BPD Flashcards
DSM for BPD
behaviour devates from norm, dates back to adolescence, unusual interpretations, impairments in functions
why is bpd highly reseachered
10% sucide risk 50 times greater than normal population
when is BPD diagnosed
when there is a pervasive pattern of instability in relationships, self-image, and affects, beginning in early adulthood, present in variety of contexts
who made the model of BPD
Leichsenring et al 2011
what is the model of BPD
develops from genetic risk and adverse childhood, results in atypical neurobiology and personality functioning leads to affective and behavour dysregulation and disturbed relatedness
what does bpd develop from
genetic risk and adverse childhood
what does genetic risk and adverse childhood result in
atypical neurobiology and personality functioning
what does atypical neurobiology and personality functioning result in
affective and behavour dysregulation and disturbed relatedness
study into atypical neurobiology
Ruocco et al 2012
what did Ruocco et al 2012 do
meta-analysis of 11 studies comparing volume of hippocampus and amygdala in BPD v control
what did Ruocco et al 2012 find
bilateral smaller volumes in BPD
problems with what did Ruocco et al 2012 did
Presence/absence of other mental health problems and use of psychiatric med’s may have been important
who links childhood trauma and bpd
ball and link 2009
what did ball and link 2009 do
reviewed evidence of Association of childhood trauma and bpd
why can’t experiments be done to look at childhood trauma and bpd
can’t randomly alocated PP
what did ball and link 2009 find
childhood trauma occurs before BPD, more childhood trauma more severe BPD
biological intervention
pharmacotherapy
study for pharmacotherapy
Lieb et al.’s (2010)
what did Lieb et al.’s (2010) do
systematic review of 27 RCT into meds v placebo
what did Lieb et al.’s (2010) find for olanzapine anti psychotic
small effect on mood, anxiety and psychotic symptoms
what did Lieb et al.’s (2010) find for mood stabiliser
some small effect on interpersonal problems and impulsivity
what did Lieb et al.’s (2010) find for anti depressants
only 1 trail out of 6 reported depressed mood reduction no evidence
problem with Lieb et al.’s (2010)
small samples, no follow up, 50% excluded suicidal PP
DBT
DBT involves a dialectic of the need to change and the need for acceptance,help manage emotions,Mindfulness
Distress Tolerance
Emotion Regulation
Interpersonal Effectiveness:
why DBT not CBT
Lynch et al 2006 Unlikely to work with BPD patients.
People with BPD hypersensitive towards criticism.
People with BPD tend to respond badly to criticisms.
may et al 2016 DBT involves
Skills training group.
Individual psychotherapy.
Telephone consultation.
Cristea et al. (2017)
Recent meta-analysis 28 RCT investigating efficacy of psychotherapy for BPD
Cristea et al. (2017) find?
sig effect of DBT
Cristea et al. (2017) problem
not many follow ups lack of power
