Gender differences and similarities in aggression, suicidal behaviour, and psychiatric comorbidity in borderline personality disorder

2018 ◽  
Vol 139 (2) ◽  
pp. 145-153 ◽  
Author(s):  
L. Sher ◽  
S. B. Rutter ◽  
A. S. New ◽  
L. J. Siever ◽  
E. A. Hazlett
Keyword(s):  
Gender Differences ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Suicidal Behaviour ◽  
Psychiatric Comorbidity ◽  
Borderline Personality ◽  
Gender Differences And Similarities

Economic Evaluation of a Mobile Diary App versus Paper-based Diary Cards for Patients with Borderline Personality Disorder (Preprint)

2021 ◽  
Author(s):  
Sidsel Lund Laursen ◽  
Astrid Langergaard ◽  
Jesper Søndergaard ◽  
Sabrina Storgaard Sørensen ◽  
Stig Helweg-Jørgensen ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Data Collection ◽  
Suicidal Behaviour ◽  
Borderline Personality ◽  
Healthcare Sector ◽  
Qaly Gain ◽  
Depression Severity ◽  
Advantages And Disadvantages ◽  
Psychiatric Outpatient

BACKGROUND The use of mobile diary applications (apps) in dialectical behaviour therapy (DBT) could entail several positive consequences, such as allowing therapists to follow their patients during treatment. OBJECTIVE The objective of this study was to examine the costs and consequences of using a mobile diary app compared to paper-based diary cards in DBT treatment for patients with borderline personality disorder (BPD) in a psychiatric outpatient facility to develop the current knowledge. METHODS The study was conducted alongside a pragmatic, multicentre randomized controlled trial. Participants were recruited at five Danish psychiatric outpatient facilities and were randomized to register emotions, urges, and skills use in a mobile diary app or on paper-based diary cards. Participants in both groups received DBT delivered by therapists. A cost-consequence analysis with a time horizon of 12 months was undertaken. Consequences included quality-adjusted life years (QALY), depression severity, borderline severity, suicidal behaviour, healthcare use, and treatment compliance. Moreover, advantages and disadvantages of using a mobile diary app were studied. All relevant costs were included. RESULTS In total, 78 participants were included in the analysis. Participants in both groups had a QALY gain, and a decrease in depression severity, borderline severity, and suicidal behaviour. Significant differences were found between the app group and the paper group for both QALY gain (adjusted difference -0.054, SE 0.03) and depression severity (adjusted difference -1.11, SE 1.57). The use of services in the healthcare sector was similar across both time points and groups (difference: psychiatric hospitalization <5 and <5, general practice -1.32, SE 3.68 and 2.02, SE 3.19). An insignificantly higher number of participants in the paper group dropped out before treatment start (P value .07). Of those starting treatment, participants in the app group had an average of 37.1 (SE 27.55) more days of treatment and registered an average of 3.16 (SE 5.10) more skills per week than participants in the paper group. The mobile diary app was considered timesaving as it was expected to be 1 minute faster to complete. Advantages of the app were the opportunity to choose between different methods of registering; comparative ease of use; increased self-insight; and a new type of data collection. Disadvantages were a negative influence on the therapist-patient interaction; worries about performance goals; reduced flexibility in data collection; and implementation issues. The between-group difference in total costs ranged from £78.15-234.44 per participant during the 12-months. CONCLUSIONS A mobile diary app can potentially entail several positive consequences for patients suffering from BPD although at a higher cost than paper-based diary cards. A mobile diary app might contribute with new information on the patients, which is not available from the paper diary. Further research is encouraged, as this is still a new field. CLINICALTRIAL ClinicalTrials.gov NCT03191565 INTERNATIONAL REGISTERED REPORT RR2-

scholarly journals Mediating role of borderline personality disorder traits in the effects of childhood maltreatment on suicidal behaviour among mood disorder patients

