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Purpose: Borderline personality disorder (BPD) and eating disorders are highly comorbid, but the shared course of symptoms and associated risks remain poorly understood. The aim of this study was to examine joint symptom trajectories, temporal precedence, risk factors, and population attributable fractions (PAFs) in a community sample of adolescents, using a developmental psychopathology and psychosocial framework. Methods: Across five years (age 14–18 years), adolescents (n = 544, 56% girls) reported on BPD features and disordered eating behavior. Sociodemographic, interpersonal, and clinical risks were assessed in childhood (age 10–13 years). We used a person-centered approach to examine latent class growth analyses, joint trajectory models, and calculated PAFs. Results: Three-class solutions were found for both disordered eating and BPD features (low, moderate, high), creating nine joint trajectories. High levels of disordered eating were a stronger indicator of high levels of BPD features than was the reverse. Girls and LGBTQ+ youth were most likely to be in a high symptom trajectory. Bullying perpetration and clinical hyperactivity were unique risks for BPD features. Bullying victimization contributed the largest PAF to disordered eating and BPD features. Conclusion: We identified several novel and clinically relevant findings related to temporality, risks, screening, and the treatment of adolescent eating problems and BPD. [ABSTRACT FROM AUTHOR]

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Introduction: Considering that schema therapy can play an effective role in improving psychological symptoms; Therefore, the present study was conducted with the aim of determining the effectiveness of schema-therapy on feelings of failure and self-compassion in people with borderline personality disorder. Methods: The research method is quasi-experimental with random This study was a semi-experimental method with a pre-test, post-test and twomonth follow-up plan with a control group. The target population was all patients with borderline personality who referred to the specialized psychological clinic in Tehran in 1403. The size of the examined sample was determined by referring to Cohen's table, 95% confidence level, 0.30 effect size and 0.83 statistical power for each group of 12 people. However, since there was a possibility of some samples falling and also in order to generalize the results, the sample size was determined to be 15 people in each group. Research tools were Neff's self-compassion scale (SCS) and Gilbert and Allen's feelings of failure questionnaire. In order to analyze the data in this research, Two-way analysis of variance with repeated measure was performed using SPSS version 25 software. Results: The results showed that the average score of self-compassion in the treatment group significantly increased compared to the control group and the feeling of failure decreased (P<0.01). Conclusion: It can be said that the use of schema therapy is effective on patients with borderline personality. Based on this, it is recommended to use schema therapy for improvement in people with borderline personality. [ABSTRACT FROM AUTHOR]

Purpose: Major depressive disorder (MDD) is a complex condition believed to arise from a multifaceted interplay of genetic, environmental, and biological factors. In the pursuit of understanding its etiology, two elements that warrant investigation are borderline personality disorder (BPD) and affective temperaments. We aim to gain deeper insights into the mechanisms underlying this debilitating mental health condition. Method: The dataset comprises individuals who sought assistance from psychiatry outpatient clinics for diverse reasons during the period spanning from 2018 to 2022. These individuals underwent SCID-II assessments to diagnose borderline personality disorder (BPD) and also completed the TEMPS-A temperament tests. Results: The mean years of schooling was lower in the MDD group (p = 0.014). Two groups are compared in terms of affective temperament. Depressive (p < 0.0001), cyclothymic (p < 0.0001), anxious (p = 0.001), and irritable (p < 0.0001) temperament scores were statistically higher in the MDD group. Apart from the scale scores, the prevalence of affective temperament was evaluated and the same temperaments (depressive (p < 0.0001), cyclothymic (p < 0.0001), anxious (p = 0.001), and irritable (p < 0.0001)) were found to be significantly higher in the MDD group. Diagnosis of BPD is higher in the MDD group (p = 0.002). Binary logistic regression analysis revealed that the presence of cyclothymic temperament and marital status may be predictor factors for the development of MDD (p < 0.0001, CI: 0.001–0.121 and p = 0.002, CI: 1.550–7.172, respectively). Conclusion: Notably, higher scores in cyclothymic temperament and experiencing loneliness have been identified as significantly associated with MDD. Interestingly, in patients with comorbid BPD-MDD, the presence of cyclothymic temperament appears to be a more critical factor than personality traits. This finding underscores the potential role of cyclothymic temperament in contributing to the co-occurrence of BPD and MDD. [ABSTRACT FROM AUTHOR]

Copyright of OPUS Journal of Society Research is the property of OPUS - International Journal of Society Research and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Jeffrey Young assumes that people suffering from personality disorders differ from healthy ones in schema modes intensity but not diversity. Besides, healthy people also present behaviours typical for personality disorders, but to a lesser extent. However, research lacks the interrelationships between modes, especially in healthy individuals. The presented study aimed to investigate the mutual relations between the schema modes using path analysis to understand better problematic behaviour in borderline and narcissistic types in a non-clinical sample and to verify Young assumption about the continuum of the schema modes. A sample of 467 healthy adults aged 18–50 (M = 32.87, SD = 10.56), 52.9% of whom were women, completed SMI 1.1 and SCID-II. Descriptive statistics, matrix of correlation and structural equation modelling were used. Results confirmed the significance of the theoretically assumed and previously empirically proved schema modes also for healthy people. The most important modes for both borderline and narcissistic behaviours are the Punitive Parent, the Angry Child and the Enraged Child modes. For borderline behaviour, the Detached Protector coping mode, connected to a sense of emptiness, is significant. Narcissistic behaviour relates to Bully and Attack, and Self-Aggrandiser modes and is connected to aggressive and dominant behaviour. The obtained models explain 47% of the variance in borderline and 44% in narcissistic behaviours. The study indicates the validity of analysing the modes among people with lower intensity of behaviours typical for personality disorders and also confirms Young's assumptions about the universality of schema modes. Results are discussed in the context of their relevance for practitioners. [ABSTRACT FROM AUTHOR]

Abstract Research on borderline personality disorder (BPD) in clinical populations is extensive, and its impact on nonclinical populations is developing importance. The present study examined whether the presence of borderline personality features in nonclinical young adults is associated with identity disturbance, considering the potential mediating roles of anxiety and deliberate self‐harm (DSH). A total of 162 participants completed an online survey incorporating four measures: the Borderline Symptoms List‐23, Beck Anxiety Inventory, DSH Inventory, and the Self‐Concept and Identity Measure. A parallel indirect effects analysis indicated that the indirect effects of BPD features on identity disturbance via anxiety and DSH were not significant. However, BPD features remained a significant predictor of identity disturbance, even after controlling for the influence of anxiety and DSH factors (direct effect).

