Circadian Sleep-Wake Cycles, Well-Being, and Light Therapy in Borderline Personality Disorder

2013 ◽  
Vol 27 (5) ◽  
pp. 680-696 ◽  
Author(s):  
Vivien Bromundt ◽  
Anna Wirz-Justice ◽  
Suzanne Kyburz ◽  
Klaus Opwis ◽  
Gerhard Dammann ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Light Therapy ◽  
Well Being ◽  
Borderline Personality

Telehealth Treatment of Patients With Borderline Personality Disorder in a Partial Hospital Setting During the COVID-19 Pandemic: Comparative Safety, Patient Satisfaction, and Effectiveness of In-Person Treatment

2021 ◽  
pp. 1-19
Author(s):  
Mark Zimmerman ◽  
Madeline Ward ◽  
Catherine D'Avanzato ◽  
Julianne Wilner Tirpak
Keyword(s):  
Patient Satisfaction ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychiatric Treatment ◽  
Well Being ◽  
Borderline Personality ◽  
Hospital Treatment ◽  
Level Of Care ◽  
Hospital Level ◽  
Partial Hospital

There are no studies of the safety and effectiveness of telehealth psychiatric treatment of partial hospital level of care, in general, and for borderline personality disorder (BPD) in particular. In the present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project, the authors compared the effectiveness of their partial hospital treatment program in treating patients with BPD. For both the in-person and telehealth partial hospital level of care, patients with BPD were highly satisfied with treatment and reported a significant reduction in symptoms from admission to discharge. Both groups reported a significant improvement in functioning, coping ability, positive mental health, and general well-being. A large effect size of treatment was found in both treatment groups. No patients attempted suicide. Telehealth partial hospital treatment was as effective as in-person treatment in terms of patient satisfaction, symptom reduction, and improved functioning and well-being for patients with BPD.

Mindfulness and Emotional Well-being in Women with Borderline Personality Disorder

Mindfulness ◽  
2011 ◽  
Vol 3 (2) ◽  
pp. 117-123 ◽  
Author(s):  
Siobhan K. O’Toole ◽  
Eric Diddy ◽  
Mark Kent
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Well Being ◽  
Borderline Personality

scholarly journals Child abuse potential in mothers with early life maltreatment, borderline personality disorder and depression

2018 ◽  
Vol 213 (1) ◽  
pp. 412-418 ◽  
Author(s):  
Katja Dittrich ◽  
Katja Boedeker ◽  
Dorothea Kluczniok ◽  
Charlotte Jaite ◽  
Catherine Hindi Attar ◽  
...  
Keyword(s):  
Child Abuse ◽  
Emotion Regulation ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Early Life ◽  
Child Psychopathology ◽  
Well Being ◽  
Borderline Personality ◽  
Abuse Potential ◽  
History Of

BackgroundEarly life maltreatment (ELM), borderline personality disorder (BPD) and major depressive disorder (MDD) have been shown to increase the potential of abuse. Emotion regulation is an identified mediator for the association of ELM and BPD with abuse potential. Until now, there has been no study to account for the co-occurrence of these risk factors in one analysis, although BPD and MDD are known as common sequelae of ELM. This is paired with a lack of studies investigating the effects of abuse potential on child well-being.AimsOur study aims at (a) disentangling the effects of maternal ELM, MDD and BPD on abuse potential; (b) exploring the role of emotion regulation as a mediator; and (c) testing for intergenerational effects of abuse potential on child psychopathology.MethodThe research design included 114 mothers with/without ELM, BPD and MDD in remission and their children, all of which were between 5 and 12 years of age. A path analysis was conducted to investigate the multiple associations between our variables.ResultsELM, MDD and BPD were all associated with abuse potential, with emotion regulation acting as a mediator for BPD and MDD. Furthermore, an elevated abuse potential was related to higher psychopathology in the child.ConclusionsHistory of ELM as well as the common sequelae, BPD and MDD, pose risks for child abuse. Our findings suggest improvement of emotion regulation as a potential target for intervention programs. These programs should also aim at non-substantiated cases because even an elevated abuse potential affected child mental health.Declaration of interestNone.

Good defiance and flourishing

2016 ◽  
Author(s):  
Nancy Nyquist Potter
Keyword(s):  
Mental Health ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Mental Disorder ◽  
Well Being ◽  
Borderline Personality ◽  
Defiant Behavior ◽  
The Relationship

This chapter examines the relationship between defiance and flourishing by analyzing three cases and unpacking some of the epistemic and ontological assumptions that undergird our naïve ideas about flourishing. The aim is to clarify under what conditions a person with a mental disorder might be able to flourish, what a claim of flourishing entails, and why some defiant behavior is central to this theory of flourishing—it counts as good defiance. It argues against Aristotle’s account of human virtue as a function of excellent reasoning and against positive psychology’s conception of mental health as well-being and flourishing. Instead, it identifies features of non-ideal flourishing that are then applied to three people with diagnoses: one with schizophrenia, one with depression, and one with Borderline Personality Disorder. The author then explains how she would evaluate these three cases in terms of their defiant behavior.

scholarly journals Factors Affecting Participant Recruitment and Retention in Borderline Personality Disorder Research: A Feasibility Study

2020 ◽  
Author(s):  
Julia Woo ◽  
Hamnah Shahid ◽  
Alannah Hillmer ◽  
Alamna Abdullah ◽  
Sarah Deshpande ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Well Being ◽  
Borderline Personality ◽  
Retention Rates ◽  
Psychiatric Research ◽  
Major Barrier ◽  
Participant Recruitment ◽  
Factors Affecting ◽  
Recruitment And Retention

