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Clinical profiles of adolescent personality pathology: a latent structure examination of the Semi-Structured Interview for Personality Functioning DSM-5 (STiP-5.1) in a help-seeking sample
ConclusionsA complex model incorporating both dimensional and categorical components most adequately describes the latent structure of the STiP-5.1 in our adolescent sample. We conclude that Criterion A provides clinically useful information beyond severity (as a dimensional continuum) alone, and that the hybrid model found for personality functioning in our sample warrants further attention. Findings can help to parse out clinical heterogeneity in personality pathology in adolescents, and help to inform early identification and intervention efforts. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - April 9, 2024 Category: Psychiatry Source Type: research

Borderline personality disorder and sexuality: causes and consequences of dissociative symptoms
ConclusionOur findings highlight the importance of addressing distinct dissociative symptoms in sexual situations when counselling and treating women with BPD. In the long term, this could contribute to a reduction in sexual risk behavior in patients with BPD.Trial registrationThis analysis is part of a larger ongoing study and was registered prior to accessing the data (Registration trial DRKS00029716). (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - March 19, 2024 Category: Psychiatry Source Type: research

Dissociation in mothers with borderline personality disorder: a possible mechanism for transmission of intergenerational trauma? A scoping review
ConclusionsFindings suggested there was some evidence that dissociation plays a unique role in BPD caregivers ’ interactions with their offspring, however any findings should be interpreted with caution as the concept has been poorly operationalised and defined. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - March 11, 2024 Category: Psychiatry Source Type: research

Experiential avoidance in participants with borderline personality disorder and other personality disorders
ConclusionsTaken together, these results suggest that EA is a serious problem for participants with BPD, particularly those who have not recovered. They also suggest that both the severity of childhood adversity and a temperament marked by lower levels of extroversion are significantly related to levels of EA reported by participants with BPD. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - March 4, 2024 Category: Psychiatry Source Type: research

Psychotropic medication use among adolescents participating in three randomized trials of DBT
ConclusionsHighly prevalent in use among suicidal and self-harming adolescents with borderline features, psychotropic medication was still very unevenly prescribed across trials, differences not explained by differences in sample characteristics suggesting that current treatment practices are not fully empirically supported. We call for continued medical education and increased availability of evidence-based psychosocial interventions. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - February 22, 2024 Category: Psychiatry Source Type: research

How changes in depression severity and borderline personality disorder intensity are linked – a cohort study of depressed patients with and without borderline personality disorder
ConclusionsIn the six-month follow-up, BPD features in MDE patients alleviated mainly by decreasing temporal symptom frequency and intensity. In BPD patients with comorbid MDE, changes in both conditions are strongly correlated. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - February 19, 2024 Category: Psychiatry Source Type: research

Facial emotion processing in patients with borderline personality disorder as compared with healthy controls: an fMRI and ECG study
ConclusionThe results of this study indicate no abnormal brain activity during emotional facial processing in patients with BPD. This result contrasts with previous studies and more studies are needed to clarify the relationship between facial emotion processing and brain activity in patients with BPD. Possible reasons for the absence of brain activity differences are discussed in the study. Consistent with previous findings, patients showed lower HRV than healthy controls. However, HRV was not associated with amygdala activity and BPD symptoms. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - February 16, 2024 Category: Psychiatry Source Type: research

The role of thyroid function in borderline personality disorder and schizophrenia: a Mendelian Randomisation study
ConclusionsWe report evidence for a null association between genetically predicted FT4, TSH or hypothyroidism with BPD or SCZ risk. There was no evidence for reverse causality. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - February 15, 2024 Category: Psychiatry Source Type: research

A case series of sage: a new couple-based intervention for borderline personality disorder
ConclusionsFindings provide proof of concept of Sage as an intervention that can improve BPD and other mental health outcomes in those with BPD and their intimate partners. Incorporating intimate partners into BPD treatment may optimize and expedite its outcomes. However, further testing is needed.Trial registrationThis project was pre-registered at Clinicaltrials.gov (Identifier: [NCT04737252]). (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - January 12, 2024 Category: Psychiatry Source Type: research

Transdiagnostic skills training group of dialectical behavior therapy: a long-term naturalistic study
DiscussionOur one-year naturalistic study suggests that transdiagnostic DBT skills training groups are promising for the treatment of emotional dysregulation in people with BPD, BD and/or ADHD. The observational design and the lack of control group are the main limitations. Randomized controlled studies are required to confirm the long-term efficacy of transdiagnostic skills learning groups in naturalistic settings. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - December 21, 2023 Category: Psychiatry Source Type: research

ICD-11 complex posttraumatic stress disorder and subclasses of borderline personality disorder in a South Korean adult population with childhood abuse experiences: a latent class analysis
ConclusionClass 1 was named as a CPTSD and BPD “comorbid” class, Class 2 as an “externalizing BPD” class, Class 3 as an “avoidant BPD” class, and Class 4 as a “low symptom” class. Childhood abuse may heighten the risk for high comorbidity of CPTSD and BPD as well as externalizing-internalizing subgroups of BPD. Beyond the identif ication of CPTSD and BPD, assessing attachment styles and pathological personality traits based on dimensional approaches would benefit the tailoring of effective treatment. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - December 15, 2023 Category: Psychiatry Source Type: research

Neural correlates of social exclusion and overinclusion in patients with borderline personality disorder: an fMRI study
ConclusionsThe results of our study suggest that patients with BPD experience more discomfort than do healthy controls during social interactions. Compared to healthy participants, patients with BPD reported more inner tension and unpleasant emotions, irrespective of the extent to which others included them in social interactions. At a neural level, the participants with BPD showed a lower recruitment of the left hippocampus in response to social exclusion than the healthy controls did. The reduced activation of this neural structure could be related to a history of childhood maltreatment and smaller hippocampal volume in ...
Source: Borderline Personality Disorder and Emotion Dysregulation - December 1, 2023 Category: Psychiatry Source Type: research

The relationship between childhood emotional abuse and borderline personality disorder: the mediating role of difficulties in emotion regulation among Lebanese adults
ConclusionThis work suggests that, among the different forms of childhood abuse, emotional abuse may have a role in the development of Borderline Personality Disorder. Training on emotion regulation strategies would potentially benefit individuals in preventing BPD development and facilitating therapeutic processes. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - November 21, 2023 Category: Psychiatry Source Type: research

Psychometric properties of the Hungarian childhood trauma questionnaire short form and its validity in patients with adult attention-deficit hyperactivity disorder or borderline personality disorder
ConclusionsOur study confirmed the psychometric properties of the H-CTQ-SF, an easy-to-administer, non-invasive, ethically sound questionnaire. In aADHD patients without comorbid BPD, low levels of traumatization in every CTQ domain were comparable to those of healthy control individuals. Thus, the increased level of traumatization found in previous studies of aADHD might be associated with the presence of comorbid BPD. Our findings also support the role of emotional neglect, emotional abuse and sexual abuse in the development of BPD. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - November 17, 2023 Category: Psychiatry Source Type: research

The relationship between mood disorders, personality disorder and suicidality in adolescence: does general personality disturbance play a significant role in predicting suicidal behavior?
ConclusionThese results point to the importance of early identification of the level of severity of personality pathology at large and its co-occurrence  with Major Depression for the management of suicidal risk in adolescence. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - November 1, 2023 Category: Psychiatry Source Type: research