Prevalence Of Borderline Personality Disorder Research Articles

Sociodemographic and clinical characteristics of patients with borderline personality disorder enrolled for a first episode psychosis within a specialized “early intervention” service

Borderline Personality Disorder (BPD) is under-recognized in First Episode Psychosis (FEP). The aims of this investigation were: (a) to examine the prevalence of BPD in FEP patients enrolled within an Italian “Early Intervention in Psychosis” (EIP) service; (2) to compare sociodemographic, clinical and treatment characteristics at entry between FEP individuals with and without BPD; and (3) to compare their drop-out rates along a 2-year follow-up period. BPD was assessed using the Structured Clinical Interview for DSM-IV axis II personality disorders. All participants also completed the Positive And Negative Syndrome Scale (PANSS) and the Global Assessment of Functioning (GAF) scale. Forty-nine (9.6%) FEP participants showed a BPD diagnosis. FEP individuals with BPD had a higher baseline prevalence of substance misuse, a lower baseline equivalent dose of antipsychotic medication, lower baseline levels of negative symptoms, and higher baseline levels of anxious-depressive features. They also had a higher 2-year drop-out rate. In conclusion, BPD is present in 10% of FEP patients. This FEP subgroup has peculiar clinical challenges (e.g. high substance misuse at entry, high drop-out rate) and additional comorbidities (e.g. high levels of depressive symptoms at entry), which would require appropriate treatment guidelines.

Borderline personality disorder: a comprehensive review of diagnosis and clinical presentation, etiology, treatment, and currentcontroversies.

Borderline personality disorder (BPD) was introduced in the DSM-III in 1980. From the DSM-III to the DSM-5, no major changes have occurred in its defining criteria. The disorder is characterized by instability of self-image, interpersonal relationships and affects. Further symptoms include impulsivity, intense anger, feelings of emptiness, strong abandonment fears, suicidal or self-mutilation behavior, and transient stress-related paranoid ideation or severe dissociative symptoms. There is evidence that BPD can be reliably diagnosed and differentiated from other mental disorders by semi-structured interviews. The disorder is associated with considerable functional impairment, intensive treatment utilization, and high societal costs. The risk of self-mutilation and suicide is high. In the general adult population, the lifetime prevalence of BPD has been reported to be from 0.7 to 2.7%, while its prevalence is about 12% in outpatient and 22% in inpatient psychiatric services. BPD is significantly associated with other mental disorders, including depressive disorders, substance use disorders, post-traumatic stress disorder, attention-deficit/hyperactivity disorder, bipolar disorder, bulimia nervosa, and other personality disorders. There is convincing evidence to suggest that the interaction between genetic factors and adverse childhood experiences plays a central role in the etiology of BPD. In spite of considerable research, the neurobiological underpinnings of the disorder remain to be clarified. Psychotherapy is the treatment of choice for BPD. Various approaches have been empirically supported in randomized controlled trials, including dialectical behavior therapy, mentalization-based therapy, transference-focused therapy, and schema therapy. No approach has proved to be superior to others. Compared to treatment as usual, psychotherapy has proved to be more efficacious, with effect sizes between 0.50 and 0.65 with regard to core BPD symptom severity. However, almost half of the patients do not respond sufficiently to psychotherapy, and further research in this area is warranted. It is not clear whether some patients may benefit more from one psychotherapeutic approach than from others. No evidence is available consistently showing that any psychoactive medication is efficacious for the core features of BPD. For discrete and severe comorbid anxiety or depressive symptoms or psychotic-like features, pharmacotherapy may be useful. Early diagnosis and treatment of BPD can reduce individual suffering and societal costs. However, more high-quality studies are required, in both adolescents and adults. This review provides a comprehensive update of the BPD diagnosis and clinical characterization, risk factors, neurobiology, cognition, and management. It also discusses the current controversies concerning the disorder, and highlights the areas in which further research is needed.

Differences in diagnostic rules used to determine borderline personality disorder impact prevalence and associations with clinically relevant variables: Findings from the National Epidemiologic Survey on Alcohol and Related Conditions-III.

