Amazon Mechanical Turk as a platform for borderline personality disorder research

Personality Disorder ◽

Mental Health Problems ◽

Borderline Personality ◽

Mechanical Turk ◽

Amazon Mechanical Turk ◽

New Approach ◽

Large Numbers ◽

Wide Range ◽

AbstractResearchers investigating the psychological processes underlying specific mental health problems often have difficulties achieving large enough samples for adequately powered studies. This can be particularly problematic when studying psychopathology with low base rates in typical samples (i.e., undergraduate and community). A relatively new approach to recruitment and testing employs online crowdsourcing to rapidly measure the characteristics and behavior of large numbers of people. We tested the feasibility of researching borderline personality disorder (BPD) in this manner using one large crowdsourcing site, Amazon Mechanical Turk (MTurk). Specifically, we examined prevalence rates of psychopathology in a large MTurk sample, as well as the demographic, psychosocial, and psychiatric characteristics of individuals who met criteria for BPD. These characteristics were compared across three groups: those who met criteria for BPD currently, those who met criteria for remitted BPD, and those who had never met criteria for BPD. The results suggest that MTurk may be ideally suited for studying individuals with a wide range of pathology, from healthy to intensely symptomatic to remitted.

Meaningful Ways of Understanding and Measuring Change for People with Borderline Personality Disorder: A Thematic Analysis

Behavioural and Cognitive Psychotherapy ◽

10.1017/s1352465818000036 ◽

2018 ◽

Vol 46 (5) ◽

pp. 528-540 ◽

Cited By ~ 1

Author(s):

Louise McCusker ◽

Marie-Louise Turner ◽

Georgina Pike ◽

Helen Startup

Keyword(s):

Personality Disorder ◽

Focus Groups ◽

Thematic Analysis ◽

Borderline Personality ◽

Complex Nature ◽

Service Users ◽

Starting Point ◽

Wide Range ◽

Measuring Change

Background:The effective treatment of Borderline Personality Disorder (BPD) presents healthcare providers with a significant challenge. The evidence base remains limited partially due to a lack of professional consensus and service user involvement regarding ways of measuring change. As a result, the limited evidence that is available draws on such a wide range of outcome measures, that comparison across treatment types is hindered, maintaining a lack of clarity regarding the clinical needs of this group.Aims:This investigation aimed to follow the National Institute of Clinical Excellence (NICE, 2009) research recommendations by asking service users about meaningful change within their recovery. This forms a starting point for the future development of a tailored outcome measure.Method:Fifteen service users with a diagnosis of BPD participated in three focus groups across two specialist Personality Disorder services. The focus groups were analysed using Thematic Analysis.Results:Two superordinate themes were synthesized from the data: (1) recovery to what?: ‘How do you rewrite who you are?’; and (2) conditions for change. Each superordinate theme further consisted of three subordinate themes which elucidated the over-arching themes.Conclusion:This investigation highlights the complex nature of measuring change in people who have received a BPD diagnosis. Further research is needed to develop meaningful ways of measuring change according to the needs and priorities of people with BPD.

Menstrual Cycle Influences On Mood and Behavior in Women With Borderline Personality Disorder

Journal of Personality Disorders ◽

10.1521/pedi.1995.9.1.68 ◽

1995 ◽

Vol 9 (1) ◽

pp. 68-75 ◽

Cited By ~ 6

Author(s):

Barbara Ziv ◽

Mark J. Russ ◽

Margaret Moline ◽

Stephen Hurt ◽

Steven Zendell

Keyword(s):

Menstrual Cycle ◽

Personality Disorder ◽

Borderline Personality ◽

Cognitive analytic therapy: A bibliometric review

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.581 ◽

2016 ◽

Vol 33 (S1) ◽

pp. s233-s233

Author(s):

E. Gimeno ◽

C. Chiclana

Keyword(s):

Personality Disorder ◽

Meta Analysis ◽

Borderline Personality ◽

Theoretical Concepts ◽

Wide Range ◽

Bibliometric Review ◽

Analytic Therapy ◽

Competing Interest ◽

Cognitive Analytic Therapy

IntroductionCognitive Analytic Therapy (CAT) has emerged as an integrative new approach with promising results in the treatment of personality-disordered patients, particularly in borderline personality disorder. Although this approach has already demonstrated its effectiveness in adults, increasingly studies try to validate it in young population, which has meant a turning point in research.Aim and objectivesThe goal of this study is to know the whole production about CAT in a double way:–articles that describes the main theoretical concepts underlying CAT theory;–articles with evidence supporting its effectiveness in different mental disorders.MethodsA bibliometric review of 397 scientific articles extracted from research databases including Dialnet, EBSCO, PUBMED, Unika and Scholar Google was conducted.ResultsThe results indicate an exponential growth in published studies on CAT, from first publications in the late 1960s, particularly strong in the last two decades and reaching its peak in 2008. Total research includes 247 literature reviews, 109 clinical studies, 47 case studies, 17 letters and comments from authors, 4 studies on diagnostic tests and 1 meta-analysis. Most research has focused on borderline personality disorder or other personality disorders (35% and 12% respectively) and eating disorders (11%). Studies have been conducted with adults (49%) the same as children and adolescents (46%) whereas only the 4% has been developed for elderly population.ConclusionsCognitive analytic therapy represents a well-documented psychotherapy with a proven efficacy in a wide range of clinical contexts.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The Relationship between Bipolar and Borderline Personality Disorder traits, Impulsivity, and GPA among a college student population

