BPD

Question 1

BPD INTRO

Answer 1

pervasive patterns of instability in: relationships, self image
Onset early adulthood
Elevated risk of suicide 10%
Impulsivity- self destructive

Question 2

BPD MODEL

Answer 2

Leichsering et Al 2002
Combination of biological and psychosocial
Genetic vulnerability + adverse childhood experiences = atypical neurobiology and personality and social functioning
Which caused affective disregulation and disturbed relatedness

Question 3

BPD model support

Answer 3

Ruocco et Al (2012)
Atypical neurobiological
Meta-analysis 11 studies
On volumes of hippocampus & amygdala vs non clinical
Complicated disorder because of substance abuse and med and co-morbid
3/11 studies show large effect for psychiatric meds
Therefore we can’t be sure of causal effect of atypical neurobiology it may actually be the meds causing this atypical n

Question 4

BPD Pharmacotherapy

Answer 4

Liebs et Al (2010) systematic review of 27RCT
tested
Antipsychotics = 6 study’s sig effect on mood, anxiety and psychotic but mixed for suicide
Mood stabilisers= 3 study’s had therapeutic effects such as interpersonal problem + reduced impulsivity
Antidepressant= 6 RCT only 1 study shared dig reduction in depressed mood
All balance of side effects
Robustness of findings were low/ questions effectively
Longer RCT with follow up required

Question 5

BPD- psychological intervention

Answer 5

DBT dialectical behaviour therapy
Focusing on the need for change and acceptance
Done by mindfulness, interpersonal effectiveness and distress tolerance and more effective emotion regulation
Cristea et Al (2017) meta analysis on 28 RCT
9 showed significant effect but 4 couldn’t be followed up and was often with sub-optimal controls
Could be effective but need larger follow up samples and more efficient controls