Copyright of Psychiatrie Pro Praxi is the property of SOLEN sro and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: A positive association between Internet usage time and Internet addiction among adolescents and adults has been frequently reported; however, studies of working adults focusing on weekdays and holidays are limited. Therefore, this study aimed to elucidate the association between Internet usage time and psychometric tests among working adults in their 30s, focusing on weekdays and holidays. Methods: A total of 129 workers aged 30–39 years participated in this study. Participants completed a questionnaire and interview regarding psychometric tests, including Internet usage time, Internet addiction tendency, smartphone addiction tendency, depression tendency, and personality traits. A correlation analysis focusing on differences between weekdays and holidays was conducted. Results: The scores on Internet addiction scales are weakly positively correlated with holiday Internet usage time. The scores of smartphone addiction scales are also weakly positively correlated with the holiday Internet time. No correlation was found between weekdays Internet usage time and scores on Internet addiction scales. Conclusions: Internet usage time during holidays is associated with Internet addiction tendency among the working adult samples. Holiday Internet usage time could be a useful indicator of risk of Internet addiction. Our pilot findings provide clues to the mental health affected by the Internet, especially among adults.

This study examined the prospective relations of baseline borderline personality disorder (BPD) symptoms to later coping- and health-related outcomes during the early stages of the COVID-19 pandemic, as well as the moderating role of social media addiction in these relations. A U.S. nationwide community sample of 377 adults completed a prospective online study, including an initial assessment completed between March 27 and April 5, 2020 and a follow-up assessment one-month later. Baseline BPD symptoms were uniquely positively associated with maladaptive emotion regulation strategies, past-month substance use, thwarted belongingness, and health anxiety at one-month follow-up. BPD symptoms were also found to be positively associated with substance use and thwarted belongingness only among participants with high levels of social media addiction. Results suggest that individuals with BPD pathology may be particularly vulnerable to adverse coping- and health-related outcomes during a pandemic, and highlight the potential downsides of excessive social media use in the context of a global health crisis. [ABSTRACT FROM AUTHOR]

Few studies have investigated the feasibility of researching brief forms of dialectical behaviour therapy (DBT) for borderline personality disorder (BPD) in public mental health settings. This study aimed to provide preliminary evidence for the feasibility of implementing DBT over a 6-month period for BPD symptoms within Australian public mental health services. Of the 79 participants with BPD recruited, 62 commenced and 24 participants completed the therapy. The participants attended one of three outpatient DBT programmes and completed measures of BPD symptoms, DBT skills-use, and difficulties with emotion regulation at baseline and after 6 months of treatment. A major challenge with feasibility identified was the high attrition rate (61%). However, for completers there were significant improvements in BPD symptoms, DBT skills-use, and difficulties with emotion regulation. These effect sizes were used to estimate the sample sizes needed by future larger trials of brief DBT for BPD in public health settings. The implementation of brief DBT for BPD patients within a public mental health outpatient setting, appears to result in significant reductions in BPD symptoms. However, further exploration of strategies to reduce drop-out rates are required. [ABSTRACT FROM AUTHOR]

Past research has shown that those with greater experiences of adversity (abuse and neglect) tend to exhibit insecure attachments, more borderline symptoms, higher psychopathic traits, and are lower in mindfulness. Similarly, there have been positive relationships between insecure attachment styles and borderline and psychopathic traits as well as lower mindfulness and borderline and psychopathic traits. Further, adversity can have a detrimental effect on physical and mental health, including attachment and personality, which necessitate examining this further. The purpose of this study was to examine the indirect relationships between childhood adversity and borderline traits, Factor 1, and Factor 2 of psychopathy all through lower mindfulness, anxious attachment, and avoidant attachment respectively. In this study, using youth retrospective data (N = 395, age range = 12–18, M = 14.64, SD = 1.52), 3 separate mediation models are examined. As expected, the relationship between adversity and borderline traits was indirect through anxious attachment (β = 0.075, p <.01) and lower mindfulness (β = 0.069, p <.01). For psychopathic traits, the relationship was indirect through avoidant attachment (Factor 1: β = 0.078, p <.05; Factor 2: β = 0.071, p <.05) and lower mindfulness (Factor 1: β = 0.074, p <.01: Factor 2: β = 0.076, p <.01). The results suggest that lower mindfulness and insecure attachment are important factors in the expression of disordered personality. Therefore, both mindfulness and attachment-focused interventions could mitigate the harmful effects of adversity and the subsequent expression of disordered personality symptoms. [ABSTRACT FROM AUTHOR]

This systematic review aimed to explore social and occupational functioning levels in individuals with BPD and whether this varies according to symptomatic status, age, or gender. A multi-database search was conducted for articles, and of the 1164 records identified, 19 were included in this review. Of the 15 studies reporting on social functioning, 13 indicated significant levels of impairment, and of the 14 studies reporting on global functioning, all indicated significant impairment across both clinical and in-remission populations. Occupational functioning was primarily assessed as either a part of global functioning or by subscales within social functioning, highlighting a lack of use of dedicated measures for its assessment. This systematic review found that individuals with BPD experience a range of significant impairments in functioning persisting across the lifespan. Further studies are warranted to explore levels of functional impairment across all functional domains and factors associated with continual functional impairment in this population. [ABSTRACT FROM AUTHOR]

The aim of the current study was to utilize a well-known trust versus lottery paradigm to evaluate interpersonal trust in adolescents with borderline personality disorder (BPD). The study included 126 healthy controls, 59 inpatient adolescents with a diagnosis of BPD, and 137 inpatient adolescents without BPD. Alongside diagnostic measures, a questionnaire-based measure for assessing trust beliefs was administered to probe group differences in trust beliefs and associations between game behavior and trust beliefs. No main effect for group or condition was found. A significant interaction of trial and group was noted, suggesting that across games, psychiatric controls demonstrated the steepest increase in trust over time, followed by the BPD and healthy control groups. Healthy controls evidenced significantly higher levels of trust beliefs compared to BPD and psychiatric controls. Reasons for nonreplication of previously demonstrated anomalous game behavior in adults in this adolescent sample are discussed. [ABSTRACT FROM AUTHOR]

This study aimed to investigate the moderating effect of mental pain on the association between depression, anxiety, and borderline personality disorder. This study was descriptive and correlational in nature. The statistical population of this research consisted of all students at Shahid Beheshti University in Tehran in 2021, and the random sample consisted of 310 men and women. Participants completed the Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Mental Pain Scale (OMMP), and Personality Assessment Index-Characteristics of Borderline Personality Disorder (PAI-BOR). Hierarchically examined data were subjected to multiple regression analysis using SPSS-26 software. The results showed that the variables of anxiety, depression, and mental anguish accurately predict the characteristics of borderline personality disorder. In addition, the interaction between the variables of depression and psychological distress is predictive of borderline personality disorder characteristics. There was no significant interaction between psychological discomfort and anxiety. Therefore, psychological distress has a moderating effect on the relationship between depression and borderline personality disorder characteristics. According to the results, it is explained that the higher experience of mental pain is a result of not satisfying inner and interpersonal needs, and that less satisfaction causes the individual to have a more negative self-image and more negative emotions, or, in other words, more psychological pain. In addition, high levels of psychological distress are associated with elevated levels of borderline personality disorder characteristics, such as emotional instability, identity disorder, and self-harm.