2017 ◽  
Vol 44 ◽  
pp. 53-60 ◽  
Author(s):  
K.I. Aaltonen ◽  
T. Rosenström ◽  
I. Baryshnikov ◽  
B. Karpov ◽  
T. Melartin ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Suicidal Ideation ◽  
Personality Disorder ◽  
Childhood Maltreatment ◽  
Suicidal Behaviour ◽  
Suicide Attempts ◽  
Borderline Personality ◽  
Mediation Effect ◽  
Mediation Analyses ◽  
Borderline Personality Disorder Traits

AbstractBackground:Substantial evidence supports an association between childhood maltreatment and suicidal behaviour. However, few studies have examined factors mediating this relationship among patients with unipolar or bipolar mood disorders.Methods:Depressive disorder and bipolar disorder (ICD-10-DCR) patients (n = 287) from the Helsinki University Psychiatric Consortium (HUPC) Study were surveyed on self-reported childhood experiences, current depressive symptoms, borderline personality disorder traits, and lifetime suicidal behaviour. Psychiatric records served to complement the information on suicide attempts. We examined by formal mediation analyses whether (1) the effect of childhood maltreatment on suicidal behaviour is mediated through borderline personality disorder traits and (2) the mediation effect differs between lifetime suicidal ideation and lifetime suicide attempts.Results:The impact of childhood maltreatment in multivariate models on either lifetime suicidal ideation or lifetime suicide attempts showed comparable total effects. In formal mediation analyses, borderline personality disorder traits mediated all of the total effect of childhood maltreatment on lifetime suicide attempts, but only one fifth of the total effect on lifetime suicidal ideation. The mediation effect was stronger for lifetime suicide attempts than for lifetime suicidal ideation (P = 0.002) and independent of current depressive symptoms.Conclusions:The mechanisms of the effect of childhood maltreatment on suicidal ideation versus suicide attempts may diverge among psychiatric patients with mood disorders. Borderline personality disorder traits may contribute to these mechanisms, although the influence appears considerably stronger for suicide attempts than for suicidal ideation.

Gender Differences in a Clinical Sample of Patients with Borderline Personality Disorder

2012 ◽  
Vol 26 (3) ◽  
pp. 368-380 ◽  
Author(s):  
Anke Banzhaf ◽  
Kathrin Ritter ◽  
Angela Merkl ◽  
Olaf Schulte-Herbrüggen ◽  
Claas-Hinrich Lammers ◽  
...  
Keyword(s):  
Gender Differences ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Clinical Sample ◽  
Borderline Personality

Hostility and childhood sexual abuse as predictors of suicidal behaviour in Borderline Personality Disorder

2013 ◽  
Vol 210 (3) ◽  
pp. 980-985 ◽  
Author(s):  
Liliana Ferraz ◽  
Maria J. Portella ◽  
Mónica Vállez ◽  
Fernando Gutiérrez ◽  
Ana Martín-Blanco ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Borderline Personality Disorder ◽  
Childhood Sexual Abuse ◽  
Personality Disorder ◽  
Suicidal Behaviour ◽  
Borderline Personality

scholarly journals Gender differences in borderline personality disorder: findings from the collaborative longitudinal personality disorders study

2003 ◽  
Vol 44 (4) ◽  
pp. 284-292 ◽  
Author(s):  
Dawn M Johnson ◽  
M.Tracie Shea ◽  
Shirley Yen ◽  
Cynthia L Battle ◽  
Caron Zlotnick ◽  
...  
Keyword(s):  
Gender Differences ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Borderline Personality

Gender Differences in Sexual Preference And Substance Abuse Of Inpatients With Borderline Personality Disorder

1993 ◽  
Vol 7 (2) ◽  
pp. 182-185 ◽  
Author(s):  
Rebecca A. Dulit ◽  
Minna R. Fyer ◽  
Frank T. Miller ◽  
Michael H. Sacks ◽  
Allen J. Frances
Keyword(s):  
Gender Differences ◽  
Substance Abuse ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Sexual Preference
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