The interactive role of distress tolerance and borderline personality disorder in suicide attempts among substance users in residential treatment

2012 ◽  
Vol 53 (8) ◽  
pp. 1208-1216 ◽  
Author(s):  
Michael D. Anestis ◽  
Kim L. Gratz ◽  
Courtney L. Bagge ◽  
Matthew T. Tull
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Residential Treatment ◽  
Distress Tolerance ◽  
Suicide Attempts ◽  
Borderline Personality ◽  
Substance Users

scholarly journals Distress Tolerance, Impulsivity and Aggression: The Role of Emotional Dysregulation and Reward Sensitivity in Individuals With Borderline Personality Disorder Features

2021 ◽  
Vol 9 (1) ◽  
pp. 37-50
Author(s):  
Zahra Shadara ◽  
◽  
Mohsen Dehghani ◽  
Mahmoud Heidari ◽  
Majid Mahmoud Aliloo ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Undergraduate Students ◽  
Emotional Regulation ◽  
Distress Tolerance ◽  
Borderline Personality ◽  
Emotional Dysregulation ◽  
Reward Sensitivity ◽  
Second Phase

Objective: Borderline Personality Disorder (BPD) is one of the most severe psychiatric disorders. This study aimed to predict distress tolerance, impulsivity, and aggression based on emotional dysregulation and reward sensitivity among individuals with BPD features. Methods: The study population was undergraduate students of Shahid Beheshti University, Tehran City, Iran, in the academic year 2017-18. A total of 1005 male and female students were chosen based on the available sampling method and were screened according to the personality assessment inventory-borderline scale. Finally, 146 subjects (50 males and 96 females) could reach the second phase of the research, and all of them completed the difficulties in emotion regulation scale, distress tolerance scale, Balloon analog risk task as well as aggression questionnaire. To analyze the data, we used multivariate regression analysis. Results: Results of the current research showed that emotional dysregulation and its components had a predictive role in distress tolerance and aggression. On the other hand, only reward sensitivity could have an essential role in predicting impulsivity in individuals with BPD features. Conclusion: This study reflects the remarkable role of emotional regulation mechanisms in distress tolerance and aggression, and in contrast, the role of biological mechanisms such as sensitivity to reward in impulsivity among individuals with BPD features. Furthermore, the present research results can have clinical implications considering both etiology and treatment of BPD patients.

scholarly journals Clinical and sociodemographic variables as risk factors for suicidal behavior in Borderline Personality Disorder: a restrospective study.

2021 ◽  
Author(s):  
Iñigo Alberdi-Paramo ◽  
Germán Montero-Hernández ◽  
María Dolores Sáiz-González ◽  
Marina Díaz-Marsá ◽  
José Luis Carrasco-Perera
Keyword(s):  
Risk Factors ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Suicidal Behavior ◽  
Negative Binomial ◽  
Rating Scale ◽  
Suicide Attempts ◽  
Borderline Personality ◽  
Sociodemographic Variables

Abstract Background: Suicidal behavior (SB) is nuclear in Borderline Personality Disorder (BPD). It is considered a symptom clinically relevant and with an important prognostic value. The literature describes different variables related to SB in BPD such as impulsivity, aggressiveness or hopelessness. There are not hardly any studies focused on the role of sociodemographic variables and their specific relationship with SB in BPD. The objective of this work is to identify which clinical and sociodemographic parameters could act as markers of suicide risk in BPD. Methods: A cross-sectional, observational, and retrospective study was conducted of a sample of 134 patients diagnosed with BPD. The analysis of the association between variables was carried out with a multivariate negative binomial logistic regression model. Results: SB is related to the number of siblings with statistical significance. Likewise, a greater number of suicide attempts is significantly associated with female gender, parenthood, permanent work, sick leaves and the number of previous hospital admissions. Both the presence of SB and a greater number of suicide attempts are significantly related to history of trauma in childhood and to the score in Hamilton Anxiety Rating Scale. Conclusions: These parameters could act as risk factors for SB in BPD. The role of these variables could be the subject of further research projects in order to identify them in clinical practice.

scholarly journals Clinical and Sociodemographic Variables as Risk Factors For Suicidal Behavior In Borderline Personality Disorder: A Restrospective Study

2020 ◽  
Author(s):  
Iñigo Alberdi-Paramo ◽  
Germán Montero-Hernández ◽  
María Dolores Sáiz-González ◽  
Marina Díaz-Marsá ◽  
José Luis Carrasco-Perera
Keyword(s):  
Risk Factors ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Negative Binomial ◽  
Suicide Attempts ◽  
Hospital Admissions ◽  
Statistical Significance ◽  
Borderline Personality ◽  
Sociodemographic Variables

