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Borderline Personality Disorder

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Dissociation proneness and pain hyposensitivity in current and remitted borderline personality disorder.

Boo Young Chung, Saskia Hensel, Ilinca Schmidinger, Robin Bekrater-Bodmann, Herta Flor,

BACKGROUND:Stress-related dissociation has been shown to negatively co-vary with pain perception in current borderline personality disorder (cBPD). While remission of the disorder (rBPD) is associated with normalized pain perception, it remains unclear whether dissociation proneness is still enhanced in this group and how this feature interacts with pain sensitivity. METHODS:Twenty-five ... Read more >>

Eur J Pain (European journal of pain (London, England))
[2020, :]

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Oxytocin Receptor Gene, Childhood Maltreatment and Borderline Personality Disorder Features among Male Inmates in China

Na Liu, Min Zhang, Haocheng Chen, Ning Zhang,

<title>Abstract</title> <p> Background: Borderline personality disorder (BPD) is caused by a variety of biological and environmental factors. Accumulating evidence suggests that childhood maltreatment is a risk environmental factor in the development of BPD, but research on the genetic pathology of BPD is still in its early stages, and ... Read more >>

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Identifying Change Targets for Posttraumatic Stress Disorder Among Suicidal and Self-Injuring Women With Borderline Personality Disorder.

Melanie S Harned, Skye Fitzpatrick, Sara C Schmidt,

Research on psychotherapies for posttraumatic stress disorder (PTSD) is increasingly focused on understanding not only which treatments work but why and for whom they work. The present pilot study evaluated the temporal relations between five hypothesized change targets-posttraumatic cognitions, guilt, shame, general emotion dysregulation, and experiential avoidance-and PTSD severity among ... Read more >>

J Trauma Stress (Journal of traumatic stress)
[2020, :]

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Eating disorders among borderline patients: understanding the prevalence and psychopathology

Mohsen Khosravi,

<title>Abstract</title> <p> Background: Common comorbidity and the shared psychopathology in borderline personality disorder (BPD) and feeding and eating disorder (FED) resulted in conceptualization of the relationship theory between disordered eating behaviors (DEB), alexithymia, depression, and anxiety. Therefore, the present study aims at investigating the FED prevalence in patients ... Read more >>

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Treatment selection in borderline personality disorder between dialectical behavior therapy and psychodynamic psychiatric management.

John R Keefe, Thomas T Kim, Robert J DeRubeis, David L Streiner, Paul S Links, Shelley F McMain,

BACKGROUND:No evidence-based therapy for borderline personality disorder (BPD) exhibits a clear superiority. However, BPD is highly heterogeneous, and different patients may specifically benefit from the interventions of a particular treatment. METHODS:From a randomized trial comparing a year of dialectical behavior therapy (DBT) to general psychiatric management (GPM) for BPD, long-term ... Read more >>

Psychol Med (Psychological medicine)
[2020, :1-9]

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Principal Diagnoses in Psychiatric Outpatients With Posttraumatic Stress Disorder: Implications for Screening Recommendations.

Reina Kiefer, Iwona Chelminski, Kristy Dalrymple, Mark Zimmerman,

In this study, we examined the prevalence of posttraumatic stress disorder (PTSD) in 3800 psychiatric outpatients with different principal diagnoses. For all disorders identified as a principal diagnosis, we compared patients' odds ratios of PTSD to all other patients in the sample. Approximately one-sixth of the sample (n = 663, ... Read more >>

J. Nerv. Ment. Dis. (The Journal of nervous and mental disease)
[2020, 208(4):283-287]

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Patients with borderline personality disorder and bipolar disorder: a descriptive and comparative study.

Mark Zimmerman, Caroline Balling, Iwona Chelminski, Kristy Dalrymple,

BACKGROUND:Bipolar disorder and borderline personality disorder (BPD) are each significant public health problems. It has been frequently noted that distinguishing BPD from bipolar disorder is challenging. Consequently, reviews and commentaries have focused on differential diagnosis and identifying clinical features to distinguish the two disorders. While there is a burgeoning literature ... Read more >>

Psychol Med (Psychological medicine)
[2020, :1-12]

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Validation of the French version of the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD)

Bojan Mirkovic, Alexandra Pham-Scottez, Lionel Cailhol, Julien-Daniel Guelfi, Fernando Perez-Diaz, Mario Speranza, Maurice Corcos, Mary Zanarini,

<title>Abstract</title> <p> Background The study examines the psychometric properties of the French version of the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) created by M. Zanarini to screen borderline personality disorder in clinical and non-clinical populations. Method In this multicentric longitudinal study from the European Network on ... Read more >>

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Elucidating the relationship between borderline personality disorder and intimate partner violence.