Abstract Background Previous studies have shown that stigma is a major barrier to participation in psychiatric research, and that individuals who participate in psychiatric research may differ clinically from non-participants. However, no previous study has explored research recruitment and retention challenges in the context of personality disorders. Aim To provide an analysis of the factors affecting participant recruitment and retention in a study of borderline personality disorder. Methods Adult inpatients in a tertiary psychiatric hospital were approached about participating in a cross-sectional study of borderline personality disorder. Recruitment rates, retention rates, and reasons for declining participation or withdrawing from the study were collected. Demographic characteristics were compared between participants and non-participants, and between patients who remained in the study and those who withdrew. Results A total of 70 participants were recruited into the study between January 2018 and February 2020. Recruitment and retention rates were 46% and 70%, respectively. Lack of interest was the most commonly cited reason for non-participation, followed by scheduling conflicts and concerns regarding mental/physical well-being. Age and sex were not predictors of study participation or retention. Conclusions More research is needed to explore patients’ perspectives and attitudes towards borderline personality disorder diagnosis and research; determine effects of different recruitment strategies; and identify clinical predictors of recruitment and retention in personality disorder research. Trial registration: The study was not registered as it did not involve the provision of a health care intervention to human participants.

scholarly journals The case for cautious paternalism in the emergency management of patients with borderline personality disorder

2021 ◽  
pp. 1-3
Author(s):  
Giles Newton-Howes
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Sense Of Self ◽  
Well Being ◽  
Modern Medicine ◽  
Medical Intervention ◽  
Borderline Personality ◽  
Emotional Instability ◽  
Potential Threat ◽  
Patient’S Will

Summary Principlism is the dominant ethical theory in modern medicine. Autonomy is ‘king’ of the principles espoused and operationalised in consent. Consent is the mechanism by which all medical interactions occur. In borderline personality disorder (BPD) there is often a diffuse sense of self, emotional instability and impulsivity that can lead to medically dangerous non-suicidal self-injury, acute medical intervention and then a withdrawal of consent while the potential threat to the person's well-being remains high. Claims of lack of capacity lack veracity, and simply acting against the patient's will may be illegal. Understanding the will and preferences of patients is a step forward, but it is not always possible in time-sensitive situations. A cautious paternalism is therefore warranted both to ensure the patient's well-being while being honest as to the reasons for this, and to possibly build epistemic trust between the medical system and the patient with BPD.

scholarly journals Factors affecting participant recruitment and retention in borderline personality disorder research: a feasibility study

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Julia Woo ◽  
Hamnah Shahid ◽  
Alannah Hillmer ◽  
Alamna Abdullah ◽  
Sarah Deshpande ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Well Being ◽  
Borderline Personality ◽  
Retention Rates ◽  
Psychiatric Research ◽  
Major Barrier ◽  
Participant Recruitment ◽  
Factors Affecting ◽  
Recruitment And Retention

Abstract Background Previous studies have shown that stigma is a major barrier to participation in psychiatric research and that individuals who participate in psychiatric research may differ clinically and demographically from non-participants. However, few studies have explored research recruitment and retention challenges in the context of personality disorders. Aim To provide an analysis of the factors affecting participant recruitment and retention in a study of borderline personality disorder among general psychiatric inpatients. Methods Adult inpatients in a tertiary psychiatric hospital were approached about participating in a cross-sectional study of borderline personality disorder. Recruitment rates, retention rates, and reasons for declining participation or withdrawing from the study were collected. Demographic characteristics were compared between participants and non-participants and between patients who remained in the study and those who withdrew. Results A total of 71 participants were recruited into the study between January 2018 and March 2020. Recruitment and retention rates were 45% and 70%, respectively. Lack of interest was the most commonly cited reason for non-participation, followed by scheduling conflicts and concerns regarding mental/physical well-being. Age and sex were not predictors of study participation or retention. Conclusions More research is needed to explore patients’ perspectives and attitudes towards borderline personality disorder diagnosis and research, determine effects of different recruitment strategies, and identify clinical predictors of recruitment and retention in personality disorder research.

scholarly journals The Statistical Specificity of Emotion Dynamics in Borderline Personality Disorder

2021 ◽  
pp. 1-22
Author(s):  
Marlies Houben ◽  
Merijn Mestdagh ◽  
Egon Dejonckheere ◽  
Jasmien Obbels ◽  
Pascal Sienaert ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Major Depressive Episode ◽  
Well Being ◽  
Borderline Personality ◽  
Emotional States ◽  
Emotional Instability ◽  
Control Groups ◽  
Major Depressive ◽  
Emotion Dynamics

Persons with borderline personality disorder (BPD) experience heightened emotional instability. Different components underlie instability, and the relation between instability and well-being could be confounded by average emotionality and within-person standard deviation across emotional states, reflecting variability. Therefore, the goal was to examine which pattern of emotion dynamics parsimoniously captures the emotional trajectories of persons with BPD. Forty persons with BPD, 38 clinical controls in a major depressive episode, and 40 healthy controls rated the intensity of their emotions 10 times a day for 1 week. After correction for differences in average emotionality, persons with BPD showed heightened emotional instability compared to both control groups. When additionally correcting for emotional variability, the authors found that instability indices did not differ between groups anymore. This shows that persons with BPD differ from control groups in the magnitude of emotional deviations from the emotional baseline, and not necessarily in the degree of abruptness of these deviations.

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