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Aetiological pathways to Borderline Personality Disorder symptoms in early adolescence: childhood dysregulated behaviour, maladaptive parenting and bully victimisation
ConclusionsChildhood dysregulated behaviour is associated with BPD in early adolescence via an increased risk of bully victimisation. This suggests that childhood dysregulation may influence the risk of bully victimisation, which in turn influences the development of BPD. Effective interventions should target dysregulated behaviour early on to reduce exposure to environmental risks and the subsequent development of BPD. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - June 3, 2017 Category: Psychiatry Source Type: research

Affect in response to stressors and coping strategies: an ecological momentary assessment study of borderline personality disorder
ConclusionsThese findings provide valuable insights into affective instability in BPD and can help inform treatment with individuals with the disorder. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - May 21, 2017 Category: Psychiatry Source Type: research

Health related quality of life and psychopathological distress in risk taking and self-harming adolescents with full-syndrome, subthreshold and without borderline personality disorder: rethinking the clinical cut-off?
ConclusionsFindings highlight that subthreshold BPD in adolescents is associated with impairments in HRQoL and psychopathological distress comparable to full-syndrome BPD. Findings raise awareness on the importance of early detection and question the diagnostic validity and clinical utility of existing cut-offs. Findings support a lower diagnostic cut-off for adolescent BPD, to identify those at-risk at an early stage. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - May 7, 2017 Category: Psychiatry Source Type: research

What we have changed our minds about: Part 1. Borderline personality disorder as a limitation of resilience
AbstractThis paper sets out a recent transition in our thinking in relation to psychopathology associated with personality disorder, in an approach that integrates our thinking about attachment, mentalizing (understanding ourselves and others in terms of intentional mental states) and epistemic trust (openness to the reception of social communication that is personally relevant and of generalizable significance) with recent findings on the structure of both adult and child psychopathology and resilience. In this paper – the first of two parts – we review evidence suggesting that a general psychopathology or p factor un...
Source: Borderline Personality Disorder and Emotion Dysregulation - April 11, 2017 Category: Psychiatry Source Type: research

What we have changed our minds about: Part 2. Borderline personality disorder, epistemic trust and the developmental significance of social communication
AbstractIn Part 1 of this paper, we discussed emerging evidence suggesting that a general psychopathology or ‘p’ factor underlying the various forms of psychopathology should be conceptualized in terms of the absence of resilience, that is, the absence of positive reappraisal mechanisms when faced with adversity. These impairments in the capacity for positive reappraisal seem to provide a comprehensive explanation for the association between the p factor and comorbidity, future caseness, and the ‘hard-to-reach’ character of many patients with severe personality pathology, most notably borderline personality disorde...
Source: Borderline Personality Disorder and Emotion Dysregulation - April 11, 2017 Category: Psychiatry Source Type: research

Evaluation of a psychoeducational group intervention for family and friends of youth with borderline personality disorder
ConclusionsFamily and friends of young people with BPD features experienced subjective, but not objective, benefit from attending a brief group-based psychoeducation intervention. Longer follow-up is likely to be required to detect behavioural change. The current findings support proceeding to a randomised controlled trial of MS-BPD. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - March 24, 2017 Category: Psychiatry Source Type: research

Anger and aggression in borderline personality disorder and attention deficit hyperactivity disorder – does stress matter?
ConclusionsOur findings suggest a significant impact of stress on self-perceived state anger in BPD patients but not on aggressive behavior towards others in females with BPD or ADHD. However, it appears to be pronounced inwardly directed anger which is of clinical importance in BPD patients. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - March 16, 2017 Category: Psychiatry Source Type: research

Self-reported patterns of impairments in mentalization, attachment, and psychopathology among clinically referred adolescents with and without borderline personality pathology
ConclusionsThe results of this study suggest that BPD is a severe mental condition in adolescents and is characterized by poor mentalizing abilities, attachment problems and high levels of psychopathology compared to adolescents with psychiatric disorders other than BPD. Hence, clinicians should consider BPD when conducting diagnostic assessments, and evidence-based treatments for this vulnerable group should be developed. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - February 13, 2017 Category: Psychiatry Source Type: research

Intersect between self-esteem and emotion regulation in narcissistic personality disorder - implications for alliance building and treatment
AbstractBuilding an alliance with patients with pathological narcissism or narcissistic personality disorder, NPD, can be challenging and include avoidance, negative reactivity and disruptions. A main contributing factor can be the complex interaction between emotion and self-esteem regulation, which affects patients ’ ability to engage in a therapeutic alliance and treatment. Recent studies, especially in neuroscience have identified functional characteristic and compromises in self-esteem and emotion regulation related to NPD. Self-enhancement, hyper reactivity and need for control, which patients within the range of d...
Source: Borderline Personality Disorder and Emotion Dysregulation - February 6, 2017 Category: Psychiatry Source Type: research

Mental illness and violent behavior: the role of dissociation
ConclusionsIn a representative sample of individuals with DDs, recent criminal justice involvement was low, and symptomatology did not predict criminality. We discuss the implications of these findings and future directions for research. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - January 22, 2017 Category: Psychiatry Source Type: research

The specificity of emotion dysregulation in adolescents with borderline personality disorder: comparison with psychiatric and healthy controls
ConclusionsFindings suggest BPD-specific elevations on emotion dysregulation generally, and subscales related to behavioral regulation specifically. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - January 9, 2017 Category: Psychiatry Source Type: research

Affective instability and impulsivity predict nonsuicidal self-injury in the general population: a longitudinal analysis
ConclusionsAffective instability and impulsivity are important predictors of nonsuicidal self-injury in the general population. It may be more useful to target affective instability over impulsivity for the treatment of nonsuicidal self-injury. (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - December 12, 2016 Category: Psychiatry Source Type: research

“There is not much help for mothers like me”: Parenting Skills for Mothers with Borderline Personality Disorder – a newly developed group training program
ConclusionsThe results on the acceptance of the training program are promising.Trial registrationNCT02935218, Unique Protocol ID: RenRos01Initial release 80 August 2016, last release 13 October 2016; ‘retrospectively registered’ (Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - November 30, 2016 Category: Psychiatry Source Type: research

Commentary to Nicastro et al. (2016), Borderline Personality Disorder and Emotion Dysregulation
(Source: Borderline Personality Disorder and Emotion Dysregulation)
Source: Borderline Personality Disorder and Emotion Dysregulation - November 21, 2016 Category: Psychiatry Source Type: research

A systematic review on the relationship between antisocial, borderline and narcissistic personality disorder diagnostic traits and risk of violence to others in a clinical and forensic sample
AbstractRisk assessments identify the presence of a Personality Disorder diagnosis as relevant to future violence. At present, risk assessments focus on the presence of the disorder rather than identifying key traits related to risk. Systematic searches of three databases were conducted from January 2000 until August 2014. Of 92,143, 15 studies met the inclusion criteria. A lack of empirical research was found focusing on individual traits; instead most considered PD diagnosis as a sole entity. A preliminary model has been developed detailing the link between potential interactions of diagnostic traits and risk of violence...
Source: Borderline Personality Disorder and Emotion Dysregulation - October 12, 2016 Category: Psychiatry Source Type: research