Prevalence of borderline personality disorder in immigrants in a psychiatric inpatient setting

2011 ◽  
Vol 26 (S2) ◽  
pp. 469-469 ◽  
Author(s):  
F. Nielsen ◽  
M. Ziegenbein ◽  
M. Sieberer
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychiatric Inpatient ◽  
Borderline Personality ◽  
Immigrant Group ◽  
Psychiatric Clinic ◽  
Inpatient Setting ◽  
Immigrant Background ◽  
Indigenous Group ◽  
Prospective Study Design

IntroductionInformation about the relationship between personality disorder and ethnicity or migration is sparse. The few studies regarding the prevalence of borderline personality disorder (BPD) in immigrants compared to an indigenous population are inconsistent.AimsThe aim of the present study was to compare the frequency of a BPD diagnosis in psychiatric inpatients with and without an immigrant background.Methods2494 consecutive patients over a 3-year period at a psychiatric university hospital were reviewed. Data included socio-demographic and clinical variables and also information about an immigrant background. The psychiatric diagnosis was limited to information available from the digital documentation system of the psychiatric clinic and additionally from discharge letters. The diagnosis of borderline personality disorder was based on ICD-10 criteria.Results374 individuals (15%) of the study population had an immigrant background. The rates of BPD were 6.5% in the indigenous group (n = 2120) vs. 3.5% in the immigrant group (n = 374). The difference between the indigenous and the immigrant group regarding the rates of BPD-diagnoses was statistically significant (chi2 = 5.02, df = 1, p = 0.025).ConclusionsThe findings suggest that in a clinical sample BPD was diagnosed less frequently in the immigrant group than in the indigenous group. Therefore, our results do not support the concept of immigration as a risk factor for BPD. However, future investigations with a prospective study design and at epidemiological levels need to be conducted in order to get more precise information about the prevalence of BPD in different immigrant groups.

scholarly journals Immigrants and borderline personality disorder at a psychiatric emergency service

2008 ◽  
Vol 193 (6) ◽  
pp. 471-476 ◽  
Author(s):  
J. C. Pascual ◽  
A. Malagón ◽  
D. Córcoles ◽  
J. M. Ginés ◽  
J. Soler ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Emergency Service ◽  
Indigenous Population ◽  
Borderline Personality ◽  
Immigrant Group ◽  
Psychiatric Emergency ◽  
Psychiatric Emergency Service ◽  
Indigenous Group ◽  
Sub Saharan

BackgroundSeveral studies have suggested that immigrants have higher rates of psychiatric emergency service use and a higher risk of mental disorders such as schizophrenia than indigenous populations.AimsTo compare the likelihood that immigrants (immigrant group) v. indigenous population (indigenous group) will be diagnosed with borderline personality disorder in a psychiatric emergency service and to determine differences according to area of origin.MethodA total of 11 578 consecutive admissions over a 4-year period at a tertiary psychiatric emergency service were reviewed. The collected data included socio-demographic and clinical variables and the Severity of Psychiatric Illness rating score. Psychiatric diagnosis was limited to information available in the emergency room given that a structured interview is not usually feasible in this setting. The diagnosis of borderline personality disorder was based on DSM–IV criteria. Immigrants were divided into five groups according to region of origin: North Africa, sub-Saharan Africa, South America, Asia and Western countries.ResultsMultivariate statistical logistic regression analysis showed that all subgroups of immigrants had a lower likelihood of being diagnosed with borderline personality disorder than the indigenous population independently of age and gender. Furthermore, the rates of borderline personality disorder diagnosis were considerably lower in Asian and sub-Saharan subgroups than in South American, North African, Western or native subgroups.ConclusionsOur results showed that in the psychiatric emergency service borderline personality disorder was diagnosed less frequently in the immigrant group v. the indigenous group. Our results do not support the concept of migration as a risk factor for borderline personality disorder.

