bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence of the metabolic syndrome in patients with borderline personality disorders - results of a cross-sectional study
Authors: Kahl K. , Greggersen W. , Schweiger U. , Correll C. , Balijepalli C. , Lösch C. , Moebus S. 
Published: May 2011

IntroductionThe metabolic syndrome (MetS) is an important risk factor for the development of type-2 diabetes and coronary artery disease. However, little is known about the prevalence of the MetS in patients with borderline personality disorder (BPD).Objectives, aimsWe aimed to compare the MetS prevalence in patients with borderline personality disorder (BPD) with control subjects followed in primary care from a similar region.MethodsOne-hundred thirty five BPD patients according to DSM-IV diagnostic criteria were compared to 1009 subjects from primary care. We used the American Heart Association/National Heart, Lung and Blood Institute (AHA/NHBLI) criteria to determine the rate of MetS and of each individual MetS criterion. For comparison purposes we calculated age-standardized rates of the MetS and their 95%-confidence intervals (CI).ResultsThe age-standardized prevalence of MetS was more than double in patients with BPD compared to control subjects (23.3% vs. 10.6%, p < 0.05).Within BPD patients, an increased rate of MetS was associated with higher BMI (Wald = 10.2; p = 0.004), age (Wald = 4.7; p = 0.03), treatment with second generation antipsychotics (quetiapine, olanzapine and clozapine) (Wald = 4.6; p = 0.032), dysthymia (Wald = 4.6; p = 0.031), panic disorder (Wald = 4.6; p = 0.032), benzodiazepine dependency (Wald = 5.9; p = 0.015), and binge-eating disorder (Wald = 5.4; p = 0.02).ConclusionsOur results demonstrate an increased MetS rate, dysregulated glucose and lipid metabolism in patients with BPD. Independent predictors of MetS in BPD patients require further study to inform targeted prevention efforts in this population. Cardiometabolic monitoring and careful screening for physical health conditions among people with BPD is warranted.
Predictors of 18-month outcome for patients with borderline personality disorder
Authors: Karaklic D. , Thuile J. , Granger B. , Secret I. , Bungener C. 
Published: May 2011

IntroductionFor quite a long time, borderline personality disorder (BPD) has been viewed as a chronic disorder and borderline patients as extremely difficult to treat. However, those views are changing and there is an increasing recognition that the BPD has a far more benign course than previously thought, but predictors of its outcome remain poorly explored.Objective and aimsThe purpose of this study was to determine the most clinically relevant predictors of the outcome of BPD at the 18-month follow-up.MethodsBorderline patients (n = 75) were compared to patients with other personality disorders (OPD) (n = 40). All subjects were assessed at baseline and 6, 12, and 18 months with a series of semi structured interviews (personality disorders, global functioning, mental disorders, life events, …) and self-report measures (alexithymia and impulsivity). Logistic regression was used to estimate hazard ratios.ResultsAt the 18-month follow up, 57 BPD patients and 22 with OPD have been evaluated, 45% of borderline subjects and 50% of the OPD subjects achieved remission. Low impulsivity, low alexithymia, good global functioning, and older age at onset of symptoms were found to be significant predictors of good outcome of BPD. Our clinical data suggest that life events and the quality of current relationships are determinant in the outcome of BPD.Conclusions45% of patients with BPD are likely to improve in 18-months. Specific factors, such as impulsivity, alexithymia, life events and quality of current relationships, determine the short-term outcome of this disorder.
Comparisonal investigation of Rap personality disorder in youngsters
Authors: Khanmohammadi Otaghsara A. 
Published: May 2011