Abstract Background Emotion dysregulation is core to many biopsychosocial models of Borderline Personality Disorder (BPD) and is often targeted as part of their associated psychological therapies. Several distinct specialist psychotherapies are thought to be effective for people diagnosed with BPD but it is unclear whether they share common change mechanisms. Some evidence suggests that Mindfulness Based Interventions improve competency in emotion regulation as well as trait mindfulness, which are both plausibly associated with good treatment outcomes. It is unclear whether the association between the severity of BPD symptoms and emotion dysregulation is mediated by trait mindfulness. Would improvement in trait mindfulness mediate an association between lower severity of BPD symptoms and fewer problems of emotion dysregulation? Methods One thousand and twelve participants completed online, single time-point, self-report questionnaires. Results As predicted, the severity of BPD symptoms was significantly and positively associated with emotion dysregulation with a large effect size (r = .77). Trait mindfulness mediated this relationship as the 95% confidence interval for the indirect effect did not cross zero (size of direct effect = .48 and size of indirect effect = .29 [.25, .33]. Conclusions The relationship between the severity of BPD symptoms and emotion dysregulation was confirmed in this dataset. As hypothesised, this relationship was mediated by trait mindfulness. Process measures of emotion dysregulation and mindfulness should be included in intervention studies for people diagnosed with BPD to understand if improvements in these factors are a universal occurrence with good response to treatment. Other process measures should also be explored to identify other factors involved in the relationship between BPD symptoms and emotion dysregulation.

Introduction: Although the relationship between borderline personality traits and students' non-suicidal self-injury has been confirmed, little attention has been paid to its mediating factors. Therefore, the aim of this study was to investigate the mediating role of cognitive emotion regulation in the relationship between borderline personality traits and non-suicidal self-injury in students.Method: This was a descriptive correlational study. The statistical population included 202 students of Azad Islamic University of Neyshabur, Iran. The participants were selected by convenience sampling method. Data were collected by borderline personality scale (STB), cognitive emotion regulation questionnaire (CERQ), and deliberate self-harm inventory (DSHI). Data were analyzed using SPSS software, LISREL software, Pearson correlation, and structural equation modeling.Result: The findings showed that maladaptive cognitive emotion regulation strategies (self-blame, rumination, catastrophizing, other-blame) mediated the relationship between borderline personality traits and non-suicidal self-injury in students.Discussion and conclusion: According to the results of the present study, people with borderline personality traits experience non-suicidal self-injury through maladaptive cognitive emotion regulation strategies. Therefore, clinical interventions related to emotion regulation can play an important role in preventing non-suicidal self-injury.

The aim of the current study was to examine the mediating roles of early maladaptive schema domains and emotion regulation difficulties in the relationship between perceived parenting styles and borderline personality traits. According to analysis results, the increase in perceived conditional/achievement focused parenting (i.e., maternal, and paternal) predicted borderline personality traits through the mediation of disconnection and unrelenting standards schema domains and emotion regulation difficulties. Moreover, the increase in perceived maternal exploitative/abusive parenting predicted borderline personality traits through both directly and the mediation of disconnection schema domain. Additively, the increase in perceived paternal exploitative/abusive parenting predicted borderline personality traits also through emotion regulation difficulties as well as schema domains. It has been understood the increase in perceived maternal overprotective/anxious parenting had a predictive role on the borderline personality traits through unrelenting standards schema domain and emotion regulation difficulties. Furthermore, perceived paternal restricted/emotionally inhibited parenting predicted increases in borderline personality traits in two ways: directly and through the mediation of disconnection schema domain and emotion regulation difficulties. Finally, perceived paternal over permissive/boundless parenting predicted borderline personality traits through disconnection schema domain and emotion regulation difficulties. Although physical and sexual abuse has been especially emphasized in the etiology of borderline personality symptoms, this study highlighted the importance of basic emotional needs that might play a role in the development of borderline personality symptoms by addressing the early life experiences more comprehensively on the basis of different parenting styles. [ABSTRACT FROM AUTHOR]

Borderline personality disorders account for 50% of adolescent hospitalization cases in psychiatry. The severity and psychopathological complexity of these symptoms indicate the need for inclusive models of understanding. Adopting a holistic approach allows for the consideration of not only the patient's environment, but also their position within that environment and their life history. In this article, a model based on the concept of therapeutic containment at three levels is presented. Global containment refers to the mindset and organization of the institution that provides care, which is itself a part of society at a specific time. Local containment focuses on understanding and therapeutic interventions within the immediate social environment of the individual. Lastly, individual containment encompasses the development of independent processes during the course of care. These three levels are integrated in the hospital treatment of borderline personality disorders, forming a trans-theoretical approach. [ABSTRACT FROM AUTHOR]

Abstract Background Judging positive emotional states or the trustworthiness of others is important for forming and maintaining social affiliations. Past studies have described alterations in these appraisal processes in Borderline Personality Disorder (BPD), which might have been exacerbated during the Covid-19 pandemic by the requirement to wear face masks. In the present study, we investigated in an online-survey a) whether social judgments are particularly strongly affected in individuals with BPD when they have to judge happiness and trustworthiness in facial stimuli covered by a mask, b) whether appraising a positive emotional state affects trustworthiness appraisals differentially in BPD and healthy individuals and c) whether social judgments are related to how individuals with BPD experience wearing masks during the pandemic. Methods Participants (67 HC, 75 BPD) judged happiness and trustworthiness of faces with calm expression with and without masks. Additionally, data on participants’ confidence in their judgments, the experience of the burden induced by wearing masks, the protective benefits of masks, and compliance to wearing masks were collected. Results Happiness and trustworthiness were evaluated less confidently and less intense in the BPD group compared to HC. Masks reduced happiness and trustworthiness ratings in both groups. Lower happiness appraisals contributed to lower trustworthiness appraisals except for those with BPD and low levels of symptom severity. Lower trustworthiness ratings were associated with a higher burden, attributing a lower benefit to masks and lower compliance with wearing masks in BPD. Conclusions Masks do not exacerbate deficits in social judgments. However, lower trustworthiness appraisals in general were linked with more negative evaluations of wearing masks in the BPD group. Trial registration The aims and hypotheses were preregistered together with the design and planned analyses ( https://aspredicted.org/f5du7.pdf ). For findings of an additionally preregistered research question on the impact of adverse childhood experiences see supplementary material.