Abstract Background:Suicidal behavior (SB) is nuclear in Borderline Personality Disorder (BPD). It is considered a symptom clinically relevant and with an important prognostic value. The literature describes different variables related to SB in BPD such as impulsivity, aggressiveness or hopelessness. There are not hardly any studies focused on the role of sociodemographic variables and their specific relationship with SB in BPD. The objective of this work is to identify which clinical and sociodemographic parameters could act as markers of suicide risk in BPD.Methods:A cross-sectional, observational, and retrospective study was conducted of a sample of 134 patients diagnosed with BPD. The analysis of the association between variables was carried out with a multivariate negative binomial logistic regression model.Results:SB is related to the number of siblings with statistical significance. Likewise, a greater number of suicide attempts is significantly associated with female gender, parenthood, permanent work, sick leaves and the number of previous hospital admissions. Both the presence of SB and a greater number of suicide attempts are significantly related to history of trauma in childhood and to the score in Hamilton Anxiety Rating Scale.Conclusions: These parameters could act as risk factors for SB in BPD. The role of these variables could be the subject of further research projects in order to identify them in clinical practice.

Progression from interpersonal problems to suicidal ideation and suicidal behavior in borderline personality disorder

2020 ◽  
Author(s):  
Timothy Allen ◽  
Michael Hallquist ◽  
Aidan G.C. Wright ◽  
Alexandre Dombrovski
Keyword(s):  
Borderline Personality Disorder ◽  
Suicidal Ideation ◽  
Personality Disorder ◽  
Negative Affect ◽  
Structural Equation ◽  
Suicide Attempts ◽  
Borderline Personality ◽  
Equation Modeling ◽  
Interpersonal Dysfunction ◽  
Suicidal Crisis

Importance: Clinicians treating borderline personality disorder (BPD) are often faced with the difficult challenge of assessing when, and for whom, risk for suicide is greatest. Addressing this dilemma requires longitudinal, prospective data from high-risk samples with an elevated base rate of suicide attempts.Objective: To test whether dispositional characteristics modulate the pathway from interpersonal dysfunction to suicide in BPD. Design: This longitudinal, observational study was conducted between 1990 and 2020. Data were analyzed between April and July 2020. Participants were assessed annually for up to 30 years (mean number of follow-ups = 7.82). Setting: Participants were recruited from inpatient, outpatient, and community referral sources.Participants: 458 individuals (Mean age = 28.59, 77% female) diagnosed with BPD.Main Outcomes and Measures: Presence or absence of a suicide attempt within one year of each follow-up assessment. Multilevel structural equation modeling was used to 1) examine longitudinal, within-person transitions from interpersonal dysfunction to suicidal ideation to suicide attempts (i.e., the [I]nterpersonal-[I]deation-[A]ttempt pathway); and 2) evaluate whether two maladaptive personality dimensions, negative affect and disinhibition, moderated these transitions.Results: At the within-person level, there was support for the I-I-A pathway: suicidal ideation accounted for the association between interpersonal dysfunction and suicide attempts. Personality further moderated each component of the I-I-A pathway: negative affect was associated with a stronger coupling between interpersonal dysfunction and ideation; and disinhibition was associated with a stronger coupling between ideation and attempts. Conclusions and Relevance: The escalation from interpersonal difficulties to a suicidal crisis in BPD involves two psychologically distinct process. An internalizing process links interpersonal dysfunction to suicidal ideation and is facilitated by trait negative. An additional externalizing process links suicidal ideation to suicide attempts, and is facilitated by trait disinhibition. Assessment of these intra- and interindividual risk factors may inform clinical decisions about when, and for whom, crisis intervention is necessary.

scholarly journals Experiences of Compassion in Adults With a Diagnosis of Borderline Personality Disorder: An Interpretative Phenomenological Analysis

2021 ◽  
pp. 003329412110006
Author(s):  
Stephanie Fagan ◽  
Suzanne Hodge ◽  
Charlotte Morris
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Interpretative Phenomenological Analysis ◽  
Sense Of Self ◽  
Phenomenological Analysis ◽  
Borderline Personality ◽  
Adverse Impact ◽  
Empathic Understanding ◽  
Therapeutic Encounters

The study explored experiences of compassion in adults with a diagnosis of Borderline Personality Disorder (BPD) to further the development of the construct of compassion in relation to BPD. Interpretative Phenomenological Analysis was used to develop themes from the narratives of six adults with a diagnosis of BPD. Five themes emerged: Emotional Connection to Suffering, Empathic Understanding, Prioritisation of Needs, A Model of Genuine Compassion and Developing Acceptance and Worth. Participants described the role of compassion in their difficulties, including the adverse impact of experiences of incompassion upon their sense of self. The themes were integrated into a model that highlighted a process of recovery through therapeutic encounters with others in which genuine compassion was modelled. In addition, barriers to compassion and factors facilitating the development of compassion emerged from the analysis and have implications for clinical practice.

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