Introduction & objectivesPersonality disorder, formerly referred to as a Character Disorder, is a class of mental disorders characterized by rigid and on-going patterns of feeling, thinking, and behavior. The underlying belief systems informing these patterns are referred to as fixed fantasies or “dysfunctional schemata” (Cognitive modules). The inflexibility and pervasiveness of these behavioral patterns often cause serious personal and social difficulties, as well as a general functional impairment. So the study examined a new view in personality and mental disorders named “Rap” disorder. In the domain we compare the youngster with and without disorder. The Rap disorder people are known with unusual hair model, nihilistic and anarchistic thinking, unusual and bizarre behavior, reading of meaningfulness poet and sings, doing immoral behavior against society norms and so on.MethodsMethod research is Causative - Comparative (Ex post facto). 200 youngster, 100 with the disorder and 100 without the disorder, were randomly selected and Eysenc's Personality Questionnaire (EPQ) was administered on them.ResultsFindings showed the Rap youngster are high in extroversion and emotional instability than normal youngster.ConclusionsIt is recommended that the appropriate behavior education specially moral and religious education can avoid tendency to this behavior disorder and reduce the bad effects of the behavior in society.
Association between Personality Traits and Work-Family Conflict Among Iranian Teachers
Authors: Koolaee A. Khodabakhshi , Sheykhi G. 
Published: May 2011

ObjectiveThis research was carried out to study the association between personality traits and work-family conflict among teachers.MethodsThe method of this research was a correlation study. Participants were 100 teachers that answered to NEO & family-work conflict questioners. For analysis the data were stem from the research applied statistical methods, included; mean, standard deviation, T-Test, correlation and multi variable regression.ResultsThe results indicated that there was negative and significant relationship between personality traits (included; extraversion, agreeableness, conscientiousness and openness) with family-work conflict. Furthermore, the results of T test did not showed significant difference in personality traits and family-work conflict in males and females teacher. The regression results indicated that two dimensions of traits, neuroticism and agreeableness could explanation %76 of family-work variation. Also, neuroticism dimension could explanation %48 of family work variation. Moreover, the other two dimensions of trait involving; neuroticism and openness could explain %92 of family-work variation.ConclusionsThe results suggested that family-work conflict characteristics had association with personality traits. In addition, the results showed that there was not significant relationship between personality traits and family-work conflicts in males and females teachers.
How to Diagnose and Manage “Difficult” Patients - Development of a Workshop for Interprofessional Audience
Authors: Kljenak D. 
Published: May 2011

IntroductionMore than 15% of patients who present to a primary care clinic are considered “difficult” yet interprofessional members of primary care clinics receive little training on how to diagnose and manage these patients.ObjectivesBecome familiar with successful method of workshop development on how to diagnose and manage “difficult” patients to interprofessional audience of six community health centers.AimsThe aim of the workshop was to enhance primary care providers’ capacity to diagnose and manage “difficult” patients as well as serve as a pilot program for a larger conference on managing “difficult” patients.MethodsA half-day workshop was designed to fill this perceived need of community health providers to learn how to diagnose and manage “difficult” patients. The workshop consisted of didactic presentation and case based small group learning.This workshop served as a pilot program for the development of larger conference for community providers on managing “difficult” patients.ResultsThe workshop was evaluated by participants. 100% of respondents agreed that the workshop was relevant to their work and 87.5% of respondents reported that the workshop will alter their clinical practice.ConclusionThe workshop has met participants’ perceived learning needs as well as served as a pilot program for a larger conference on managing difficult patients.
Systematic review of psychotherapeutic treatments for “minor” personality disorders
Authors: Lieb K. , Staffers J. , Völlm B. 
Published: May 2011

IntroductionAmong personality disorders (PDs), antisocial and borderline personality disorder are well-studied. However, the remaining PDs (in the following called “minor PDs”) pose major problems in everyday-health care settings. People affected often present with additional axis-l disorders such as substance-related, mood or anxiety disorders, and are among those most difficult to treat.ObjectivesTo systematically review the current evidence of psychotherapeutic treatments for “minor” personality disordersMethodsIn the context of Cochrane Collaboration reviews for Cluster A, B and C PDs, exhaustive literature searches were done to identify the current RCT evidence for PD treatments. The electronic search strategies were extended to identify also non-RCT evidence for minor PD treatments. Retrievals were assessed and evaluated by two reviewers independently.ResultsThe current evidence for psychotherapeutic treatments of minor PDs is sparse and based on mixed PD samples with co-morbid axis-l disorders in the majority of cases. Reported outcomes focus on specific axis-l disorders or general measures such as overall functioning.ConclusionsThe current evidence is scarce and does not allow for distinct treatment recommendations but undermines the importance of meeting special demands of PD patients by PD-specific treatments. Possible reasons for the paucity of research in this regard will be discussed, also in the light of future developments after DSM-V.
To Explore the Relationship Between Moral Judgement and Psychopathic Traits in a Healthy Population
Authors: Mistry J.K. , Reniers R. , Völlm B. 
Published: May 2011