10.31234/osf.io/u8xtb ◽

2021 ◽

Author(s):

Ailun Li ◽

Jiaxuan Teng ◽

Zuzanna Jagoda Tajchman ◽

Iris Vilares

Keyword(s):

Personality Disorder ◽

Personality Traits ◽

Borderline Personality ◽

The Self ◽

Self Report ◽

Grade Point ◽

Wide Range ◽

Borderline Personality Traits ◽

Behavioral Tasks

Background: Impulsivity as a multidimensional construct is commonly linked with a wide range of mental health disorders, such as Bipolar Disorder (BD) and Borderline Personality Disorder (BorPD). Previous research suggests that individuals with BD and BorPD are more likely to be associated with lower academic achievement. This experiment aims to investigate the interrelation between BD or BorPD traits, impulsivity, and poor academic performance (GPA). Method: Our pre-registered study tested bipolar and borderline personality traits from a sample of 125 college students. Two behavioral tasks (Two-choice impulsivity paradigm; Go/no-go) and a self-report questionnaire (Barratt Impulsiveness Scale, BIS-11) were used to measure impulsivity. Students’ Grade Point Averages (GPAs) were also collected. Results: Both bipolar and borderline personality traits were positively correlated with the self-report impulsivity questionnaire (BIS-11) but not with the behavioral tasks. Students’ GPA were not significantly correlated with BD, BorPD traits, and impulsivity measures (behavioral and self-report). The self-report impulsivity questionnaire (BIS-11) was only significantly correlated with the Go/no-go task performance, but not the two-choice impulsivity paradigm. Limitations: This study is a correlational study in which participants have pre-existing conditions, therefore we cannot get a causal relationship. Besides, due to the normative sample, the study can only look at traits instead of diagnosis. Conclusions: Results from this study suggest that students with bipolar and/or borderline personality traits tend to have higher self-report impulsivity, without a noticeable impact on their GPA. Our results also support the growing consensus that impulsivity describes a diverse set of processes and traits.

Affective Instability and Suicidal Ideation and Behavior in Patients with Borderline Personality Disorder

Journal of Personality Disorders ◽

10.1521/pedi.2007.21.1.72 ◽

2007 ◽

Vol 21 (1) ◽

pp. 72-86 ◽

Cited By ~ 52

Author(s):

Paul S. Links ◽

Rahel Eynan ◽

Marnin J. Heisel ◽

Aiala Barr ◽

Marilyn Korzekwa ◽

...

Keyword(s):

Suicidal Ideation ◽

Personality Disorder ◽

Borderline Personality ◽

Affective Instability ◽

Making Meaning of Religious Values in Preventing a Fatal Suicide Act of a Bisexual Youth with Borderline Personality Disorder: A Qualitative Study

Jurnal Psikologi ◽

10.22146/jpsi.56713 ◽

2021 ◽

Vol 48 (1) ◽

pp. 80

Author(s):

Tience Debora Valentina ◽

Carla R Marchira ◽

Tina Afiatin ◽

Noor R Hadjam

Keyword(s):

Personality Disorder ◽

Qualitative Study ◽

Suicide Attempts ◽

Mental Health Problems ◽

Borderline Personality ◽

Religious Values ◽

Theory Approach ◽

Suicidal Behaviors ◽

Bisexual Youth

Male adolescents of sexual minority groups often present mental health problems and suicidal behaviors. This qualitative study was conducted to explore how a bisexual youth with borderline personality disorder and multiple suicide attempts coped with his intention to die. Analysis was done using the Grounded Theory approach resulted in several themes. First, the pathway to suicidal behaviors; depicting the conflict between parents and the history of mother’s suicide attempts made him felt disconnected with the family. Second, the feeling of not deserving loved although having the need to be loved and to love. Third, the ambivalence of his sexual orientations as he had strong desire to be with a man yet felt happy dating a girl. Fourth, the interpretation of religious values for preventing fatal suicidal act. He perceived that his suicide attempts failed because God wants him to stay alive. The discussion addresses the aspect of religiosity that obstructs suicidal behaviors in bisexual youths

Differences in self-compassion and shame-proneness in patients with borderline personality disorder, eating disorders, alcohol-addiction and in healthy controls: Is the narrative self at fault for everything?

