Associations of positive and negative emotions with ego-resiliency and quality of life in borderline personality disorder: A daily diary study.

Abstract Background: Studies have suggested that psychotherapy improves the Quality of Life (QoL) of participants with Borderline Personality Disorder (BPD). However, there are no studies on the differential efficacy of treatments on the QoL of participants with BPD. Moreover, the relationship between QoL and resilience has rarely been studied in participants with BPD. Objectives: a) to examine whether people with BPD have worse QoL than the non-clinical population; b) to examine whether there are statistically significant differences between Dialectical Behavioural Therapy (DBT), Systems Training for Emotional Predictability and Problem Solving (STEPPS), or Cognitive Behavioural Therapy-Treatment at Usual (CBT-TAU) in the improvement of QoL; c) to examine whether participants show clinically significant improvements in QoL after treatment; d) to analyse whether resilience is associated with QoL before and after the BPD treatment; e) to analyse whether resilience is a predictor of QoL at pre-treatment and posttreatment. Method: The sample comprised 403 participants (n = 202 participants diagnosed with BPD and n = 201 non-clinical). Participants filled out the Quality of Life Index, Resilience Scale, and Beck Depression Inventory. The clinical participants received one of these possible treatments, DBT, STEPPS, or CBT-TAU. MANOVA and regression analyses were performed. Results: a) participants diagnosed with BPD had statistically significant lower resilience than the non-clinical population; b) all three forms of psychotherapy statistically improved QoL, but there were no statistically significant differences between DBT, STEPPS, and CBT-TAU in the improvement of QoL; c) participants did not show clinically significant improvements in QoL after treatment; d) resilience was associated with QoL before and after treatment; and e) resilience was a predictor of QoL before and after treatment. Conclusion: It is necessary to assess QoL and Resilience in studies on psychotherapy with BPD patients.

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Borderline Personality Programme in a Rural Area: The Value of a Therapy

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.1278 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S714-S714

Author(s):

M. Marin Olalla ◽

B. Perez Ramirez ◽

A.M. Vidal Lopez ◽

B. Martinez Martinez ◽

R. Maldonado Lozano

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Borderline Personality Disorder ◽

Personality Disorder ◽

Functional Organization ◽

Borderline Personality ◽

Therapeutic Interventions ◽

Therapeutic Group ◽

Behaviour Therapy

IntroductionAn increased incidence of personality disorders (TP) in general, and borderline personality (BP) is currently a significant health problem because of the complexity of the clinic, the difficulty for early diagnosis, often unsatisfactory response to available treatments and the lack of clear proposals on multidisciplinary therapeutic interventions. In more serious cases, people with TP generate a high level of self and family suffering, as well as a high care burden that does not have a proportional impact on the quality of life of those affected and their families.AimEstablish a stable functional organization of professional and organizational resources of the Mental Health Unit of the North of Almeria that ensuring comprehensive care for people with borderline personality disorder and their families.MethodsThe program was structured:– elemental: BP census, individual sessions with optional nurse reference;– advanced individual: BP census, individual sessions, Nurse reference;– advanced individual and group: BP census, Individual sessions, Nurse reference and Therapeutic Group Hospital Mental Health Day weekly applying dialectical behaviour therapy.ResultsThe census of patients with borderline personality disorder was established in 30 people, 20 of them participating in two editions of therapeutic group. Fifty weekly sessions were carried out continuously, except holiday periods. A multidisciplinary team (nurse and two psychiatrists) were involved. The results indicate that there was an improvement in the quality of life of patients. It had been reduced hospitalisations, emergency assistance, and more than 60% of them got a job after that.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Resilience as a predictor of Quality of Life in participants with borderline personality disorder before and after treatment.

10.21203/rs.3.rs-36987/v2 ◽

2020 ◽

Author(s):

Verónica Guillén ◽

Mireia Esplugues Tormo ◽

Sara Fonseca-Baeza ◽

Cristina Botella ◽

Rosa Baños ◽

...