Insecure attachment and difficulties in regulating anger have both been put forward as possible explanations for emotional dysfunction in borderline personality (BP). This study aimed to test a model according to which the influence of attachment on BP features in a subclinical population is mediated by anger regulation. In a sample of 302 participants, BP features were assessed with the Borderline features scale of the Personality Assessment Inventory (PAI-BOR), attachment was measured with the Experiences in Close Relationships-12 (ECR-12), and trait anger and anger regulation were assessed with the State and Trait Anger Expression Inventory-2 (STAXI-2). The results indicated that anger suppression emerged as a significant mediator of the associations between both anxious and avoidant attachment and BP traits, while anger control resulted as a marginal mediator in the association between attachment avoidance and BP. Suppressing anger may reflect different forms of cognitive or behavioural avoidance of anger, which may differ on the basis of attachment orientations. We argue that these results may have important clinical implications: the promotion of anger regulation in BP should be considered a critical treatment goal. [ABSTRACT FROM AUTHOR]

Background: Borderline personality disorder (BPD) is associated with altered activity in the prefrontal cortex (PFC) and amygdala, yet no studies have examined fronto-limbic circuitry in borderline adolescents and emerging adults. Here, we examined the contribution of fronto-limbic effective connectivity (EC) to the longitudinal stability of emotion-related impulsivity, a key feature of BPD, in symptomatic adolescents and young adults. Methods: We compared resting-state EC in 82 adolescents and emerging adults with and without clinically significant borderline symptoms (n BPD = 40, ages 13–30). Group-specific directed networks were estimated amongst fronto-limbic nodes including PFC, ventral striatum (VS), central amygdala (CeN), and basolateral amygdala (BLA). We examined the association of directed centrality metrics with initial levels and rates of change in emotion-related impulsivity symptoms over a one-year follow-up using latent growth curve models (LGCMs). Results: In controls, ventromedial prefrontal cortex (vmPFC) and dorsal ACC had a directed influence on CeN and VS, respectively. In the BPD group, bilateral BLA had a directed influence on CeN, whereas in the healthy group CeN influenced BLA. LGCMs indicated that emotion-related impulsivity was stable across a one-year follow-up in the BPD group. Further, higher EC of R CeN to other regions in controls was associated with stronger within-person decreases in emotion-related impulsivity. Conclusions: Functional inputs from BLA and vmPFC appear to play competing roles in influencing CeN activity. In borderline adolescents and young adults, BLA may predominate over CeN activity, while in controls the ability of CeN to influence BLA activity predicted more rapid reductions in emotion-related impulsivity. [ABSTRACT FROM AUTHOR]

Borderline personality (BP) is an understudied risk factor for dating violence. Based on indications that BP may be an important predictor in non-clinical samples, this study explored theoretically derived pathways in the etiology of college student dating violence (CDV) through BP. Data were collected from a convenience sample of 783 college students from a large Midwestern American university. Participants completed a paper-and-pencil survey that included measures of CDV, childhood maltreatment, maternal relationship quality, attachment insecurity and BP. A fully recursive path model was estimated using the maximum likelihood estimator in Mplus 7.4 to simultaneously examine the pathways to CDV perpetration and victimization. One quarter of the sampled college students reported perpetrating and/or experiencing dating violence in the year prior to the study, with a large proportion of these participants (85%) indicating that they were both perpetrators and victims. BP was positively associated with both CDV perpetration (β =.17; p ≤.01) and victimization (β =.20; p ≤.01). Results showed that a lower quality of relationship with one's mother while growing up was strongly associated with the risk of CDV through developmental pathways involving attachment insecurity and BP. While these findings would not be surprising in a clinical sample of batterers, they are particularly interesting in the context of a non-clinical, generally well-adjusted sample of college students that typically involve less severe forms of situational couple violence. Future research on the etiology of situational couple violence, including CDV, should consider the role of BP and its antecedents. [ABSTRACT FROM AUTHOR]

Introduction and objective: The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) alternative model of personality disorders (AMPD) is currently under empirical verification for its usefulness and diagnostic accuracy. At the same time, numerous studies based on Young's concept of maladaptive schemas are underway. The aim of the research was to compare the possibilities of explaining the severity of borderline features using both models. Materials and methods: The results obtained from 565 healthy adults, with women accounting for slightly more than 52%, aged 18-81 years (M = 37 years) were analysed. The Structured Clinical Interview for DSM-IV Axis II Personality Disorders - Personality Questionnaire (items for borderline personality disorder) (SCID-II, BPD part), Young Schema Questionnaire - Short Form (YSQ-S3) and Personality Inventory for DSM-5 (PID-5), Brief Form were used. Results: Regression analysis demonstrated that schemas account for about 39%, and personality traits for 53% of borderline trait variability, and their combined use increases this percentage to 55%. Structural modelling, in turn, indicated that only three schema domains are relevant for explaining borderline traits, but only indirectly. The direct effect schemas have on the personality dimensions from the AMPD model (only Impaired Autonomy has a significant direct effect on borderline). Contrary to the assumptions of the AMPD model, Negative Affectivity holds the slightest importance for the severity of borderline, while the greatest effect strength characterises Psychoticism. Conclusions: The dimensions of an alternative personality model have a direct relationship with BPD traits. The schemas explain personality traits (AMPD) but not the severity of the disorder itself. [ABSTRACT FROM AUTHOR]

Recognizing the factors affecting self-injurious behaviors of people with a borderline personality disorder is of great importance in prevention and treatment of this disorder. The aim of this study was to determine the role of affective-emotional temperament in predicting self-injurious behaviors in people with a borderline personality disorder. The present study was conducted using a descriptive correlational design, the population of which included all prisoners with borderline personality disorder in the central penitentiary of Karaj in the summer of 2015. After selection by screening, 224 people out of the population participated in this study. These individuals were then interviewed in a structured clinical interview for borderline personality disorder (SCID-II), and finally, after confirming their diagnosis, they were asked to answer questionnaires of affective-emotional temperament and self-harm behaviors. The obtained data was also analyzed using Pearson correlation tests and multiple regression analysis. The results of the Pearson correlation test showed that while there is a positive correlation between self-injurious behaviors and depressed, anxious, cyclothymic, bored, quirky, obsessive, excited, irritable, and uninhibited temperaments, the correlation between self injurious behaviors and indifferent, lively, and euphoric emotional temperaments was a negative one; Moreover, self-inflicted behaviors have a positive relationship with the emotional temperament of volition and anger, while presenting a negative relationship with inhibition, sensitivity, coping, control and desire. The results of regression analysis in about 95% of the total variance of self-injurious behaviors is explained by affective temperament and 47% of its total variance is explained by emotional temperament. These results indicate that affective-emotional temperament can predict selfinjurious behaviors in people with borderline personality disorder. Therefore, in the prevention and treatment of borderline personality disorder, it is recommended to study the temperamental components. [ABSTRACT FROM AUTHOR]

Borderline personality disorders account for 50% of adolescent hospitalization cases in psychiatry. The severity and psychopathological complexity of these symptoms indicate the need for inclusive models of understanding. Adopting a holistic approach allows for the consideration of not only the patient's environment, but also their position within that environment and their life history. In this article, a model based on the concept of therapeutic containment at three levels is presented. Global containment refers to the mindset and organization of the institution that provides care, which is itself a part of society at a specific time. Local containment focuses on understanding and therapeutic interventions within the immediate social environment of the individual. Lastly, individual containment encompasses the development of independent processes during the course of care. These three levels are integrated in the hospital treatment of borderline personality disorders, forming a trans-theoretical approach.