Analysis of the clinical boarding of the BPD in ambulatory treatment

2011 ◽  
Vol 26 (S2) ◽  
pp. 1018-1018
Author(s):  
J.M. Garcia Tellez ◽  
L. Gonzalez Saavedra ◽  
J.M. Sanchez-Moyano Lea
Keyword(s):  
Systematic Review ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Medical Records ◽  
Borderline Personality ◽  
Psychiatric Clinic ◽  
Therapeutic Practice ◽  
Ambulatory Treatment ◽  
Psychotherapeutic Interventions ◽  
Mixed Approach

ObjectiveIt has become increasingly clear over the last few years that the most effective treatments for patients with Borderline Personality Disorder (BPD) is a combined psychological and pharmacological approach, aiming to improve the symptoms, feelings and behaviours that are so distressing and damaging to their lives. On this poster we try to show our daily therapeutic practice with these patients through a complete review of the BPD patient's medical records available in our outpatients psychiatric clinic.MethodSystematic review of all BPD patients medical records, treated in our clinic with a particular reference to pharmacological, psychotherapeutic or both approaches stating the type of intervention in each case.ResultsWe found a mostly mixed approach to treating BPD patients in our clinic as clinical guidelines and other literature recommends. Being critical of our practice, we have observed a prolonged use of medication despite evidence suggesting a sometimes limited benefit for acute and chronic symptoms.Although psychotherapeutic interventions are widely used in our Clinic, it is doubtful that the most accepted psychotherapies mentioned earlier are the ones implemented (Kernberg, Linehan….)ConclusionThe evidence from the literature and prescribing guidelines, suggests that some of the main approaches to treating BPD patients are specific psychotherapies. However, without belittling the benefit of these psychotherapies, we found that the use of psychopharmacological treatments helps too with alleviating acute and more chronic symptoms; maybe improving the likelihood of psychotherapeutic engagement.

scholarly journals Bipolar Disorder and Comorbid Borderline Personality Disorder: Patient Characteristics and Outcomes in US Hospitals

Medicina ◽  
2019 ◽  
Vol 55 (1) ◽  
pp. 13 ◽  
Author(s):  
Rikinkumar S. Patel ◽  
Geetha Manikkara ◽  
Amit Chopra
Keyword(s):  
Bipolar Disorder ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Suicide Risk ◽  
Borderline Personality ◽  
Inpatient Setting ◽  
Inpatient Outcomes ◽  
Increased Risk ◽  
Bipolar Patients ◽  
The Impact

Background and objectives: The quality of life and disease outcomes in bipolar patients, including increased risk of psychiatric hospitalizations and suicide, are adversely affected by the presence of borderline personality disorder (BPD). Our study aims to determine the impact of BPD on the inpatient outcomes of bipolar disorder patients. Methods: We used Nationwide Inpatient Sample from the US hospitals and identified cases with bipolar disorder and comorbid BPD (N = 268,232) and controls with bipolar disorder only (N = 242,379), using the International Classification of Diseases, 9th Revision, and Clinical Modification codes. We used multinomial logistic regression to generate odds ratios (OR) and evaluate inpatient outcomes. Results: The majority of the bipolar patients with BPD were female (84.2%), Caucasian (83.1%) and 18–35 years age (53.9%). Significantly longer inpatient stays, higher inpatient charges, and higher prevalence of drug abuse were noted in bipolar patients with BPD. The suicide risk was higher in bipolar patients with BPD (OR = 1.418; 95% CI 1.384–1.454; p <0.001). In addition, utilization of electroconvulsive treatment (ECT) was higher in bipolar patients with comorbid BPD (OR = 1.442; 95% CI 1.373–1.515; p <0.001). Conclusions: The presence of comorbid BPD in bipolar disorder is associated with higher acute inpatient care due to a longer inpatient stay and higher cost during hospitalization, and higher suicide risk, and utilization of ECT. Further studies in the inpatient setting are warranted to develop effective clinical strategies for optimal outcomes and reduction of suicide risk in bipolar patients with BPD.

