Twenty-Year Trends in the Psychopharmacological Treatment of Outpatients with Borderline Personality Disorder: A Cross-Sectional Naturalistic Study in Spain

CNS Drugs ◽  
2021 ◽  
Author(s):  
Juan C. Pascual ◽  
Ana Martín-Blanco ◽  
Joaquim Soler
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Naturalistic Study ◽  
Cross Sectional ◽  
Psychopharmacological Treatment

Primary care and suicidality among psychiatric outpatients: The patient-doctor relationship matters

2020 ◽  
pp. 009121742097799
Author(s):  
Krista Schultz ◽  
Sharan Sandhu ◽  
David Kealy
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Primary Care Physician ◽  
Population Based ◽  
Borderline Personality ◽  
Care Physician ◽  
Cross Sectional

Objective The purpose of the current study is to examine the relationship between the quality of the Patient-Doctor Relationship and suicidality among patients seeking mental health care; specifically, whether patients who perceive having a more positive relationship with primary care physician will have lower levels of suicidality. Method Cross-sectional population-based study in Greater Vancouver, Canada. One-hundred ninety-seven participants were recruited from three Mental Health Clinics who reported having a primary care physician. Participants completed a survey containing questions regarding items assessing quality of Patient-Doctor Relationship, general psychiatric distress (K10), borderline personality disorder, and suicidality (Suicidal Behaviours Questionnaire-Revised-SBQ-R). Zero-order correlations were computed to evaluate relationships between study variables. Hierarchical regression analysis was used to control for confounding variables. Results The quality of the patient doctor relationship was significantly negatively associated with suicidality. The association between the quality of the patient-doctor relationship and suicidality remained significant even after controlling for the effects of psychiatric symptom distress and borderline personality disorder features. Conclusions The degree to which patients’ perceive their primary care physician as understanding, reliable, and dedicated, is associated with a reduction in suicidal behaviors. Further research is needed to better explicate the mechanisms of this relationship over time.

P.1.c.038 Psychopharmacological treatment of borderline personality disorder

2010 ◽  
Vol 20 ◽  
pp. S256-S257
Author(s):  
R. Manzanero ◽  
I. Duran ◽  
M. Garcia ◽  
A. Chinchilla ◽  
A. Cebollada ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Psychopharmacological Treatment

Failures to Imagine

2016 ◽  
Vol 36 (3) ◽  
pp. 270-300 ◽  
Author(s):  
Reed Maxwell ◽  
Steven Jay Lynn ◽  
Scott Lilienfeld
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Mental Imagery ◽  
Emotional Regulation ◽  
Preliminary Evidence ◽  
Borderline Personality ◽  
Self Report ◽  
Future Research ◽  
Cross Sectional ◽  
Visual Mental Imagery

Although interest in the relationship between mental imagery and psychopathology has increased greatly over the last decade, few publications to date have examined relationships between personality-related psychopathology and mental imagery use, abilities, or both. However, we have reason to expect that substantive relationships may exist. For example, studies have consistently linked psychopathy and borderline personality disorder to problems in emotion experience and emotion regulation, and a growing number of studies indicate that deficits in visual mental imagery use and ability in particular may contribute to such problems. Using correlational data from multiple self-report measures of normal and pathological personality functioning and visual mental imagery, our study presents preliminary evidence for lower levels of self-reported visual mental imagery use, abilities, or both among noncriminal individuals with higher levels of self-reported psychopathy and individuals with greater emotional regulation difficulties, a core feature of borderline personality disorder. We also found significant relationships among self-reported visual mental imagery use, ability, or both, and personality variables shown to strongly predict psychopathy and emotional regulation difficulties. Limitations of the study, especially its reliance on a correlational, cross-sectional design, are discussed, and implications for future research are explored.