Borderline personality disorder (BPD) is a serious and understudied mental health condition associated with profound personal and public health consequences. Methodological differences in characterizing BPD may limit understanding the scope of the disorder's prevalence and effect. For example, using different diagnostic rules for BPD can affect apparent prevalence, comorbidity, and clinical presentation. This study examined how differences in diagnostic rules used to assign BPD diagnosis impacted its prevalence and associations with clinically relevant variables (e.g., demographics, comorbidity, treatment-seeking). Participants were a nationally representative sample of 36,309 noninstitutionalized U.S. adults. All variables were assessed via clinical interview (Alcohol Use Disorder and Associated Disabilities Interview Schedule-5). Six diagnostic rules determined BPD status. We used frequencies to examine prevalence rates of and associations between BPD and other clinical variables, and logistic regressions to examine the associations between each BPD variable and the other outcomes. The prevalence of BPD ranged widely-from 0.5% to 11.4%-per the diagnostic rule used. Associations between BPD diagnosis and various outcomes and clinical variables generally remained stable across all diagnostic rules, though effects became more extreme as diagnostic rules became more restrictive. Additionally, meaningful differences emerged as a function of the number of items used (30 vs. 18 items) even with no other changes to diagnostic rules. The field examining BPD and associated problem behaviors should critically consider how to most effectively characterize BPD to understand these problems more accurately and optimize the generalizability of findings. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Effectiveness of internet-delivered dialectical behavior therapy skills training on executive functions among college students with borderline personality traits: a non-randomized controlled trial.

Given the enormous influence of emotions on cognitive processes, individuals with borderline personality disorder (BPD) suffer from marked deficits in higher-order thinking abilities. Considering the prevalence of BPD among college students, this study aimed to investigate the changes in perceived executive functioning among college students with traits/presence of BPD undergoing internet-delivered dialectical behavior therapy skills training (DBT-ST) that included the mindfulness and emotion regulation modules. An internet-delivered version of DBT-ST was opted for, as technological advancements in the present era promote the use of online platforms for psychotherapy. This non-randomized controlled trial consisted of 36 college students with traits/presence of BPD. The intervention group attended 13 sessions of DBT-ST, and the control group attended 13 sessions of behavioral activation. Perceived executive functioning was assessed using the Behavior Rating Inventory of Executive Functions for Adults. A 2-way repeated measures analysis of variance was used to evaluate the treatment impact on the outcome variable. Results showed that the DBT-ST group had larger improvements in their abilities to initiate, plan, and organize current and future-oriented task demands and to organize their everyday environment, compared to the control group. Both, the DBT-ST group and the control group demonstrated improvements in emotional control, working memory, and their abilities to shift and task monitor. Findings suggest that the internet-delivered version of DBT-ST, consisting of the mindfulness and emotion regulation modules, can foster notable improvements in executive functions among college students with traits/presence of BPD. Improved executive functioning is one of the several multifaceted outcomes of dialectical behavior therapy.

One-year prevalence and psychiatric comorbidity of borderline personality disorder in a medical certificate population: a registry study of psychiatric outpatients in community mental health care in the city of Oulu

Objective Borderline personality disorder (BPD) is a common disorder in healthcare settings but estimates of BPD prevalence vary greatly. This study aimed to estimate the one-year prevalence of BPD in psychiatric outpatients and analyze the psychiatric comorbidity presented with BPD. Method The data comprised 18–60-year-old patients who had a BPD diagnosis recorded in their medical certificate B (mcB) and were treated in specialized psychiatric outpatient services in the city of Oulu, northern Finland, in 2014. An mcB is a comprehensive summary of a patient’s medical history written by a doctor, and patients need it in the Finnish healthcare system when applying for social benefits and rehabilitation measures. Results The prevalence of BPD was 12.8% among patients with an mcB treated in the psychiatric outpatient services. BPD was 3.0 times more common in female than male psychiatric outpatients with an mcB. The most common comorbid psychiatric disorders written in mcBs of BPD patients were mood (81.0%) and anxiety (39.2%) disorders. The only statistically significant gender difference was found in behavioral and emotional disorders (16.7% in men, 1.6% in women). Conclusions The mcB-based BPD prevalence estimate and psychiatric comorbidity was consistent with previous studies researching psychiatric outpatients with BPD. McBs appear to be a reliable and comprehensive data source for diagnostic information in research.