Keyword(s):

Quality Of Life ◽

Borderline Personality Disorder ◽

Personality Disorder ◽

Behavioural Therapy ◽

Borderline Personality ◽

Clinical Population ◽

Before And After ◽

Quality Of Life Index ◽

Clinically Significant

Abstract Background: Studies have suggested that psychotherapy improves the Quality of Life (QoL) of participants with Borderline Personality Disorder (BPD). However, there are no studies on the differential efficacy of treatments on the QoL of participants with BPD. Moreover, the relationship between QoL and resilience has rarely been studied in participants with BPD. Objectives: a) to examine whether people with BPD have worse QoL than the non-clinical population; b) to examine whether there are statistically significant differences between Dialectical Behavioural Therapy (DBT), Systems Training for Emotional Predictability and Problem Solving (STEPPS), or Cognitive Behavioural Therapy-Treatment at Usual (CBT-TAU) in the improvement of QoL; c) to examine whether participants show clinically significant improvements in QoL after treatment; d) to analyse whether resilience is associated with QoL before and after the BPD treatment; e) to analyse whether resilience is a predictor of QoL at pre-treatment and posttreatment. Method: The sample comprised 403 participants (n = 202 participants diagnosed with BPD and n = 201 non-clinical). Participants filled out the Quality of Life Index, Resilience Scale, and Beck Depression Inventory. The clinical participants received one of these possible treatments, DBT, STEPPS, or CBT-TAU. MANOVA and regression analyses were performed. Results: a) participants diagnosed with BPD had statistically significant lower resilience than the non-clinical population; b) all three forms of psychotherapy statistically improved QoL, but there were no statistically significant differences between DBT, STEPPS, and CBT-TAU in the improvement of QoL; c) participants did not show clinically significant improvements in QoL after treatment; d) resilience was associated with QoL before and after treatment; and e) resilience was a predictor of QoL before and after treatment. Conclusion: It is necessary to assess QoL and Resilience in studies on psychotherapy with BPD patients.

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Resilience as a predictor of quality of life in participants with borderline personality disorder before and after treatment

BMC Psychiatry ◽

10.1186/s12888-021-03312-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Verónica Guillén ◽

Mireia Esplugues Tormo ◽

Sara Fonseca-Baeza ◽

Cristina Botella ◽

Rosa Baños ◽

...

Keyword(s):

Quality Of Life ◽

Borderline Personality Disorder ◽

Personality Disorder ◽

Behavioural Therapy ◽

Borderline Personality ◽

Clinical Population ◽

Before And After ◽

Quality Of Life Index ◽

Clinically Significant

Abstract Background Studies have suggested that psychotherapy improves the Quality of Life (QoL) of participants with Borderline Personality Disorder (BPD). However, there are no studies on the differential efficacy of treatments on the QoL of participants with BPD. Moreover, the relationship between QoL and resilience has rarely been studied in participants with BPD. Objectives: a) to examine whether people with BPD have worse QoL than the non-clinical population; b) to examine whether there are statistically significant differences between Dialectical Behavioural Therapy (DBT), Systems Training for Emotional Predictability and Problem Solving (STEPPS), or Cognitive Behavioural Therapy-Treatment at Usual (CBT-TAU) in the improvement of QoL; c) to examine whether participants show clinically significant improvements in QoL after treatment; d) to analyse whether resilience is associated with QoL before and after the BPD treatment; e) to analyse whether resilience is a predictor of QoL at pre-treatment and posttreatment. Method The sample comprised 403 participants (n = 202 participants diagnosed with BPD and n = 201 non-clinical). Participants filled out the Quality of Life Index, Resilience Scale, and Beck Depression Inventory. The clinical participants received one of these possible treatments, DBT, STEPPS, or CBT-TAU. MANOVA and regression analyses were performed. Results a) participants diagnosed with BPD had statistically significant lower resilience than the non-clinical population; b) all three forms of psychotherapy statistically improved QoL, but there were no statistically significant differences between DBT, STEPPS, and CBT-TAU in the improvement of QoL; c) participants did not show clinically significant improvements in QoL after treatment; d) resilience was associated with QoL before and after treatment; and e) resilience was a predictor of QoL before and after treatment. Conclusion It is necessary to assess QoL and Resilience in studies on psychotherapy with BPD patients.

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The EQ-5D: A useful quality of life measure in borderline personality disorder?

European Psychiatry ◽

10.1016/j.eurpsy.2008.11.001 ◽

2009 ◽

Vol 24 (2) ◽

pp. 79-85 ◽

Cited By ~ 17

Author(s):

A.D.I. van Asselt ◽

C.D. Dirksen ◽

A. Arntz ◽

J.H. Giesen-Bloo ◽

J.L. Severens

Keyword(s):