Forensic Issues in Borderline Personality Disorder

2017 ◽  
Author(s):  
Alexander L. Chapman ◽  
André Ivanoff
Keyword(s):  
Mental Health ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Behavioral Problems ◽  
Mental Health Treatment ◽  
Clinical Care ◽  
Borderline Personality ◽  
Comprehensive Treatment ◽  
Psychopharmacological Treatment ◽  
Correctional Settings

Borderline personality disorder (BPD) is a severe, complex, and costly disorder requiring comprehensive treatment. Correctional settings commonly include mental health treatment and on-site mental health clinicians providing psychosocial and psychopharmacological treatment; however, the mandate of prison settings in particular often conflicts directly with providing clinical care to those with complex mental health needs. The necessary emphasis on security, safety, and, in some cases, retribution, can create invalidating environments that both elicit and reinforce the serious behavioral problems often observed among those with BPD, such as self-injury and suicidal behavior. When effective treatments are available, considerable challenges emerge with regard to the training and preparation of clinical staff to treat and line staff to manage inmates with BPD. This chapter discusses these and other issues and provides suggestions for continued work to better understand and treat individuals with BPD in forensic settings.

scholarly journals Prevalence of borderline personality disorder and its association with demographic factors among university students of Pakistan

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Hafsa Hayee ◽  
Tahira Raana ◽  
Imran I. Haider
Keyword(s):  
Young Adults ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
University Students ◽  
Educational Institution ◽  
Demographic Factors ◽  
Borderline Personality ◽  
Psychological Disorder ◽  
Cross Sectional Survey ◽  
Cross Sectional

Borderline Personality Disorder (BPD) is a psychological disorder, which could cause severe problems in self-functioning, emotion regulation, and interpersonal relationships. This study aimed to assess BPD among university students and evaluating the association of BPD with demographic factors among the students. Three private sector universities were selected from Lahore. A cross-sectional survey was conducted by using questionnaire composed of demographic factors (gender, age and university) and Borderline Personality Inventory (BPI- cut 20). An estimated data of 700 undergraduates was collected through stratified sampling technique. The collected data was analyzed through SPSS (Version 17). There were (46%) males and (54%) female participants, whose mean age was 21 ± 1.81 years, at the time of data collection. The findings indicated, BPD (≥10) in majority (62%) of the participants. BPD was more prevalent among the age group of 18-21 years. Application of the Chi-square test confirmed non-significant association (p 0.05) between age, and gender, with BPD. The strength of the relationship was assessed through the odds ratio (OR). Association between gender and BPD (OR= 1.026, CI= 0.755-1.392) and age and BPD (OR= 0.880, CI= 0.637-1.216), university and BPD (OR= 0.531, CI=0.381-0.742) reported a statistically significant association with BPD (p0.001). Further the Logistic regression affirmed, impact of rank, of the educational institution (university) had significant effect on prevalence of BPD. Therefore, it is concluded that students (young adults) are more at risk of being affected by BPD, who are studying in the universities with higher socio-economic status. So, it can be supposed that environment (rank, location and circumstances) of the university is one of the dominating factors playing a significant role in the prevalence of BPD among young adults.

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.

Psychopharmacological Treatment of Personality Disorders

2015 ◽  
Author(s):  
M. Mercedes Perez-Rodriguez ◽  
Larry J. Siever
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Borderline Personality ◽  
Mood Stabilizers ◽  
Omega 3 ◽  
Psychopharmacological Treatment ◽  
Limited Effectiveness ◽  
Second Generation Antipsychotics

Despite the lack of approval by the U.S. Food & Drug Administration, drugs are used widely to treat personality disorders, particularly borderline personality disorder, based on their effects known from clinical trials in other psychiatric disorders (off-label use). The role of medications in personality disorders is limited to moderate effects on some but not all of the symptom domains. There are no medications available that improve the global severity of any personality disorder as a whole. In borderline personality disorder, evidence is strongest for second-generation antipsychotics and mood stabilizers, while dietary supplements like omega-3 fatty acids hold some promise. However, medications have limited effectiveness and are still viewed as adjunctive to other forms of treatment, particularly psychotherapy.

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