Personality disorders of the parents of primary school students and its relationship to their oppositional defiant disorder

The current study aimed to examine the prevalence of certain personality disorders، including antisocial، borderline and narcissistic among parents of basic education students. Similarly، it aimed to examine the prevalence of oppositional defiant disorder among basic education students، and the differences in the prevalence of these disorders according to gender. The current study also aimed to investigate the contribution of parents’ personality disorders in the variance of children’s oppositional defiant disorder. The researchers prepared four measures to examine parent’s personality disorders، and oppositional defiant disorder according to DSM-5. Regarding the study sample، the data was collected throughout a multi-stages random sampling method. One thousand eight hundred parents (900 fathers and 900 mothers) of third، fourth and fifth grade children in Sulaymanyeah basic education schools participated in the current study. Along with the parents، sixty teachers also filled out the oppositional defiant disorder questionnaire.The results indicated that the prevalence of antisocial personality disorder was %1 for both parents، and the prevalence of borderline personality disorder among mother was %2 and was %3 for father respectively. The narcissistic personality reached %5 according to the mothers’ questionnaire and was %4 according to the fathers’ questionnaire. Concerning the prevalence of children’s oppositional defiant disorder، based on the parents report، it was found that %5 children suffer from this and %6 based on the teacher reports. The findings also showed no statistically significant difference in the prevalence of parent’s antisocial personality disorder. However، a significant difference was noticed in borderline personality disorder in favor of the fathers. In addition، the prevalence of narcissistic personality disorder was found to be higher among mother compared to fathers. Gender difference was also found in oppositional defiant disorder، suggesting that males manifested higher level of oppositional defiant disorder than females. Finally، the result of the study indicated a positive correlation between parents’ antisocial personality disorder and children’s oppositional defiant disorder.

Personality disorders of the parents of primary school students and its relationship to their oppositional defiant disorder

The current study aimed to examine the prevalence of certain personality disorders، including antisocial، borderline and narcissistic among parents of basic education students. Similarly، it aimed to examine the prevalence of oppositional defiant disorder among basic education students، and the differences in the prevalence of these disorders according to gender. The current study also aimed to investigate the contribution of parents’ personality disorders in the variance of children’s oppositional defiant disorder. The researchers prepared four measures to examine parent’s personality disorders، and oppositional defiant disorder according to DSM-5. Regarding the study sample، the data was collected throughout a multi-stages random sampling method. One thousand eight hundred parents (900 fathers and 900 mothers) of third، fourth and fifth grade children in Sulaymanyeah basic education schools participated in the current study. Along with the parents، sixty teachers also filled out the oppositional defiant disorder questionnaire.The results indicated that the prevalence of antisocial personality disorder was %1 for both parents، and the prevalence of borderline personality disorder among mother was %2 and was %3 for father respectively. The narcissistic personality reached %5 according to the mothers’ questionnaire and was %4 according to the fathers’ questionnaire. Concerning the prevalence of children’s oppositional defiant disorder، based on the parents report، it was found that %5 children suffer from this and %6 based on the teacher reports. The findings also showed no statistically significant difference in the prevalence of parent’s antisocial personality disorder. However، a significant difference was noticed in borderline personality disorder in favor of the fathers. In addition، the prevalence of narcissistic personality disorder was found to be higher among mother compared to fathers. Gender difference was also found in oppositional defiant disorder، suggesting that males manifested higher level of oppositional defiant disorder than females. Finally، the result of the study indicated a positive correlation between parents’ antisocial personality disorder and children’s oppositional defiant disorder.

Personality disorders (antisocial, borderline, and narcissistic) among parents and their relationship to behavioral disorders among basic education students