10.31234/osf.io/ncjax ◽

2021 ◽

Author(s):

Jan Benda ◽

Daniel Kořínek ◽

Antonín Vyhnánek ◽

Tatiana Nemlahová

Keyword(s):

Eating Disorders ◽

Personality Disorder ◽

Borderline Personality ◽

Alcohol Addiction ◽

Healthy Controls ◽

Disorder Eating ◽

Self Compassion ◽

Shame Proneness ◽

Wide Range

Objectives: The lack of self-compassion and shame-proneness may both be associated with a wide range of mental disorders. The aim of this study was to compare the levels of compassionate self-responding and shame-proneness in samples of patients with borderline personality disorder, eating disorders, alcohol-addiction and in healthy controls.Methods: All three clinical groups and healthy controls were administered scales measuring self-compassion (SCS) and shame-proneness (TOSCA-3S). Differences in compassionate self-responding and shame-proneness were analyzed and effect sizes were calculated.Results: All three clinical groups were found to have significantly lower compassionate self-responding and significantly higher shame-proneness than healthy controls. The magnitudes of difference in compassionate self-responding and shame-proneness, between all clinical groups and healthy controls, were moderate to large.Conclusions: We hypothesize, that implicit belief in self as a permanent entity together with the lack of self-compassion leads to increased shame-proneness, which causes various psychopathological symptoms. We assume, that clients suffering from all these disorders may benefit from treatments or particular interventions that facilitate the development of self-compassion or shame management.

Seven-Year Course of Borderline Personality Disorder Features: Borderline Pathology Is as Unstable as Depression During Adolescence

Clinical Psychological Science ◽

10.1177/2167702617691546 ◽

2017 ◽

Vol 5 (4) ◽

pp. 742-749 ◽

Cited By ~ 11

Author(s):

Christopher C. Conway ◽

Alison E. Hipwell ◽

Stephanie D. Stepp

Keyword(s):

Personality Disorder ◽

Adolescent Girls ◽

Poor Prognosis ◽

Borderline Personality ◽

Symptom Expression ◽

New Approach ◽

Situational Influences ◽

Stability And Change ◽

Degree Of Stability

Borderline personality disorder (PD) historically is construed as an unremitting condition with poor prognosis. In the present study we take a new approach to examining stability and change in borderline PD by explaining symptom expression in terms of an unchanging foundation—termed borderline proneness—on one hand, and transitory influences on the other. We monitored borderline PD symptoms annually in a large sample of high-risk adolescent girls ( N = 2,450) from ages 14 to 20. Trait-state-occasion modeling revealed that just more than half (52%–57%) of borderline PD symptom variation was attributable to fixed borderline proneness, whereas the remainder was subject to change across yearly measurement occasions. This degree of stability was no larger than the corresponding estimate for depression, a condition known for its variable course. Our results indicate that, contrary to its reputation, borderline pathology is not set in stone, and it fluctuates in response to situational influences.

Systems Training for Emotional Predictability and Problem Solving for Borderline Personality Disorder

10.1093/med:psych/9780199384426.001.0001 ◽

2017 ◽

Cited By ~ 2

Keyword(s):

Problem Solving ◽

Personality Disorder ◽

Group Treatment ◽

Behavioral Therapy ◽

Health Care Systems ◽

Skills Training ◽

National Registry ◽

Borderline Personality ◽

Wide Range

This edited, multi-authored text brings together all that is known about Systems Training for Emotional Predictability and Problem Solving (STEPPS), a group treatment program for outpatients with borderline personality disorder. The book describes the program, the evidence that is supportive of STEPPS, and its implementation in a variety of settings and countries. Created at the University of Iowa in 1995, STEPPS combines cognitive-behavioral therapy, skills training, and psychoeducation with a systems component for family, friends, and significant others. The 5-month-long program is easily learned and delivered by therapists from a wide range of theoretical orientations. Data show that STEPPS is effective and produces clinically important improvement. The program is well accepted by patients and therapists. STEPPS is listed in the US Substance Abuse and Mental Health Services Administration (SAMSHA) National Registry of Evidence-based Practices (NREPP). The program is embraced by the health care systems in the United Kingdom and The Netherlands and is used in correctional settings.

Systems Training for Emotional Predictability and Problem Solving for Borderline Personality Disorder ◽

Treatment of Borderline Personality Disorder in Adolescents

10.1093/med:psych/9780199384426.003.0008 ◽

2016 ◽

pp. 140-163

Author(s):

Marieke Schuppert ◽

Paul Emmelkamp ◽

Maaike Nauta

Keyword(s):

Personality Disorder ◽

Borderline Personality ◽

Adolescent Population ◽

Lifestyle Choices ◽

Booster Sessions ◽

Group Members ◽

Long Term Consequences ◽

The chapter describes how STEPPS has been modified for the adolescent population in The Netherlands. Emotion regulation training (ERT) provides a group therapy experience for adolescents that consists of 17 weekly sessions, one session with family members and “important others” and two booster sessions for the adolescents at 6 and 12 weeks following treatment. The three phases of treatment include psychoeducation and problem solving techniques; helping the group members see the connection between their character/temperament and their emotions and behavior; focusing on improving lifestyle choices (e.g. eating, sleeping, relationships, avoiding substance abuse). The chapter includes an overview of the ERT protocol, briefly reviews the data from recent clinical trials, and discusses future opportunities for this field. The goal was to implement a program that would help prevent long-term consequences of borderline personality disorder.