An understanding of the complex intersection of borderline personality vulnerabilities and motherhood calls for an integrative and culture-sensitive lens in assessment and therapeutic interventions. The aim of the study was to explore constructions of motherhood in an Indian context to inform the adaptation of the Parent Development Interview-Revised (PDI-R) for use with mothers with borderline personality vulnerabilities. A stepwise framework was followed to obtain conceptual, semantic, and operational equivalences for the PDI-R adaptation. Interviews on contextualised aspects of motherhood were conducted with a sample of eight mental health practitioners specializing in borderline personality disorders, women’s mental health or child psychology, two cultural psychologists, one gynaecologist and one paediatrician. Six emergent themes were identified through thematic analysis, ‘The ideal mother and her search for identity,’ ‘Mothering the mother and the vicissitudes of care,’ ‘Not just mine - negotiating boundaries,’ ‘Mother knows best,’ ‘Food, feeding and embodied nurturing,’ and ‘Approaching motherhood in the clinic.’ The proposed adaptations to the PDI-R were further reviewed by two experts; a clinical psychologist and a psychiatrist specialised in perinatal services. This was followed by the process of operational equivalence through administration of PDI-R with two mothers with borderline personality vulnerabilities and two mothers from the community. The expert review and the administration informed the final adaptation of the PDI-R. A systematic process of adaptation can support the use of measures like the PDI-R in different cultures. A contextual understanding of constructions of motherhood and borderline personality has potential to support meaningful assessment and targeted parenting interventions. [ABSTRACT FROM AUTHOR]

Background: Personality disorders and defense styles are influential factors in marital adjustment. This study aimed to predict marital adjustment through borderline personality traits with the mediating role of defense styles. Materials and Methods: The research design was path analysis. The statistical population was married people aged 30 to 40 years who referred to family counseling centers and family courts of Rafsanjan in the spring and summer of 1398. 200 individuals were selected from the statistical population by available sampling method. Then they were given the Leichsenring Personality Traits Questionnaire (1999), the Spanier Marital Adjustment Questionnaire (1979), and the Andrews, Singh, and Bond (1993) Defense Styles Questionnaire. The obtained data were analyzed by path analyzing method, ANOVA, correlation coefficient and regression. Results: The results showed that borderline personality traits have a direct, negative and significant relationship with marital adjustment (β=-0.384, P

Numerous studies have questioned the reliability and validity of borderline personality disorder's (BPD) categorical conceptualization. DSM-5 Section III's alternative trait-based model of BPD may better capture borderline pathology, but aspects of its validity should be further established. Thus, the authors examined whether a latent BPD factor derived from Section III traits exhibits (1) familial aggregation among siblings and (2) association with constructs related to borderline pathology. The authors also tested whether gender moderated associations. A total of 498 community-recruited adults completed the Personality Inventory for DSM-5, a behavioral assessment of risk-taking, and reported their history of childhood maltreatment, substance use, nonsuicidal self-injury, and suicidal ideation. Familial aggregation was assessed among 232 sibling pairs. Siblings' BPD scores were significantly correlated and most external validators were significantly associated with BPD, with the exception of risk-taking. Results did not vary by gender. Findings further support the construct validity of Section III's BPD trait profile. [ABSTRACT FROM AUTHOR]

Abstract: Over time, a complex crossroad between disordered eating behaviors (DEBs) and borderline personality features (BPFs) and their association with childhood emotional and physical maltreatment have been established. The present study aimed at evaluating the direct and indirect effect of physical and emotional abuse and neglect on DEB via BPF in a nonclinical adolescent sample. A total of 786 adolescents (48.3% male; mean age, 16.25 years; SD, 1.76) participated in the study. The mediation model suggested the pivotal predictive role of emotional maltreatment compared with the physical one. Indeed, both emotional abuse and neglect directly and indirectly predicted disordered eating via BPF ( β = 0.097; p < 0.001 and β = 0.042; p < 0.01, respectively). Likely, the emotional maltreatment represents the beginning of a developmental cascade that culminates in DEB as a maladaptive coping strategy in response to negative emotions, through BPF. On the contrary, physical maltreatment seems to be less involved in the developmental cascade. [ABSTRACT FROM AUTHOR]

Borderline Personality Disorder (BPD) is associated with emotion dysregulation. The emotion regulation strategies people adopt may depend on one's belief about emotion as either fixed or changeable (termed "implicit theory"). We test this experimentally by modifying beliefs about emotions using virtual reality (VR). A sample of 29 adolescents (ages 14–17 years) were recruited from two adolescent inpatient units for an uncontrolled pilot trial of a new brief intervention. We measured BPD traits, beliefs about emotion, treatment preference, cognitive reappraisal and rumination, before the VR game and 14–31 days later. Adolescents with higher levels of BPD traits endorsed fixed beliefs of emotion and reported higher levels of rumination and lower levels of cognitive reappraisal. After a one-time message delivered via VR, adolescents evidenced an increase in belief that their emotions were changeable. These findings suggest beliefs about emotions may have an important role in interventions for adolescents with BPD traits. [ABSTRACT FROM AUTHOR]

The authors investigate whether and how borderline and pathological narcissistic traits differ in their associations with trait and state rejection sensitivity, and with affective reactions to experiences of social rejection occurring in daily life. Community adults (N = 189) completed baseline measures of rejection sensitivity, borderline personality, and pathological narcissism, and daily measures of perceived social rejection and affective states for 7 days. Vulnerable narcissism was the main driver of negative anticipated emotions for social rejection. Borderline personality made people prone to experiencing social rejection in daily life. Moreover, borderline personality traits predicted greater self-directed aggressive impulses when experiencing social rejection. Grandiose narcissism showed only a negative association with anticipatory anxiety for rejection. These findings highlight that sensitivity to social rejection is crucial in both borderline personality and pathological narcissism. [ABSTRACT FROM AUTHOR]