The current study aimed to examine the prevalence of certain personality disorders، including antisocial، borderline and narcissistic among parents of basic education students. Similarly، it aimed to examine the prevalence of conduct disorder among basic education students، and the differences in the prevalence of these disorders according to gender. The current study also aimed to investigate the contribution of parents’ personality disorders in the variance of children’s conduct disorder. The researchers prepared three measures to examine parent’s personality disorders. A questionnaire by Abdullah (2019)، which was according to DSM-5، was utilized to assess conduct disorder. Regarding the study sample، the data was collected throughout a multi-stages random sampling method. One thousand eight hundred parents (900 fathers and 900 mothers) of third، fourth and fifth grade children in Sulaymanyeah basic education schools participated in the current study. Along with the parents، sixty teachers also filled out the conduct disorder questionnaire. The results indicated that the prevalence of antisocial personality disorder was %1 for both parents، and the prevalence of borderline personality disorder among mother was %2 and was %3 for father respectively. The narcissistic personality reached %5 according to the mothers’ questionnaire and was %4 according to the fathers’ questionnaire. Concerning the prevalence of children’s conduct disorder، based on the parents report، it was found that %08 children suffer from this disorder ، and %07 based on the teacher reports. The findings also showed no statistically significant difference in the prevalence of parent’s antisocial personality disorder. However، a significant difference was noticed in borderline personality disorder in favor of the fathers. In addition، the prevalence of narcissistic personality disorder was found to be higher among mother compared to fathers. Gender difference was also found in conduct disorder، suggesting that males manifested higher level of conduct disorder than females. Finally، the result of the study indicated a positive correlation between parents’ antisocial personality disorder and children’s conduct disorder.

Borderline personality disorder in Irish Travellers: a cross-sectional study of an ultra-high-risk group

IntroductionIrish Travellers are recognised as a minority ethnic group in Ireland. While mental health services are available to Travellers, these services are often perceived as inadequate at addressing the mental health needs of this population. Studies have shown that there is a higher prevalence of mental disorders in the Traveller community in Ireland compared to the general Irish public. However, it is unclear if Travellers are at a higher risk of developing personality disorders, particularly borderline personality disorder.ObjectivesThis study will examine the prevalence of borderline personality disorder and other mental disorders in Travellers attending a community mental health service in Tuam, County Galway. This study will also investigate the biopsychosocial interventions delivered to this cohort and the clinical outcome following the interventions.MethodsThis is a cross-sectional study. Travellers who were active caseloads on the register of the community mental health service in Tuam were included in this study. Chart reviews were carried out on all samples included in this study.ResultsA total of 59 active patients were included in this study. The Traveller community formed 14.4% (59 out of 410) of the active caseloads of the Tuam mental health service. There were more male than female Travellers who attended the service. Mean age was 36 years old. The most common mental disorder in this study cohort is depressive episode (F32). This is followed by mixed anxiety and depressive disorder (F41.2). A significant minority (9, 15.3%) of the study participants were given a diagnosis of borderline personality disorder. 9 study participants await diagnostic clarification. Nearly one-fifth (18%, n=9) of the study participants with a diagnosis had been given a diagnosis of borderline personality disorder. Over 50% of the study participants were on at least 3 different medications from at least 2 different classes of psychotropics.ConclusionsThis study shows that there is a significant overrepresentation of Travellers attending the community mental health service in Tuam. The findings from this study can be used to plan future service development projects to better meet the needs of this unique population.Disclosure of InterestNone Declared

Effectiveness of dialectic-behavioral skills training based on Soler model alone and along with family education in reduction of borderline personality disorder symptoms with three months follow up

High prevalence of borderline personality disorder, high comorbidity with other psychiatric disorders, impulsive reactions necessitate psychological interventions on this group of patients. Objective : this study aimed to indicate the effect of dialectical behavior therapy individually and along with family therapy on borderline personality symptoms. Materials and methods . Eight patients were selected based on diagnostic and statistical manual of mental disorders (DSM-5), borderline personality disorder severity Index (BPDSI) and semi-structural interview (SCID-II). They divided into two groups: individual intervention and individual intervention with family education. All received Soler-based dialectical behavioral skills training (3-months) in 13 sessions of 120 minutes. In four stages, beginning of sessions, the median of treatment, end of the treatment, and three months after treatment, BPDSI questionnaire were filled and family of the second group completed McMaster questionnaire. Results . The findings of Friedman test show the effectiveness of dialectic-behavioral skills training based on Soler model as a short-term model alone and along with family education in reducing the symptoms of borderline personality disorder. Wilcoxon test indicate the effectiveness of this method in reducing the symptoms in post-test. Three months follow-up indicates the stability of the results with a 95% confidence level. U Mann-Whitney indicates no significant difference between two groups. Conclusion . Dialectical-behavior skills training based on the Soler model is effective in reducing the symptoms of borderline personality disorder and improving family function. It is recommended as a short term method to control the symptoms of borderline personality disorder and improvement the performance and communication among family members.