Olivia E Munro, Martin Sellbom,

This study examined the established association between borderline personality disorder (BPD) and intimate partner violence (IPV). More specifically, it compared the DSM-5 traditional categorical personality disorder (PD) model with the DSM-5 Alternative Model of PD (AMPD) operationalizations of BPD in their relative associations with IPV. The effects of gender, as ... Read more >>

Personal Ment Health (Personality and mental health)
[2020, :]

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Identifying specific insomnia components in borderline personality disorder and their influence on emotion dysregulation.

Skye Fitzpatrick, Kristin H G Maich, Colleen E Carney, Janice R Kuo,

Insomnia-related sleep problems are common in borderline personality disorder (BPD) and exacerbate the core of BPD, emotion dysregulation. Insomnia is elicited and maintained through behaviors that disrupt both the homeostatic and circadian sleep systems. However, it is unclear which homeostatic or circadian insomnia behaviors characterize BPD and exacerbate emotion dysregulation, ... Read more >>

Personal Disord (Personality disorders)
[2020, :]

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The borderline feature of negative relationships and the intergenerational transmission of child maltreatment between mothers and adolescents.

Stephanie Kors, Jenny Macfie, Rebecca Mahan, Gretchen Kurdziel-Adams,

The current study examined the intergenerational transmission of child maltreatment in the context of maternal self-reported borderline features (affective instability, negative relationships, identity disturbance, and self-harm/impulsivity) and a maternal borderline personality disorder (BPD) diagnosis. We sampled 41 adolescents of 14 to 18 years of age and their mothers. A total ... Read more >>

Personal Disord (Personality disorders)
[2020, :]

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Reward and Punishment Sensitivity in Borderline and Avoidant Personality Disorders.

Kathy R Berenson, Sarah M Van De Weert, Stella Nicolaou, Cindy Campoverde, Eshkol Rafaeli, Geraldine Downey,

The authors compared self-reported and behavioral responses to reward and punishment in individuals diagnosed with borderline personality disorder (BPD) or avoidant personality disorder (APD) relative to a healthy comparison (HC) group. As predicted, self-reported sensitivity to reward was significantly higher in the BPD group than in the APD and HC ... Read more >>

J. Pers. Disord. (Journal of personality disorders)
[2020, :1-16]

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Oxytocin Normalizes Approach-Avoidance Behavior in Women With Borderline Personality Disorder.

Isabella Schneider, Sabrina Boll, Inge Volman, Karin Roelofs, Angelika Spohn, Sabine C Herpertz, Katja Bertsch,

Background: Interpersonal deficits are a core symptom of borderline personality disorder (BPD), which could be related to increased social threat sensitivity and a tendency to approach rather than avoid interpersonal threats. The neuropeptide oxytocin has been shown to reduce threat sensitivity in patients with BPD and to modify approach-avoidance behavior ... Read more >>

Front Psychiatry (Frontiers in Psychiatry)
[2020, 11:120]

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Modeling the suicidal behavior cycle: Understanding repeated suicide attempts among individuals with borderline personality disorder and a history of attempting suicide.

Kevin S Kuehn, Kevin M King, Marsha M Linehan, Melanie S Harned,

OBJECTIVE:Suicide remains a leading cause of death in the United States, and recent reports have suggested the suicide rate is increasing. One of the most robust predictors of future suicidal behavior is a history of attempting suicide. Despite this, little is known about the factors that reduce the likelihood of ... Read more >>

J Consult Clin Psychol (Journal of consulting and clinical psychology)
[2020, :]

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Involvement of the dorsal striatum in the processing of happy faces in Borderline Personality Disorder

Agnes Lamers, Max Toepper, Silvia Fernando, Nicole Schlosser, Eva Lenz, Friedrich Woermann, Thomas Beblo, Martin Driessen,

<title>Abstract</title> <p> Background Emotion dysfunction and anhedonia are main problems in borderline personality disorder (BPD). In the present functional MRI (fMRI) study, we investigated neural activation in the processing of happy faces and its correlates with habitual emotion acceptance in patients with BPD. Methods 22 women with BPD ... Read more >>

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Narcissistic and Borderline Personality Disorders: Relationship With Oxidative Stress.

Royce J Lee, David Gozal, Emil F Coccaro, Jennifer Fanning,

The authors hypothesized that personality disorders characterized by interpersonal hypersensitivity would be associated with an elevated concentration of 8-hydroxy-2'-deoxyguanosine (8-OH-DG), the oxidized form of guanine, and a biomarker of oxidative stress burden. One hundred ninety-five male and female adults underwent semistructured diagnostic interviews, completed questionnaire measures of social cognition and ... Read more >>

J. Pers. Disord. (Journal of personality disorders)
[2020, 34(Supplement):6-24]

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Narratively Shaped Emotions: The Case of Borderline Personality Disorder.

Anna Bortolan,

In this article, I provide a phenomenological exploration of the role played by narrativity in shaping affective experience. I start by surveying and identifying different ways in which linguistic and narrative expression contribute to structure and regulate emotions, and I then expand on these insights by taking into consideration the ... Read more >>

J Med Philos (The Journal of medicine and philosophy)
[2020, 45(2):212-230]

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[The Association Between Illicit Drug Use, Borderline Personality Disorder and Depression in a Help-Seeking Sample of Adolescents].