The study aimed to investigate the relationship between self-compassion, perceived social support, and Self-esteem with borderline personality symptoms mediated by aloneness and hopelessness. The research method was descriptive-correlational which was done through structural equation modeling. The study population consisted of women in Isfahan city, 262 of whom were selected by available sampling and were assessed with self-compassion, perceived social support, self-esteem, Borderline Personality Symptoms, Feeling of loneliness and Beck's hopelessness scales. The results of structural equation modeling indicated a good fit of the research model. Findings showed that self-compassion is directly related to feelings of loneliness and borderline personality symptoms, as well as self-compassion indirectly affecting the symptoms of borderline personality disorder by affecting the feeling of loneliness. The results showed that social support and self-esteem had a direct and negative relationship with feelings of loneliness, hopelessness and borderline personality symptoms. Social support and self-esteem also affect the symptoms of borderline personality disorder through feelings of loneliness and hopelessness. The findings of the present study, in addition to practical implications, has provide a useful framework for identifying the components that affect the formation and development of borderline personality disorder in women.

Background: Despite the strong link between borderline personality disorder (BPD) symptoms and suicide risk, little is known about the mechanisms underlying this association. Theory-driven research clarifying the pathways through which BPD symptoms increase suicide risk over time is needed and may highlight relevant treatment targets for decreasing suicide risk among individuals with heightened BPD symptoms. This study examined the prospective relations among BPD symptoms, emotion regulation (ER) difficulties, perceived burdensomeness, thwarted belongingness, and suicide risk across five assessments over a 7-month period. Consistent with the interpersonal theory of suicide, we hypothesized that greater BPD symptoms would predict greater suicide risk over time via greater ER difficulties and, subsequently, greater perceived burdensomeness.Methods: A U.S. nationwide sample of 500 adults (47 % women; mean age = 40.0 ± 11.64) completed a prospective online study, including an initial assessment and four follow-up assessments over the next seven months.Results: Results revealed a significant indirect relation between BPD symptoms and greater suicide risk over time through greater ER difficulties and later perceived burdensomeness. Results also provided evidence for transactional relations between BPD symptoms and ER difficulties and suicide risk over time.Limitations: All constructs were assessed via self-report questionnaire data. Our measure of suicide risk focuses on only suicidal ideation, plans, and impulses, and not suicide attempts or preparatory behaviors.Conclusions: Results highlight both ER- and interpersonal-related factors as key mechanisms underlying suicide risk among community adults with BPD symptoms. [ABSTRACT FROM AUTHOR]

Borderline personality disorder (BPD) is common among young adults. Related studies showed a wide range of prevalence among university students. Few studies regarding BPD symptoms and their correlations with different variables have been reported in the Chinese population. A cross-sectional, online survey was conducted on a sample of university students in China between November 2021 and January 2022. Sociodemographic questionnaires, the Screening Instrument for Borderline Personality Disorder (SI-Bord), the 18-item Experience in Close Relationships-Revised (ECR-R-18), the Meaning In Life Questionnaire (MLQ), the 10-item Perceived Stress Scale (PSS-10), the Patient Health Questionnaire (PHQ-9), the Rosenberg Self-Esteem Scale (RSES) and the Resilience Inventory (RI-9) were completed. Data were analyzed using Pearson's correlation methods. Among 767 participants, mean age was 20.33 ± 1.495 years, and the majority were males (53.5%). According to the SI-Bord's cut-off score >7, BPD symptoms were found in 17.5% of participants. Attachment anxiety, avoidance, depression, perceived stress, lack of meaning in life, resilience and self-esteem were significantly correlated with BPD symptoms with r's of 0.473, 0.180, 0.451, 0.481, −0.148, −0.238 and −0.388, respectively (all p's < 0.01). The prevalence of BPD symptoms is high among Chinese university students and significantly associated with mental health outcomes, suggesting that an early detection of BPD symptoms is necessary for this population. [ABSTRACT FROM AUTHOR]

Background: Belgium is one of very few countries that legally allow euthanasia for suffering caused by psychiatric illness. In the first criminal trial in Belgium of physicians involved in euthanasia, three physicians recently faced the accusation of "murder by poisoning," for allegedly having failed to comply with several requirements of the Belgian Euthanasia Law in granting the euthanasia request a woman suffering from psychiatric illness. Although all three physicians were acquitted, the case generated much debate among policy makers, medical professionals, and the general public. Method: We use this trial as the starting point for a critical analysis of the adequacy of the three-level control system established in the Euthanasia Law, as it is applied in the evaluation of euthanasia requests from persons who suffer unbearably from a psychiatric illness. This analysis is based on information presented during the criminal trial as well as information on the euthanasia that was published in the press. Results: Our analysis highlights substantial problems in the assessment and granting of the euthanasia request. The patient was euthanized without it having been substantiated that her psychiatric illness had no prospect of improvement and that her suffering could not be alleviated. The three-step control system enshrined in the Law and promoted by the Federal Control and Evaluation Commission for Euthanasia appears to have failed at each level. Conclusion: To evaluate requests for euthanasia for mental suffering caused by psychiatric illness, the requirements of the Belgian Euthanasia Law should be complemented by mandating the advice of two psychiatrists, and face-to-face discussions between all physicians involved. In parallel with the process of evaluating the euthanasia request, a treatment track should be guaranteed where reasonable evidence-based treatments and recoveryoriented options are tried. [ABSTRACT FROM AUTHOR]

The paper illustrates the relational nature of the psychiatric category of borderline personality disorders based on the analysis of symptomatic criteria set out in the International Classification of Diseases and Related Health Problems, 11th Revision (ICD-11) issued by the World Health Organization (WHO), as well as the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) developed by the American Psychiatric Association (APA). We point to the appreciation of the relational nature of the phenomenon, which is noticeable already in a very cursory analysis, in the latest WHO and APA classification systems. The clinical manifestations of these criteria seem not only to be interconnected, but also to result from one another, suggesting a fundamentally structural nature of the phenomenon. All the described difficulties relate to interpersonal relationships – both in terms of the direct causes of disfunctions and long-term family and social consequences. This particularly applies to the borderline-type emotionally unstable personality disorder, which is inseparably linked to emotional volatility and instability, and which is difficult to define using criteria in a way that does not give rise to diagnostic challenges. Therefore, we draw attention to difficulties with relationships, which are an important diagnostic criterion. Both ICD-11 and DSM-5 contain separate diagnostic categories for relationship problems, which, as it turns out, not necessarily coexist with other disorders. Linking relationship pathology with personality disorders may be of great importance for establishing the correct diagnosis and therefore choosing an appropriate treatment strategy. [ABSTRACT FROM AUTHOR]

