Characteristics of Patients with Borderline Personality Disorder in a State Psychiatric Hospital

Leontieva, Luba; Gregory, Robert J.

doi:10.1521/pedi_2013_27_078

Cited by 17 publications

(21 citation statements)

References 22 publications

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“…This outcome could be explained by low diagnostic sensitivity to this PD subtype, as reported elsewhere [7]. Our results are similar to other epidemiologic studies in hospital settings [8]. They concluded with their prevalence that borderline PD is associated with more frequent admissions and numerous management challenges, suggesting the need for comprehensive screening, coordination of care, and specialized treatment programming.…”

Section: Discussionsupporting

confidence: 89%

Trends in Personality Disorder Diagnosis in Hospitalized Patients: Analysis of a Ten-Year Time Series

Fontalba¹

2015

J Psychiatry

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Objectives: The aim of this study is to analyze the evolution of diagnoses of personality disorders and their subtypes. Method: We studied the total population of patients diagnosed with personality disorder (PD) and admitted to acute psychiatric units in all general hospitals, a total of 19 hospitals in Andalusia (south Spain), between 1995 and 2004. The Andalusian Public Healthcare System provides services to universal coverage, so our results are representative of general population. Results: We analyzed the use of each diagnosis in the clinical practice and discussed the observed change in their trends. During this period, there was an increase in borderline, narcissistic, avoidant and dependent PDs, while antisocial, schizoid, obsessive-compulsive and non-specific PDs remained stable and there was a decline in the numbers of histrionic, paranoid and schizotypal PDs. Conclusion: We developed a statistical model reflecting the use of PD diagnoses in a clinical setting, a model that could be used to classify such diagnoses in the future.

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Section: Discussionsupporting

confidence: 89%

Trends in Personality Disorder Diagnosis in Hospitalized Patients: Analysis of a Ten-Year Time Series

Fontalba¹

2015

J Psychiatry

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“…Working with clients with BPD can be challenging (Leontieva & Gregory ). It is therefore not surprising that the staff reported that at times they felt overwhelmed, exhausted, and drained.…”

Section: Discussionmentioning

confidence: 99%

Staff and client perspectives of the Open Borders programme for people with borderline personality disorder

Mortimer-Jones

Morrison

Munib

et al. 2019

Int J Mental Health Nurs

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In recent years, there has been a move away from the medical model of care for people with borderline personality disorder, as hospital admission comes with a number of risks and potential adverse consequences. Although long-term outpatient-based therapy is successful, this may not be an option for those whose condition is in need of stabilisation. Brief admission for crisis intervention has been successful and is now widely used; however, research that examines both the staff and clients' perceptions of a dedicated programme is lacking. Open Borders is a residential recovery-oriented programme that provides brief admission, respite, and phone coaching for people with borderline personality disorder who are heavy users of the public mental health system. In this paper, the authors report the perspectives of clients and staff of the Open Borders programme obtained through semi-structured interviews. Thematic analysis of client and staff perspectives identified four common themes: 'Benefits of the programme', 'Enhanced client outcomes', 'Impact of the physical environment', and 'Ways of enhancing service delivery'. In addition, analysis of the staff perspectives included the theme 'Emotional impact on staff'. Benefits of the programme included the small supportive team approach, flexibility of the staff to spend time with the clients to tailor care, and the relaxed, welcoming environment. Enhanced client outcomes included a reduction in self-harming and hospitalization and an increase in self-efficacy. These results support the move away from the medical model and the empowerment of clients to self-manage their symptoms while fostering hope and self-determination.

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“…Because subjects with several personality disorders are very representative among psychiatric outpatients, we were aware that this decision could reduce the ecological validity of our results, but we prioritized the internal validity. To control the effects of sex, we also excluded men for the current study because the relative risk of under-representation (men : women) among BPD patients when compared with other personality disorders (Goodman et al, 2010;Leontieva & Gregory, 2013) Overall, 137 subjects who were potentially suitable for the study were consecutively recruited. Seven did not fully meet the criteria for a diagnosis of personality disorder, evidencing maladaptive traits instead.…”

Section: Aims Of the Studymentioning

confidence: 99%

Anxious adult attachment may mediate the relationship between childhood emotional abuse and borderline personality disorder

Frías

Palma

Farriols

et al. 2016

Personality and Mental Health

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Characteristics of Patients with Borderline Personality Disorder in a State Psychiatric Hospital

Cited by 17 publications

References 22 publications

Trends in Personality Disorder Diagnosis in Hospitalized Patients: Analysis of a Ten-Year Time Series

Trends in Personality Disorder Diagnosis in Hospitalized Patients: Analysis of a Ten-Year Time Series

Staff and client perspectives of the Open Borders programme for people with borderline personality disorder

Anxious adult attachment may mediate the relationship between childhood emotional abuse and borderline personality disorder

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