Denisa Ghinea, Peter Parzer, Franz Resch, Michael Kaess, Alexandra Edinger,

The Association Between Illicit Drug Use, Borderline Personality Disorder and Depression in a Help-Seeking Sample of Adolescents Risk-taking behavior is a common phenomenon in adolescence. Even prevalence rates for illicit drug use are considerably high in youth and associated with a range of psychiatric disorders, especially depression and Borderline Personality ... Read more >>

Prax Kinderpsychol Kinderpsychiatr (Praxis der Kinderpsychologie und Kinderpsychiatrie)
[2020, 69(2):126-140]

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Positive schemas in schema therapy with older adults: clinical implications and research suggestions.

Arjan C Videler, Rita J J van Royen, Marjolein J H Legra, Machteld A Ouwens,

BACKGROUND:Schema therapy is an effective treatment for borderline personality disorder and other complex disorders. Schema therapy is feasible in older adults, and the first empirical support for its effectiveness in later life was provided in older patients with a cluster C personality disorder. The central concept of the schema therapy ... Read more >>

Behav Cogn Psychother (Behavioural and cognitive psychotherapy)
[2020, :1-11]

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Function and Psychotherapy of Chronic Suicidality in Borderline Personality Disorder: Using the Reinforcement Model of Suicidality.

Johannes M. Hennings,

Although great advancements in evidence-based therapies, chronic suicidal patients with borderline personality disorder (BPD) still challenge our mental health system. While BPD patients continue suffering from distress and aversive emotions, therapists and relatives feel often stunned and helpless when confronted with suicidality resulting in interruption of therapies, repeated presentations to ... Read more >>

Front Psychiatry (Frontiers in psychiatry)
[2020, 11:]

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Lived experiences of adults with borderline personality disorder: a qualitative systematic review protocol.

Teresa McDonagh, Agnes Higgins, Jenny Archer, Eoin Galavan, Greg Sheaf, Louise Doyle,

OBJECTIVE:The objectives of this review are: to explore the lived experiences of individuals with a diagnosis of borderline personality disorder (BPD) and to present recommendations for policy, practice, education and research. INTRODUCTION:Borderline personality disorder is a mental disorder characterized by poor capacity to engage in effective relationships, intense and sudden ... Read more >>

JBI Evid Synth (JBI evidence synthesis)
[2020, 18(3):283-591]

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Personalized models of psychopathology as contextualized dynamic processes: An example from individuals with borderline personality disorder.

William C Woods, Cara Arizmendi, Kathleen M Gates, Stephanie D Stepp, Paul A Pilkonis, Aidan G C Wright,

OBJECTIVE:Psychopathology research has relied on discrete diagnoses, which neglects the unique manifestations of each individual's pathology. Borderline personality disorder combines interpersonal, affective, and behavioral regulation impairments making it particularly ill-suited to a "one size fits all" diagnosis. Clinical assessment and case formulation involve understanding and developing a personalized model for ... Read more >>

J Consult Clin Psychol (Journal of consulting and clinical psychology)
[2020, 88(3):240-254]

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Transference-Focused Psychotherapy for Narcissistic Personality Disorder: An Object Relations Approach.

Diana Diamond, Richard G Hersh,

Transference-focused psychotherapy (TFP) is an empirically validated psychodynamic psychotherapy for borderline personality disorder (BPD), based on object relations theory, that has clinical utility for individuals with narcissistic personality disorder (NPD). Given the effectiveness of TFP for patients with BPD, including a number of patients with comorbid NPD, we have adapted ... Read more >>

J. Pers. Disord. (Journal of personality disorders)
[2020, 34(Supplement):159-176]

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Designing a range of mentalizing interventions for young people using a clinical staging approach to borderline pathology.

Joost Hutsebaut, Martin Debbané, Carla Sharp,

Borderline personality disorder (BPD) can have a long-lasting impact on social and professional functioning, even when core symptoms of BPD are in remission. Adolescence may be a critical developmental period to change the potential long-term functional outcome of BPD. This paper presents a range of mentalizing interventions to alter the ... Read more >>

Borderline Personal Disord Emot Dysregul (Borderline personality disorder and emotion dysregulation)
[2020, 7:6]

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Mentalization-Based Treatment for Pathological Narcissism.

Robert P Drozek, Brandon T Unruh,

Despite the growing cultural and empirical interest in pathological narcissism (PN), effective treatment guidelines for PN have not yet been established. This article develops mentalization-based treatment (MBT), a leading evidence-based therapy for borderline personality disorder, as a primary intervention for PN. Synthesizing research on parenting styles, attachment patterns, and empathy ... Read more >>

J. Pers. Disord. (Journal of personality disorders)
[2020, 34(Supplement):177-203]

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