BPD

Question 1

DSM for BPD

Answer 1

behaviour devates from norm, dates back to adolescence, unusual interpretations, impairments in functions

Question 2

why is bpd highly reseachered

Answer 2

10% sucide risk 50 times greater than normal population

Question 3

when is BPD diagnosed

Answer 3

when there is a pervasive pattern of instability in relationships, self-image, and affects, beginning in early adulthood, present in variety of contexts

Question 4

who made the model of BPD

Answer 4

Leichsenring et al 2011

Question 5

what is the model of BPD

Answer 5

develops from genetic risk and adverse childhood, results in atypical neurobiology and personality functioning leads to affective and behavour dysregulation and disturbed relatedness

Question 6

what does bpd develop from

Answer 6

genetic risk and adverse childhood

Question 7

what does genetic risk and adverse childhood result in

Answer 7

atypical neurobiology and personality functioning

Question 8

what does atypical neurobiology and personality functioning result in

Answer 8

affective and behavour dysregulation and disturbed relatedness

Question 9

study into atypical neurobiology

Answer 9

Ruocco et al 2012

Question 10

what did Ruocco et al 2012 do

Answer 10

meta-analysis of 11 studies comparing volume of hippocampus and amygdala in BPD v control

Question 11

what did Ruocco et al 2012 find

Answer 11

bilateral smaller volumes in BPD

Question 12

problems with what did Ruocco et al 2012 did

Answer 12

Presence/absence of other mental health problems and use of psychiatric med’s may have been important

Question 13

who links childhood trauma and bpd

Answer 13

ball and link 2009

Question 14

what did ball and link 2009 do

Answer 14

reviewed evidence of Association of childhood trauma and bpd

Question 15

why can’t experiments be done to look at childhood trauma and bpd

Answer 15

can’t randomly alocated PP

Question 16

what did ball and link 2009 find

Answer 16

childhood trauma occurs before BPD, more childhood trauma more severe BPD

Question 17

biological intervention

Answer 17

pharmacotherapy

Question 18

study for pharmacotherapy

Answer 18

Lieb et al.’s (2010)

Question 19

what did Lieb et al.’s (2010) do

Answer 19

systematic review of 27 RCT into meds v placebo

Question 20

what did Lieb et al.’s (2010) find for olanzapine anti psychotic

Answer 20

small effect on mood, anxiety and psychotic symptoms

Question 21

what did Lieb et al.’s (2010) find for mood stabiliser

Answer 21

some small effect on interpersonal problems and impulsivity

Question 22

what did Lieb et al.’s (2010) find for anti depressants

Answer 22

only 1 trail out of 6 reported depressed mood reduction no evidence

Question 23

problem with Lieb et al.’s (2010)

Answer 23

small samples, no follow up, 50% excluded suicidal PP

Question 24

DBT

Answer 24

DBT involves a dialectic of the need to change and the need for acceptance,help manage emotions,Mindfulness
Distress Tolerance
Emotion Regulation
Interpersonal Effectiveness:

Question 25

why DBT not CBT

Answer 25

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.

Question 26

may et al 2016 DBT involves

Answer 26

Skills training group.
Individual psychotherapy.
Telephone consultation.

Question 27

Cristea et al. (2017)

Answer 27

Recent meta-analysis 28 RCT investigating efficacy of psychotherapy for BPD

Question 28

Cristea et al. (2017) find?

Answer 28

sig effect of DBT

Question 29

Cristea et al. (2017) problem

Answer 29

not many follow ups lack of power