scholarly journals The Psychoanalytic-Interactional Method (PiM) for Adolescents with Borderline Personality Disorder

2020 ◽  
Vol 10 (3) ◽  
pp. 172-181
Author(s):  
Annette Streeck-Fischer ◽  
Charline Logé ◽  
Simone Salzer
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Controlled Trial ◽  
Borderline Personality ◽  
Psychodynamic Therapy ◽  
Case Vignette ◽  
Inpatient Setting ◽  
Adolescent Treatment ◽  
Randomized Controlled ◽  
Therapeutic Study

Background: Studies have shown the practicality of diagnosing borderline personality disorder (BPD) in children from the age of 12 years (cf. ICD-11, DSM-5). Research in the psychodynamic therapy of adolescents with BPD has been rare to date, however, there do exist some studies on the efficacy and effectiveness of psychodynamic therapy in adults with borderline personality disorder. Methods: We adapted the psychoanalytic-interactional method (PiM), originally developed in the treatment of severely disturbed adults, to the conditions of adolescents diagnosed with borderline personality disorder or structural deficits. Randomized controlled trial in an inpatient setting (Salzer et al., 2013; Salzer et al., 2014) showed that PIM is efficacious for adolescents with BPD symptoms. We describe the approach to treatment in detail. Results: The results of the therapeutic study and the short case vignette show that PiM is a useful method in both inpatient and outpatient treatment and meets the specific requirements of adolescent treatment.

scholarly journals Are acute psychiatric units providing adequate inpatient services for borderline personality disorder patients?

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S330-S330
Author(s):  
Siew Ling ◽  
Joji George
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychiatric Inpatient ◽  
Borderline Personality ◽  
Sample Population ◽  
Retrospective Case ◽  
Nice Guidelines ◽  
Active Involvement ◽  
Inpatient Services ◽  
Psychiatric Inpatient Services

AimsTo assess the adherence to NICE guidelines CG78 (1.4) regarding the inpatient services provided for BPD patients at an acute psychiatric unit (The Oleaster).Borderline personality disorder (BPD) patients are frequent users of psychiatric inpatient services. However, evidence suggests that inpatient treatment is ineffective in the long-term recovery of such patients. The inpatient services at the Oleaster will be audited against NICE guidelines for BPD. We hope to improve the care of patients with BPD and ensure effective use of psychiatric resources.MethodRetrospective case notes review of 35 patients admitted into the Oleaster from 1/11/2018–31/10/2019. This was taken from an initial sample of 72. Patients were excluded if they were admitted for other concomitant mental or behavioural problems (except problem use of tobacco, drugs or alcohol).Result69% of patients were referred to other mental health services (e.g CRHT/HTT, other local alternatives, liaison team) prior to admission. There was no evidence of referrals in 31% of the sample population.The reasons for admission include significant risks to themselves/others (n = 14) and detention under MHA (n = 14). Reasons were not noted in 7 patients.Advance agreement on the length and purpose of admission took place in 19 and 27 patients respectively. Discussion of potential harms and benefits of admission only took place in 4 patients. Discussion was not applicable in 2 patients who lacked capacity.Of the patients admitted ≥2 times in the previous 6 months, only 38% had a CPA review arranged. It was not arranged in the remaining 62%.ConclusionThere is room for improvement in the appropriate admission and documentation of BPD patients. Referral prior to admission was well adhered but documentation was unclear. Implementing a set checklist before admission could be recommended. Active involvement of patients was inadequate. It is especially lacking in regard to informing patients of the potential harms of admission. This can be improved by educating patients and staff on this matter.CPA reviews were not arranged in a timely manner. Placing an alert on patients’ records when they are admitted again within the last 6 months would help to reduce this issue. Overall, greater effort is required to ensure patient's most current needs are met and that limited psychiatric resources are used effectively.

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