The Prevalence and Clinical Characteristics of Borderline Personality Disorder in South Korea Using National Health Insurance Service Customized Database.

The purpose of the present study was to identify the prevalence and clinical characteristics of borderline personality disorder (BPD) in South Korea using the Korean National Health Insurance database (DB). We used the National Health Insurance Service (NHIS)'s research DB (NHIS-2021-1-790) from January 1, 2010 to December 31, 2019, to make customized DB including sociodemographic information and absence or presence of BPD and other psychiatric disorders. The prevalence and the age of onset of BPD was estimated. To compare medical service utilization between the BPD group and the control group, a 1:1:1 propensity score matching was employed, and the regression analysis was conducted. The prevalence of BPD per 10000 people was 0.96 in 2010 and 1.06 in 2019. The prevalence ratio of males to females was 1:1.38 in 2010 and 1:1.65 in 2019, showing that BPD was more prevalent in females. The patients' overall average age of onset was 33.19±14.6 years, with the highest prevalence shown in 8503 people in their 20s. By administrative district, the highest prevalence of BPD per 10000 people was shown in Seoul with 8.71 and the lowest in Jeollanam-do with 2.35. The BPD patients showed a pattern of extensive use of general and mental healthcare services. This study identified the prevalence of BPD on a national DB set in South Korea. Although the prevalence of BPD in South Korea was relatively low compared to other countries, there was a steady increase in the number of BPD patients over a decade, which may be possibly due to an increased awareness of mental health and campaigns among healthcare providers and users in the country.

Clinical Practice Guidelines for Assessment and Management of Patients with Borderline Personality Disorder.

Clinical Practice Guidelines for Assessment and Management of Patients with Borderline Personality Disorder.

Borderline personality disorder symptoms in individuals with eating disorder: Association with severity, psychological distress, and psychosocial function.

We aimed to determine the prevalence of borderline personality disorder (BPD) symptoms in a sample of eating disorder (ED) outpatients and assess how BPD symptoms correlate with severity, distress, and function. A total of 119 individuals were assessed and divided into high BPD symptoms (H-BPD) and low BPD symptoms (L-BPD) using a cut-off score of seven on the McLean Screening for Borderline Personality Disorder (MSI-BPD). Groups were compared on ED diagnosis, age at ED onset, age at assessment, illness duration, body mass index (BMI), ED symptomatology, psychological distress, and psychosocial function. Correlation analyses were performed to assess the relationship between BPD symptoms and these variables. The 45.4% of the participants scored ≥7 on the MSI-BPD, indicating a diagnosis of BPD. There were no differences between the H-BPD (N = 54) and L-BPD (N = 65) groups on age at onset, age at assessment, duration of illness, BMI, or proportion of ED diagnosis. The H-BPD group reported significantly higher ED symptomatology, psychological distress, and poorer psychosocial functioning. MSI-BPD scores were positively associated with these variables. This study suggests a high prevalence of BPD symptoms within outpatients seeking ED treatment, and use of a brief screening instrument for BPD in this group may contribute to a greater understanding of the patient.

Aesthetics and mental health: an increase in personality disorders

IntroductionThere has been a growing interest in our society for aesthetic interventions and achieving perfect beauty standards. We analyze its relationship with the mental health of our present time.Objectives1. Describe the most frequent pathologies associated with aesthetic interventions.2. Describe the population that most frequently uses these interventions.3. Management of this pathology.MethodsSystematic bibliographic review of the literature of the last 5 years following the PRISMA recommendations between March and June 2021.Results4 articles were included. Most of them coincide in a high prevalence of borderline personality disorders, high impulsivity, high levels of anxiety, low perceived self-esteem and dysmorphophobia. Greater coordination between physicians who are dedicated to aesthetics and mental health is proposed due to the rise of this fashion.Conclusions1. High increase in the use of aesthetic techniques.2. Women who consume these techniques more.3. High prevalence of personality disorders.4. High prevalence of dysmorphophobia.5. Referral is recommended in some cases to mental health consultations for specific treatment.DisclosureNo significant relationships.