Both individuals with intellectual disability (ID) and individuals with personality disorders represent populations that require unique interactions with healthcare providers and consist of high utilizers of the healthcare system. The intersectionality of these diagnoses poses further considerations in diagnosis and management. This article describes two fictional case studies intended to illustrate, examine, and identify symptomology of individuals with these comorbid diagnoses and establish recommendations for evidence-based management of these individuals. While personality disorders should not be diagnosed in individuals with severe and profound ID, they can and should be diagnosed in patients with mild or moderate ID who have characteristic symptoms and meet diagnostic criteria. Management for these diagnoses focuses on themes of consistency, safety, staff education, and goal-based behavioral objectives. Care must be taken in ruling out confounding factors and overlapping symptomology, but appropriate comorbid diagnoses can aid in apposite treatment, reduce stigma, and improve quality of life. [ABSTRACT FROM AUTHOR]

Insecure attachment and difficulties in regulating anger have both been put forward as possible explanations for emotional dysfunction in borderline personality (BP). This study aimed to test a model according to which the influence of attachment on BP features in a subclinical population is mediated by anger regulation. In a sample of 302 participants, BP features were assessed with the Borderline features scale of the Personality Assessment Inventory (PAI-BOR), attachment was measured with the Experiences in Close Relationships-12 (ECR-12), and trait anger and anger regulation were assessed with the State and Trait Anger Expression Inventory-2 (STAXI-2). The results indicated that anger suppression emerged as a significant mediator of the associations between both anxious and avoidant attachment and BP traits, while anger control resulted as a marginal mediator in the association between attachment avoidance and BP. Suppressing anger may reflect different forms of cognitive or behavioural avoidance of anger, which may differ on the basis of attachment orientations. We argue that these results may have important clinical implications: the promotion of anger regulation in BP should be considered a critical treatment goal.

The Vulnerable Dark Triad (secondary psychopathy, vulnerable narcissism, and borderline personality) was proposed in 2010 as a counterpart of the Dark Triad and combines socially undesirable behaviors with emotionally vulnerable traits. Despite being proposed more than a decade ago, no study (to our knowledge) has sought to map the existing evidence. Thus, we performed a scoping review with a meta-analysis of materials published about the Vulnerable Dark Triad. We searched materials in the following databases: PsychARTICLES, PsycINFO, PubMed, and ScienceDirect, using Google Scholar as a complement. We found a total of 200 materials, of which 27 were included in our qualitative and meta-analysis procedure. Our results indicate that all Vulnerable Dark Triad traits are intercorrelated (secondary psychopathy-vulnerable narcissism r ¯ = 0.44; secondary psychopathy-borderline personality r ¯ = 0.49; vulnerable narcissism-borderline personality r ¯ = 0.56). Furthermore, emotional instability is the vulnerable triad core. All traits are positively associated with impulsive behaviors, difficulties in emotional regulation, and higher rejection sensitivity. • Emotional instability is the core of the Vulnerable Dark Triad. • Difficulties in emotional regulation and impulsive behaviors are highly associated with the Vulnerable Dark Triad. • All studies were published with WEIRD (i.e., Western, Educated, Industrial, Rich, and Democracies) populations. [ABSTRACT FROM AUTHOR]

There are no studies of the safety and effectiveness of telehealth psychiatric treatment of partial hospital level of care, in general, and for borderline personality disorder (BPD) in particular. In the present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project, the authors compared the effectiveness of their partial hospital treatment program in treating patients with BPD. For both the in-person and telehealth partial hospital level of care, patients with BPD were highly satisfied with treatment and reported a significant reduction in symptoms from admission to discharge. Both groups reported a significant improvement in functioning, coping ability, positive mental health, and general well-being. A large effect size of treatment was found in both treatment groups. No patients attempted suicide. Telehealth partial hospital treatment was as effective as in-person treatment in terms of patient satisfaction, symptom reduction, and improved functioning and well-being for patients with BPD. [ABSTRACT FROM AUTHOR]

Context: Systems Training for Emotional Predictability and Problem Solving for Emotional Intensity (STEPPS-EI), a 13-week skills-based group intervention for individuals with subthreshold borderline personality disorder (BPD) has been deemed feasible and clinically effective in primary care [1] [2]. To modernize the service, STEPPS-EI lesson content has recently built onto an eHealth platform (Minddistrict). Due to Covid-19 restrictions, group sessions were additionally delivered remotely via Zoom. This project evaluates the implementation of this digitally blended version of STEPPS-EI within two Sussex Partnership NHS Foundation Trust (SPFT) primary care services. Methods: Service users and pracitioners who participated in the first two groups from March to July 2021 were invited to take part in a feasibility evaluation investigating recruitment, retention, and attendance rates, in addition to self-reported symptoms (BSL-23, QuEST), quality of life (ReQoL), system usability, and qualitative and quantitative measures designed to shed light on the experience and opinions of service users and practitioners during the intervention. Service users participating in following groups (from July to December 2021) were invited to share their symptom and quality of life outcome data only. Results: 14 service users and 5 practitioners agreed to take part in the primary evaluation. Results suggested that 86% of these service users attended at least 75% of the group sessions, and that service users completed on average 70% of the online material. Usability ratings revealed good gradings for Zoom from all participants, yet lower gradings for Minddistrict. Further analyses revealed a generally positive attitude towards digital STEPPS-EI from all parties and practical suggestions on how to improve the intervention. 11 service users from following groups agreed to share their data. Bayesian analyses were conducted for the data of service users who provided ratings at both timepoints. Evidence was found for a decrease in BSL-23 scores and an increase in ReQoL ratings from baseline to post-intervention. Incomplete self-report data-sets limits conclusions. Conclusions: It was found that the implementation of STEPPS-EI delivered in a blended digital format was feasible. The online delivery might increase service users' engagement with the material and group sessions. Yet more training and support on the use of Minddistrict may be required to increase usability. Implications: It may be possible to effectively implement digital interventions for individuals with subthreshold BPD. However, more research on the effect of these on symptom outcomes should follow. [ABSTRACT FROM AUTHOR]

