scholarly journals A Temporal-Causal Network Model for the Internal Processes of a Person with a Borderline Personality Disorder

2018 ◽  
pp. 362-373
Author(s):  
Maria Hoțoiu ◽  
Federico Tavella ◽  
Jan Treur
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Network Model ◽  
Borderline Personality ◽  
Causal Network

scholarly journals How many causal pathways must symptoms form before we call them a borderline? A hierarchical network model of borderline personality disorder

2018 ◽  
Author(s):  
Zsolt Unoka ◽  
Mara J. Richman ◽  
Dániel Czégel
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Network Model ◽  
Emotion Dysregulation ◽  
Borderline Personality ◽  
Directed Network ◽  
Causal Relationships ◽  
Hierarchical Network ◽  
Cross Sectional ◽  
Causal Pathways

Borderline personality disorder (BPD) is characterized by impulsivity, emotion dysregulation, disturbed relationships, and identity disturbances. Despite the known variable co-occurrence of BPD symptoms, the possible causal relationships are not well understood. We addressed this by creating a hierarchical network model of BPD, which identifies the most likely acyclic causal pathways that are driving BPD development. Cross-sectional data was obtained from the Structured Clinical Interview-II (SCID-II), and possible causal relationships between symptoms were identified from conditional independence relations. The symptoms’ hierarchy values, assessing their role in causal pathways, was determined by a random walk-based algorithm. By analyzing the directed network of BPD symptoms, it was found that symptoms in initial stages of causal pathways were abandonment, physical fights, impulsivity, suicidal threats, identity disturbances, and affective instability. Based on the assessed role symptoms play in causal pathways of BPD development, specific symptoms can be targeted during early diagnosis and clinical assessment.

Emotion-Oriented Coping Style Predicts Self-Harm in Response to Acute Psychiatric Hospitalization

Crisis ◽  
2020 ◽  
pp. 1-7
Author(s):  
Jacqueline M. Frei ◽  
Vladimir Sazhin ◽  
Melissa Fick ◽  
Keong Yap
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychiatric Hospitalization ◽  
Coping Styles ◽  
Psychiatric Inpatients ◽  
Borderline Personality ◽  
Self Report ◽  
Therapeutic Interventions ◽  
Coping Behaviors ◽  
Self Harm

Abstract. Psychiatric hospitalization can cause significant distress for patients. Research has shown that to cope with the stress, patients sometimes resort to self-harm. Given the paucity of research on self-harm among psychiatric inpatients, a better understanding of transdiagnostic processes as predictors of self-harm during psychiatric hospitalization is needed. The current study examined whether coping styles predicted self-harm after controlling for commonly associated factors, such as age, gender, and borderline personality disorder. Participants were 72 patients (mean age = 39.32 years, SD = 12.29, 64% male) admitted for inpatient treatment at a public psychiatric hospital in Sydney, Australia. Participants completed self-report measures of coping styles and ward-specific coping behaviors, including self-harm, in relation to coping with the stress of acute hospitalization. Results showed that younger age, diagnosis of borderline personality disorder, and higher emotion-oriented coping were associated with self-harm. After controlling for age and borderline personality disorder, higher levels of emotion-oriented coping were found to be a significant predictor of self-harm. Findings were partially consistent with hypotheses; emotion-oriented but not avoidance-oriented coping significantly predicted self-harm. This finding may help to identify and provide psychiatric inpatients who are at risk of self-harm with appropriate therapeutic interventions.

Comparison of Three Questionnaires to Screen for Borderline Personality Disorder in Adolescents and Young Adults

2017 ◽  
Vol 33 (2) ◽  
pp. 123-128 ◽  
Author(s):  
Anne van Alebeek ◽  
Paul T. van der Heijden ◽  
Christel Hessels ◽  
Melissa S.Y. Thong ◽  
Marcel van Aken
Keyword(s):  
Young Adults ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Adolescents And Young Adults ◽  
Patient Questionnaire ◽  
Statistical Manual ◽  
Axis Ii ◽  
Diagnostic And Statistical Manual ◽  
Dsm Iv

Abstract. One of the most common personality disorders among adolescents and young adults is the Borderline Personality Disorder (BPD). The objective of current study was to assess three questionnaires that can reliably screen for BPD in adolescents and young adults (N = 53): the McLean Screening Instrument for BPD (MSI-BPD; Zanarini et al., 2003 ), the Personality Diagnostic Questionnaire 4th edition – BPD scale (PDQ-4 BPD; Hyler, 1994 ), and the SCID-II Patient Questionnaire – BPD scale (SCID-II-PQ BPD). The nine criteria of BPD according to the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV; APA, 1994 ) were measured with the Structural Clinical Interview for DSM-IV Axis II disorders – BPD scale (SCID-II; First, Spitzer, Gibbon, Williams, & Benjamin, 1995 ). Correlations between the questionnaires and the SCID-II were calculated. In addition, the sensitivity and specificity of the questionnaires were tested. All instruments predicted the BPD diagnosis equally well.

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