scholarly journals Symptoms as rapidly fluctuating over time: Revealing the close psychological interconnections among borderline personality disorder symptoms via within-person structures.

2021 ◽  
Author(s):  
Malek Mneimne ◽  
Leah Emery ◽  
R. Michael Furr ◽  
William Fleeson
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Over Time

scholarly journals Levels of Acceptance and Forgiveness Reported by Patients With BPD and Personality-Disordered Comparison Subjects Over 20 Years of Prospective Follow-Up

2020 ◽  
Vol 34 (2) ◽  
pp. 262-272 ◽  
Author(s):  
Mary C. Zanarini ◽  
Christina M. Temes ◽  
Frances R. Frankenburg ◽  
D. Bradford Reich ◽  
Garrett M. Fitzmaurice
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Recovery Status ◽  
Personality Disordered ◽  
Over Time

This study had two objectives: to determine the levels of acceptance and forgiveness reported by patients with borderline personality disorder (BPD) and personality-disordered comparison subjects and by recovered versus non-recovered patients with BPD over 20 years of prospective follow-up. Levels of acceptance and forgiveness were reassessed every 2 years. Patients with BPD reported levels of these states that were approximately 70% lower than comparison subjects at baseline. These states increased significantly over time for patients with BPD but not for comparison subjects. Recovered patients with BPD reported approximately three times the levels of these states than non-recovered patients with BPD. These levels increased for both groups over time; one state (accepting of myself) increased at a significantly steeper rate for recovered patients with BPD. These results suggest that patients with BPD report becoming more accepting and forgiving over time. Additionally, recovery status is significantly associated with increasing time in these states.

Age and clinical presentation of patients at onset of borderline personality disorder in a mental health unit

2011 ◽  
Vol 26 (S2) ◽  
pp. 1017-1017
Author(s):  
J.M. Garcia Tellez ◽  
L. Gonzalez Saavedra ◽  
J.M. Sanchez-Moyano Lea
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Medical Records ◽  
Early Adulthood ◽  
Depressive Mood ◽  
Borderline Personality ◽  
Clinical State ◽  
Childhood And Adolescence ◽  
Main Complaint ◽  
Over Time

OjectiveBorderline Personality disorder is a well recognised syndrome. These patients show a clear emotional unstability, lack of control impulse, unpredictible auto and heteroaggresive behaviour, poor interpersonal realitionships and self image as well as brief psychotic episodes.The unspecific symtomatology and diagnostic difficulty derived from different nosographic frames makes their diagnosis and treatment a challenge. Through the analysis of their medical records we aim to know the age they sought specialized help, the symptomatology at first consultation, the treatment given and the outcome after years of therapy.MethodologySystematic review of all BPD patient's medical records treated in our Unit with a particular reference to age and symptoms at the start of treatment and at present. Medical records from the Childhood and Adolescence Psychiatric Unit were also reviewed to determine the most prominent symptoms at that time.ResultsWe found that the vast majority of cases contacted the psychiatric services in their adolescence and early adulthood, probably in relation to demands of daily life at that age. The most relevant symptoms at onset of illness were depressive mood and anxiety. As time went on depressive symptoms were the main complaint. The clinical state remained fairly stable over time.ConclusionsThere is a clear early onset of symptoms, in particular, affective ones (depression and anxiety) being prominent in childhood and preadolescence. Also there is a stable psychopathology over time which keep the patients on long term follow ups. This medical demand seemed to diminish at their fifth decade.

The Long-Term Course of the Symptoms of Borderline Personality Disorder

2018 ◽  
pp. 67-80
Author(s):  
Mary C. Zanarini
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Clinical Implications ◽  
Prevalence Rates ◽  
Symptom Trajectories ◽  
Self Mutilation ◽  
Over Time

This chapter reports on the prevalence rates of the 24 symptoms of BPD assessed in this study; prevalence rates that are declining over time. It also reports on rates of remission of each of these symptoms and rates of recurrence following periods of remission. The 24 symptoms are divided into 12 acute symptoms (e.g., self-mutilation, suicide efforts) and 12 temperamental symptoms (e.g., chronic feelings of anger, intolerance of aloneness). It was found that acute symptoms remit more rapidly and are less likely to recur. The clinical implications of these different symptom trajectories are discussed in detail.

Bridging the Gap Between Remission and Recovery in BPD: Qualitative Versus Quantitative Perspectives

2019 ◽  
pp. 1-20
Author(s):  
Paul H. Soloff
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychosocial Functioning ◽  
Impulse Control ◽  
Borderline Personality ◽  
Objective Measures ◽  
Changes Over Time ◽  
Symptom Changes ◽  
Over Time

The 10-year outcome for patients with borderline personality disorder (BPD) is diagnostic remission in 85% to 93% however, less than half achieve good social and vocational functioning, and few attain full psychosocial recovery. To assess the gap between diagnostic remission and psychosocial recovery, quantitative measures of outcome were compared with narrative reports of psychosocial functioning in 150 BPD subjects followed prospectively from 2 to 31 years (mean 9.94 years). Subjects with the best and the worst outcomes were compared on symptom changes over time, and on efforts to improve psychosocial functioning. At intake, poor outcome subjects were more impaired than those with good outcomes, with more borderline psychopathology, hospitalizations, and poverty. At follow-up, 53.8% of good outcome subjects complained of continuing problems with depression, 33.3% with anger and impulse control, and 25.6% with unstable relationships. Despite objective measures of improvement, narrative reports documented residual BPD symptoms, comorbidity, and unemployment interfering with psychosocial recovery.

Impulsiveness and Emotional Dysregulation as Stable Features in Borderline Personality Disorder Outpatients Over Time

2020 ◽  
Vol 208 (9) ◽  
pp. 715-720
Author(s):  
Francesca Martino ◽  
Lorenzo Gammino ◽  
Michele Sanza ◽  
Domenico Berardi ◽  
Monica Pacetti ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Emotional Dysregulation ◽  
Over Time
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