IntroductionPsychopathy comprises affective (eg lack of empathy, superficial charm, shallow emotions) and antisocial lifestyle features (eg criminal behaviour, impulsivity). The nature of the deficits in empathie responding remain poorly understood but recently authors have claimed that psychopaths know right from wrong but do not care.Aims & ObjectivesTo explore the relationship between moral judgement and psychopathic traits in a healthy population (n = 198 females and n = 103 males).MethodsWe used a number of online questionnaires to assess key features of psychopathy including primary and secondary psychopathy (Levenson's Psychopathy Scale), moral judgement (Moral Judgement Test), impulsivity (Barratt Impulsivity Scale), life history of aggression (Life History of Aggression questionnaire), and cognitive and affective empathy (Questionnaire of Cognitive and Affective Empathy) in a healthy student population. We explored relationships between moral judgement scores and the other constructs using correlational analysis and comparisons between upper and lower quartiles.We found correlations that were consistent with current literature for example, total BIS scores correlated strongly with Secondary Psychopathy scores (r = 0.57, p < 0.01). Primary psychopathy correlated with cognitive empathy (r = 0.3, p < 0.01). However, we did not observe any significant correlations between moral judgement scores and psychopathy scores.ConclusionsIn this healthy control population moral judgment scores do not show a significant relationship with psychopathy scores. Low empathy and high impulsivity scores observed in individuals with high psychopathy scores may not be related to a lack of understanding of moral concepts. These findings will have to be confirmed in a clinical population.
Personality Disorders in a Sample of Inpatients Alcoholics Entering Detoxification Treatment in Italy: Prevalence and Gender Differences
Authors: Oliva F. , Picci R. , Vigna-Taglianti F. , Mathis F. , Salmaso S. , Stumpo D. , Ostacoli L. , Sodano A. Iaretti , Furlan P.M. 
Published: May 2011

IntroductionAlcohol abuse and dependence are frequently associated with psychiatric disorders and Personality Disorders, with differences among genders. However, only few studies investigated gender differences in personality disorders among alcoholics.AimsThe aim of our study is to investigate personality disorders in a sample of inpatient alcoholics applying Millon Clinical Multiaxial Inventory - III, and to describe gender differences in prevalence and comorbidity of personality disorders.MethodsThe study population consist of 206 alcohol dependent patients entering detoxification treatment in a specialized clinic in Italy. At enrollment, patients filled in the Millon Clinical Multiaxial Inventory - III for the assessment of personality disorders and the AUDIT Test for the evaluation of alcohol consumption.ResultsThe sample consisted of 150 men and 56 women. According to Millon assessment, 25% percent of men vs 12% of women had one PDs, 16% vs 23% had two PDs, and 46% vs 48% had more than three PDs. A statistically significant higher proportion of women got high scores on Avoidant (21.4% vs 9.3%, p = 0.020), Self-Defeating (50.0% vs 24.0%, p < 0.001), and Borderline scale (42.9% vs 25.3%, p = 0.015). Associations among PD are sporadic among men whilst are very frequent among women. Depressive, Self-Defeating and Borderline PDs are frequently associated both to other PDs and among each other, suggesting a possible female pattern.ConclusionsBorderline PD is confirmed to be more frequent among alcoholic women than among men. More studies are needed to clarify prevalence and associations of PDs, prognosis, and gender differences in alcoholics patients.
Correlational Study on Frequency of Lies and Personality Profile
Authors: Papari A.C. , Cozaru C.G. , Papari A. 
Published: May 2011