Background: Substance use disorders (SUD) often co-occur with other psychiatric conditions. Research on SUD and comorbid disorders generally flows from a categorical diagnostic or dimensional latent variable perspective, where symptoms are viewed as independent indicators of an underlying disorder. In contrast, the current study took a network analysis perspective to examine the relationships between DSM symptoms of SUD, ADHD, conduct disorder (CD), depression (MDD), and borderline personality disorder (BPD). In addition, we explored possible gender differences in the network structures of these symptoms. Method: In a sample of 722 adult treatment-seeking patients with SUD from the International ADHD in Substance Use Disorders Prevalence Study (IASP) we estimated the network structure for 41 symptoms of SUD, ADHD, CD, MDD, and BPD. We described the structure of symptom networks and their characteristics for the total sample, and we compared the symptom networks for males and females. Results: Network analyses identified seven clusters of symptoms, largely corresponding with the DSM diagnostic categories. There were some connections between clusters, mainly between some hyperactivity symptoms and CD and depressive symptoms. ADHD hyperactivity was most central in the symptom network. Invariance tests revealed no significant gender differences in the structure of symptom networks. Conclusions: The current findings support the categorical DSM classification of mental disorders in treatment-seeking patients with SUD. Future network analyses should include a broader range of symptoms and prospectively explore changes in the symptoms network of patients during treatment. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to investigate the efficacy of repetitive transcranial magnetic stimulation (rTMS) in treating suicidal ideation in patients with mental illness. Method: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Major electronic databases were systematically searched from the time of their inception until July 22, 2021. The primary outcome was the mean change in the scores for suicidal ideation. The secondary outcome was the mean change in depression severity. Results: Ten randomized controlled trials were eligible with 415 participants in the active treatment group (mean age = 53.78 years; mean proportion of women = 54.5%) and 387 participants in the control group (mean age = 55.52 years; mean proportion of women = 51.78%). rTMS significantly reduced suicidal ideation (k = 10, n = 802, Hedges' g = −0.390, 95% confidence interval [CI] = −0.193 to −0.588, p <.001) and severity of depressive symptoms (k = 9, n = 761, Hedges' g = −0.698, 95% CI = −1.023 to −0.372, p < 0.001) in patients with major mental disorders. In the subgroup analysis, rTMS reduced suicidal ideation among patients with non-treatment-resistant depression (non-TRD) (−0.208) but not in those with TRD. rTMS as combination therapy had a larger effect than did monotherapy (−0.500 vs. −0.210). Suicidal ideation significantly reduced in patients receiving more than ten treatment sessions (-0.255). Importantly, the rTMS group showed favorable tolerability without major adverse events. Conclusion: The study showed that rTMS was effective and well-tolerated in reducing suicidal ideation and depression severity in patients with major mental disorders. [ABSTRACT FROM AUTHOR]

Objective: To explore the personality traits that influence the relapse of depression in college students. Methods: From April to October 2018, a baseline survey of depression was conducted among 8079 college freshmen with the Composite International Diaguostic Interview Scale ( CIDI3. 0). The Beck Depression Inventory was used to evaluate the severity of depression, Personality Trait Questionnaire was used to diaguose personality traits, Neuroticism Questionnaire was used to measure neuroticism score, Comprehensive Interpersonal Relationship Diagnostic Scale was used to diagnose interpersonal behavior disturbance, and Dysfunctional Attitude Scale was used to evaluate cognitive impairment. Two follow-up surveys were conducted from April to October in 2019 and 2020. Results: The recurrence rate of depression among college freshmen was 9. 16% (95% C/: 6. 38% - 12. 02%) in 1-year and 18. 59% (95%C/: 13. 94% - 23. 26%) in 2-years. Borderline personality traits (OR =4. 60, 95%C/: 2. 28 - 9. 28) was an independent risk factor for the recurrence of depression in college students, with male (OR = 6. 40, 95 % Cl: 1. 98 - 20. 71) and female (OR = 3. 77, 95 % C/: 1. 56 - 9. 10) . There is a dose-response relationship between borderline personality traits and recurrence of depression, college students with 5 - 8 borderline personality traits had a higher risk of depression recurrence than those with 0 traits (OR = 3. 58, 95 % Cl: 1. 12 - 11. 43). Conclusion: It suggests that college students with borderline personality traits are more likely to suffer from the recurrence of depression. [ [ABSTRACT FROM AUTHOR]

Dysfunctions in both emotion regulation and mentalization capacity might be reasons behind borderline personality features. This study investigated the mediating role of emotion regulation between mentalization and borderline personality features in adolescents. We recruited 218 adolescents (mean of age = 16.45 ± 1.01 years old, 62.0% girls) based on convenience sampling from high school students. We evaluated mentalization using reflective functioning questionnaire (RFQ), emotion regulation with difficulties in emotion regulation scale (DERS), and borderline personality features with borderline personality features scale for children (BPFSC). There were significant associations between mentalization, emotion regulation, and borderline personality features. Difficulties in emotion regulation mediated between mentalization and borderline personality features. Mentalization deficits and emotion dysregulation contribute significantly to borderline personality features in adolescents. Mentalization deficits might affect borderline personality features’ development via its effect on emotion regulation. Prevention and treatment plans for borderline personality disorder should focus on emotion regulation and mentalization.

Introduction Bulimia Nervosa (BN) is a debilitating eating disorder characterized by binging and purging episodes generally accompanied by excessive concern with body weight and shape as well as body image disturbance. BN and Borderline Personality Disorder (BPD) may co-occur. In fact, studies estimate that one quarter to one third of patients with BN also meet criteria for BPD. However not much is known about the relationship between these two diseases. Nevertheless, the high comorbidity rate might not be surprising as both BN and BPD may share interacting aetiologies and common core symptoms such as impulsivity and emotional instability. So far, only very little is known about the clinical presentation of patients with both BN and BPD and their response to treatment. Objectives Literature review on BN and comorbid BPD. An illustrative clinical case is presented. Methods Case report and non-systematic review of the literature - sources obtained through search on Pubmed.gov database. Results Female, 19-year-old, student, lived with her mother and stepfather. Developed a poor relationship with her body image due to dental problems during high school. The patient started to binge eat, exhibit compensatory behaviors, restrictive eating pattern, body dissatisfaction and emotional instability while maintaining a normal BMI. Over the last year, she started a self-destructive behavior with slight improvement of BN symptoms. Conclusions Special attention should be given to patients suffering from BN and comorbid BPD as they present greater risk of recurrent suicide attempts and non-suicidal self-injury, as well as lower rates of remission. Early interventions that target impulsivity and problematic eating behavior may mitigate risk of future borderline personality features. Disclosure No significant relationships.

ObjectiveThis study aimed to investigate the efficacy of repetitive transcranial magnetic stimulation (rTMS) in treating suicidal ideation in patients with mental illness.MethodWe followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Major electronic databases were systematically searched from the time of their inception until July 22, 2021. The primary outcome was the mean change in the scores for suicidal ideation. The secondary outcome was the mean change in depression severity.ResultsTen randomized controlled trials were eligible with 415 participants in the active treatment group (mean age = 53.78 years; mean proportion of women = 54.5%) and 387 participants in the control group (mean age = 55.52 years; mean proportion of women = 51.78%). rTMS significantly reduced suicidal ideation (k = 10, n = 802, Hedges' g = −0.390, 95% confidence interval [CI] = −0.193 to −0.588, p