronic address:

The aim of the present study was to determine 1) whether deficits in two mindfulness dimensions (present-centered awareness and acceptance) were present in individuals with different psychiatric conditions and 2) whether co-existing depressive symptoms affected the mindfulness-related capacities in these groups. A total of 246 individuals, both clinical and non-clinical participants, were included in this study. The clinical sample consisted of 162 individuals; of these, 43 had a diagnosis of cocaine dependence while the remaining 119met clinical criteria for eating disorders (n = 43), major depressive disorder in remission (n = 39), and borderline personality disorder (n = 45). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01651781183174
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http://dx.doi.org/10.1016/j.psychres.2019.01.041DOI Listing
January 2019
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Influence of betrayal trauma on borderline personality disorder traits.

J Trauma Dissociation 2019 Jan 25:1-10. Epub 2019 Jan 25.

b Department of Psychology , Michigan State University , East Lansing , Michigan , United States.

Recent research has linked traumatic experiences with a high degree of betrayal with symptoms of borderline personality disorder (BPD). Much of this research has operationalized BPD in terms of diagnostic symptoms, which contrasts with recent approaches to understanding personality disorders (PDs) in terms of maladaptive personality traits. In this study we examine the influence of traumatic experiences with varying levels of betrayal on BPD assessed via maladaptive personality traits in a sample of college students (N = 915) using a Bayesian approach to structural equation modeling. Read More

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http://dx.doi.org/10.1080/15299732.2019.1572042DOI Listing
January 2019
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Impact of comorbid borderline personality disorder on inpatient treatment for bulimia nervosa: analysis of routine data.

Borderline Personal Disord Emot Dysregul 2019 16;6. Epub 2019 Jan 16.

Schoen Clinic Roseneck, Am Roseneck 6, D-83209, Prien am Chiemsee, Germany.

Background: A substantial rate of patients with bulimia nervosa (BN) also suffer from Borderline personality disorder (BN + BPD). It is widely unknown how these comorbid patients with BN + BPD present and respond to inpatient treatment. Aims of the study were to examine (1) specific characteristics of patients with BN + BPD at admission, discharge, and during treatment, and (2) differential effects of inpatient treatment for BN vs. Read More

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http://dx.doi.org/10.1186/s40479-018-0098-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335811PMC
January 2019
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Screening for Borderline Personality Disorder in Psychiatric Outpatients With Major Depressive Disorder and Bipolar Disorder.

J Clin Psychiatry 2019 Jan 15;80(1). Epub 2019 Jan 15.

Department of Psychiatry and Human Behavior, Brown Medical School, and the Department of Psychiatry, Rhode Island Hospital, Providence, Rhode Island, USA.

Objective: Borderline personality disorder (BPD) is a serious illness that is frequently underdiagnosed. A previous psychometric analysis of the 9 BPD criteria in DSM-IV/DSM-5 found that the affective instability criterion functioned well as a screen for the disorder. A limitation of that initial study was that the performance of the BPD criteria was examined in a diagnostically heterogeneous sample, including those with a low likelihood of having BPD. Read More

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http://dx.doi.org/10.4088/JCP.18m12257DOI Listing
January 2019
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Collaborative Deprescribing in Borderline Personality Disorder: A Narrative Review.

Harv Rev Psychiatry 2019 Jan 22. Epub 2019 Jan 22.

From the Department of Psychiatry, Yale University (Drs. Fineberg and Gupta); University of Houston (Mr. Leavitt).

Psychopharmacology in borderline personality disorder (BPD) is complicated by comorbid disorders, substance use, sensitivity to side effects, risk of self-harm through medication misuse, and intense but transient symptoms. Patients' relationships with medications may range from tenuous to highly enmeshed, and may profoundly influence the response to treatment. For these reasons, awareness of current evidence and flexible approaches are particularly relevant to prescribing in BPD. Read More

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http://dx.doi.org/10.1097/HRP.0000000000000200DOI Listing
January 2019
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Effects of transcranial direct current stimulation on the cognitive control of negative stimuli in borderline personality disorder.

Sci Rep 2019 Jan 23;9(1):332. Epub 2019 Jan 23.

Department of Psychiatry, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany.

Borderline personality disorder (BPD) is characterized by impairments in the cognitive control of negative information. These impairments in cognitive control are presumably due to blunted activity of the dorsolateral prefrontal cortex (dlPFC) along with enhanced activations of the limbic system. However, the impact of an excitatory stimulation of the dlPFC still needs to be elucidated. Read More

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http://www.nature.com/articles/s41598-018-37315-x
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http://dx.doi.org/10.1038/s41598-018-37315-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6344572PMC
January 2019
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