The research refers to the relationship between lies and personality. In the present study, we started from the following assumption: the superego of persons of the same culture and same generation tends to be constant regarding content and strength. That is, the superego of 21 years romanian people tends to follow a certain pattern. This assumption is motivated by the fact that in Romania, the middle class is by far the majority; among the middle class, social perceptions tend not to vary too much, those of 21 years were born in the communist period and their superego formed before the revolution, which generated a strong similarity in shaping their superego, the kind of education both formal and informal resembles very much for Romania (see Romanian proverbs), etc.This assumption leads us to the following statement: given that the superego is similar for most Romanians of the same age, it tends to refer similarly to lying as social value as well as internalized prohibition, and its censorship. So, the lie will have substantially the same value and interpretation for all young people in this category, which will tend to refer to it similarly.This leads to a very simple conclusion: given that in the Romanian culture, as in other cultures, the lie is disapproved, people who lie will experience a conflict between the censorship of the superego and the desire of the ego, which is reflected in the sense of guilt.
A Controlled Randomized Study on the Efficacy of Short-Term Dinamic Psychotherapy in Borderline Personality Disorders (BPD). Preliminary Results
Authors: Reneses B. , Figuera D. , Salcedo G. , Trujillo M. , López-Ibor J.J. , Galián M. , Fernández del Moral A. , Serrano R. 
Published: May 2011

IntroductionFour psychotherapies have been recognized as effective with scientific evidence for the treatment of BPD, but are long term techniques. It is necessary to explore new time limited psychotherapies in order to be more accessible.We have developed a specific manualized psychotherapy for BPD named Psychic Representation focused Psychotherapy (PRFP)ObjectivesTo assess the efficacy of the PRFP in BPD in an outpatient care setting compared to a control group receiving psychiatric treatment “as usual” in several specific symptoms and in diminishing the disability due to the illness.Methods60 subjects with BPD were randomized to one of the two treatment groups. The study group has received PRFP with 20 sessions on a weekly basis; the control group has received treatment “as usual”. Both groups may receive psychopharmacological treatment. The assessment is done in four time-points: at baseline, after the psychotherapy or conventional treatment (six months), and at a six and twelve month's follow-up period.ResultsPreliminary results of the first 30 patients (control group 17, experimental group 13, without significant differences, Age 18–35 years; 70% women) assessed at the baseline and at the end of the intervention (six months). Experimental group reached a statistically significant clinical improvement over the controls in all measured variables: Scales: SCL-90; Zanarini ; MDRS; Barrat; STAI anxiety state; Rosemberg self-esteem and SASS social adaptation.ConclusionThe preliminary results are encouraging and reveal that this method could be effective. This study state the interest in develop more studies about time limited psychotherapy for BPD.
Comparisonal Investigation of Personality Traits and Mental Health in Artistic People and Normal People
Authors: Rezanezhadamirdehi A. 
Published: May 2011

Introduction & objectivesThe aim of research was comparisonal investigation of personality traits and mental health in people with artistic jobs and without artistic jobs.MethodThe research sample was comprised by 70 people with artistic experiences and jobs such as musician, theatre player, poet, actors, local singer, and 70 people without artistic jobs and experiences. The sample's characteristics were measured by Revised NEO Personality Inventory (FFM PI-R) and Goldberg's general health questionnaire (GHQ). Data were analyzed with T independent test.ResultsFindings showed significant differences between variables. People with artistic experiences and jobs were more extroverted, agreeable and conscientiousness in personality traits and were low in components of mental illness than people without artistic jobs and experiences.ConclusionBased on results it is concluded that art and its fields such as music, theatre, poem and singing have positive effect on mental health and well-being.
Borderline Personality Disorder: Vicissitudes Related to Hospitalization Based on a Case Report
Authors: Scherer E.A. , Scherer Z.A.P. , Mori C.M.N. 
Published: May 2011