Quality Of Life ◽

Borderline Personality Disorder ◽

Personality Disorder ◽

Severity Index ◽

Borderline Personality ◽

Economic Evaluations ◽

User Friendliness ◽

Change Scores ◽

External Responsiveness

AbstractIntroductionBorderline Personality Disorder (BPD) is a severe psychiatric disorder and is associated with significant impairment in quality of life. The aim of the present study is to assess the internal and external responsiveness of the EuroQoL-5D (EQ-5D) in BPD patients.Patients and MethodsData from 49 patients included in a multi-center Dutch randomized trial were used. We used both the EQ-5D utility score and the Visual Analogue Scale of the EuroQoL, and the Borderline Personality Disorder Severity Index-IV (BPDSI-IV). To determine internal responsiveness, we calculated the standardized response mean (SRM). To determine external responsiveness, we calculated Spearman correlations for the change scores, and compared EQ-5D scores for clinically improved vs. non-clinically improved patients as measured with the BPDSI-IV.ResultsPatient scores improved on all instruments during the three years. SRMs for BPDSI-IV were significantly higher than EQ-5D utility. Three-year Spearman correlation between change scores of BPDSI-IV and EQ-5D utility was 0.487, between BPDSI-IV and EQ-VAS it was 0.404, both statistically significant. EQ-5D utility scores for patients who clinically improved were significantly higher than for patients who did not.DiscussionWe conclude that the EQ-5D is fairly responsive in BPD, and, therefore, especially because of its brevity and user-friendliness, can serve as a useful tool in economic evaluations in patients with BPD.

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Borderline Personality Disorder and Traits in Veterans: Psychiatric Comorbidity, Healthcare Utilization, and Quality of Life Along a Continuum of Severity

CNS Spectrums ◽

10.1017/s1092852900014772 ◽

2006 ◽

Vol 11 (9) ◽

pp. 680-689 ◽

Cited By ~ 23

Author(s):

Donald W. Black ◽

Nancee Blum ◽

Elena Letuchy ◽

Caroline Carney Doebbeling ◽

Valerie L. Forman-Hoffman ◽

...

Keyword(s):

Quality Of Life ◽

Health Status ◽

Borderline Personality Disorder ◽

Personality Disorder ◽

Healthcare Utilization ◽

Psychiatric Comorbidity ◽

Gulf War ◽

Borderline Personality ◽

Gulf War Veterans

ABSTRACTObjective:To examine the presence of borderline personality disorder (BPD) traits in Gulf War veterans, and to assess psychiatric comorbidity, health status, healthcare utilization, and quality of life (QOL) along a continuum of BPD trait severity.Method:BPD and traits were evaluated using the Schedule for Non-Adaptive and Adaptive Personality in 576 veterans who were either deployed to the Persian Gulf (1990–1991) or were on active duty though not deployed to the Gulf. Demographic and military characteristics, personal and family history, psychiatric comorbidity, and QOL were also assessed.Results:One or more BPD traits were present in 247 subjects (43%), and BPD (≥5 traits) was identified in 15 subjects (3%).The number of traits was significantly associated with age and level of education. Lifetime psychiatric comorbidity was significantly associated with the number of BPD traits present, and level of functioning, health status, healthcare utilization, social functioning, self-injurious tendencies, and military/behavioral problems.Conclusion:BPD and traits identified in Gulf War veterans were associated with significant psychiatric morbidity, poorer QOL, and increased utilization of healthcare resources. Early recognition and treatment of veterans with BPD symptoms may be warranted to minimize the burden on the healthcare system.

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Concurrent Dialectical Behavior Therapy and Prolonged Exposure Reduces Symptoms and Improves Overall Quality of Life for a Veteran With Posttraumatic Stress Disorder and Borderline Personality Disorder

Clinical Case Studies ◽

10.1177/1534650116688557 ◽

2017 ◽

Vol 16 (3) ◽

pp. 216-233 ◽

Cited By ~ 4

Author(s):

Emily Scheiderer ◽

Jessica A. Carlile ◽

Allison C. Aosved ◽

Alycia Barlow

Keyword(s):

Quality Of Life ◽

Posttraumatic Stress Disorder ◽

Borderline Personality Disorder ◽

Personality Disorder ◽

Behavior Therapy ◽

Dialectical Behavior Therapy ◽

Stress Disorder ◽

Prolonged Exposure ◽

Borderline Personality

This article presents a case study illustration of integrated, concurrent dialectical behavior therapy (DBT) and prolonged exposure (PE), conducted within a Veterans Affairs health care system. Treatment in this case effectively reduced symptoms and improved overall quality of life. Based on clinical complexities encountered (e.g., substance use, nonsuicidal self-harm, treatment setting constraints), recommendations are provided for concurrent treatment of posttraumatic stress disorder and borderline personality disorder in veterans. Recommendations include consideration of flexibility in duration of pre-PE stabilization, modification of DBT phone coaching protocol, management of structural barriers to treatment access, full use of consultation, and coordination of clinician roles.

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