IntroductionBorderline personality disorder (BPD) patients present a diffuse pattern of unstable interpersonal relations, self-image, affection and considerable impulsiveness.ObjectiveDescribe the circumstances related to prolonged hospitalization of a BPD patient; denote doubts, difficulties, polemics and feelings generated in the care team when managing this situation; and seeking scientific literature support on BPD.AimsUnderstand the circumstances related to prolonged hospitalization of a BPD patient and the effects of this situation on the care team.MethodAn exploratory and descriptive research was carried out at the Psychiatric Ward at Ribeirão Preto Medical School Hospital of the University of São Paulo, Brazil. Interviews with five professionals were submitted to thematic content analysis and data from the patient's file were presented as a case report.ResultsTwo categories emerged from the interviews. “Team management in conducting the case”: divergencees in case conduction, bad feelings and counter-transference; the patient made demands and wanted to break rules. “Family abandonment”: although ready for discharge, the patient remained hospitalized due to lack of family and economic support. The only alternative was her transfer to a psychiatric hospital. Despite the difficulties, the team considered the experience gained in conducting the case was positive.ConclusionInvestments are needed in programs aimed at better preparing the family to understand and welcome the patient after discharge from hospital. Moreover, greater cooperation is needed among the social structures of health care, patients and family members.
Association Between Peptic Ulcer and Personality Disorders in a Nationally Representative us Sample
Authors: Schuster J.-P. , Limosin F. , Levenstein S. , Le Strat Y. 
Published: May 2011

IntroductionThe peptic ulcer disease (PUD) is a paradigm of the mind body interaction. This model has been a source of much research until the rise of an infectious etiologic model and improvement in pharmacotherapy. To the best of our knowledge, there is no epidemiological data investigating the co-occurrence of PUD with personality disorders based on DSM-IV criteria.ObjectiveTo assess the association between peptic ulcer and a wide range of personality disorders in a large sample representative of the general population in the United States.MethodsData were drawn from the National Epidemiologic Survey on Alcohol and Related Conditions, on the basis of a face-to-face interview of more than 43,000 adults. Univariate and multivariate logistic regression were used to examine the relationship between self-reported “stomach ulcer” and personality disorders.ResultsAll seven personality disorders assessed in the National Epidemiologic Survey on Alcohol and Related Conditions (i.e., avoidant, dependent, obsessive-compulsive, paranoid, schizoid, histrionic, and antisocial personality disorders) were associated with stomach ulcer, with odds ratio ranging from 2.26 (obsessive compulsive personality disorder) to 5.54 (dependent personality disorder). Participants with ulcer were five times more likely to have more than three personality disorders than participants without ulcer. The relationship between ulcer and personality disorders was only slightly attenuated after adjusting for sociodemographic conditions, physical and psychiatric disorders, and addictions.ConclusionsSelf-reported peptic ulcer is associated with increased rates of personality disorders, beyond the influence of psychiatric disorders or addictions.Psychosom Med. 2010 Aug 17. [Epub ahead of print]
Borderline Personality and Quality of Life
Authors: Touhami M. , Ouriaghli F. , Manoudi F. , Asri F. 
Published: May 2011

IntroductionThe borderline personality disorder is the most frequent personality disorder in psychiatry.It causes significant changes in social, family and professional functioning, wish can sometimes be severe enough to cause an alteration of quality of life for this patients.ObjectiveTo assess the quality of life among people with borderline personality in order to improve patients care.MethodsA retrospective study on 25 patients hospitalized in our hospital during the period between 2006 and 2008.ResultsIn 92% of our sample, there is a social impact, represented by social and family isolation (64% of cases), separations, divorces (28%). 40% of patients are in a good economical level. 56% of the sample had no education beyond high school, only 36% were able to attend college. In 96% of cases, the symptoms have affected the education and occupation with dropout in 56% fragile employability in 28% and job loss in 12%.ConclusionBPD sounds significantly on the social and professional integration of patients, so consequently on the quality of life. Pharmacological treatment alone is not enough. Individual psychotherapy and group rehabilitation activities can contribute on improving the quality of life of borderline subjects.