The impact of educational interventions on modifying health practitioners’ attitudes and practice in treating people with borderline personality disorder: an integrative review

BackgroundThe rising prevalence of Borderline Personality Disorder (BPD) and suicidality represents substantial health burden worldwide. People with BPD experience high rates of crisis presentations and stigma when accessing health services. Educational interventions designed to modify health practitioners’ attitudes and practice in treating people with BPD may assist in addressing this stigma. The current review aimed to identify and explore existing educational interventions designed to modify health practitioners' attitudes and practice in BPD; and determine what impact educational interventions have on improving health practitioners’ responses towards people with BPD.MethodsA comprehensive search of the literature was undertaken in MEDLINE, CINAHL, PsycINFO, Scopus, Cochrane Library, and JBI Evidence-Based databases (from inception to February 2022). Secondary sources of literature included grey literature searches and handsearching the references of included studies as part of the comprehensive search strategy. The eligibility criteria included peer-reviewed empirical studies examining BPD-related educational interventions aimed at modifying health practitioners’ attitudes and practice in treating people with BPD. Quality appraisal of the included studies were completed using the Mixed Methods Appraisal Tool 2018 version (MMAT v.18) or the Joanna Briggs Institute (JBI) Checklist for Systematic Reviews and Research Syntheses Tool. Thematic Analysis informed data extraction, analysis, interpretation, and narrative synthesis of the data.ResultsA total of nine papers containing 991 participants across a diverse range of studies including, quantitative, qualitative, mixed methods, and a systematic review were included in this integrative review. Several BPD-related educational interventions designed to modify health practitioners’ attitudes and practice in BPD exist. Findings suggest that training health practitioners in BPD-related educational interventions can enhance positive attitudes and change practice towards people with BPD; however, more high-quality studies are needed to confirm these conclusions.ConclusionsThis review collated and summarized findings from studies examining the impact of BPD-related educational interventions on changing health practitioners’ attitudes and practice in treating this population. Results from this review may help inform future research, policy, and practice in stigma-reduction strategies which would improve the delivery of responsive health services and care for people with BPD.Systematic review registrationOpen Science Framework (https://osf.io/7p6ez/)

Borderline personality disorder among cannabis users and its association with demographic variables

The abuse and chronic use of cannabis is associated with several physical and psychological adverse effects including depression and anxiety. Substance abuse is likely to be associated with increased frequency of borderline personality disorder. The aim of this study is to evaluate the prevalence of borderline personality disorder among engineering students, its severity and association with demographic variables.This descriptive cross-sectional study included 100 engineering students who were determined as cannabis abusers using DSM-5 criteria. These participants were evaluated for borderline personality disorder with borderline personality inventory (BPI) and based on the score were grouped as low probability of being a borderline personality, average probability of being a borderline personality and very likely to be borderline personality. Demographic information of the participants such as gender, age, town of residence and education were also collected in a research questionnaire for evaluation.Of 100 participants, 68% were males and 32% were females and the mean age of the participants was 24.1 ± 3.75 years. 54% participants had low probability, 37% had medium and 9% had high probability of borderline personality disorder. The incidence and severity of borderline personality disorder was not significantly associated with the gender, education, and area of residence p > 0.05, however it was significantly associated with the age, respectively.Our study showed that about 9% of the participants had high probability of borderline personality disorder regardless of their gender, education, and town of residence. Further studies with different age groups and larger sample size are required in this field.

P205. A Systematic Review of EEG Studies in Borderline Personality Disorder: Identifying Gender Differences

Research to identify effective treatments for psychopathology has benefited immensely from focus on biomarker identification. Despite the high prevalence of Borderline Personality Disorder (BPD) (1-5%), identification of biomarkers has lagged behind the field for this population. Even less data is available on potential gender differences in biomarkers for BPD. We reviewed the state of the field with focus on EEG markers of BPD pathology and recovery.

The prevalence of borderline personality features and borderline personality disorder during the perinatal period: a systematic review and meta-analysis.

Borderline personality disorder (BPD) is a psychiatric disorder marked by severe affective instability and poor interpersonal functioning. Existing literature has highlighted that individuals with BPD are at greater risk for a wide range of adverse physiological and psychosocial outcomes in the perinatal period compared to perinatal individuals without BPD. However, to date, no systematic review has addressed the prevalence of BPD and borderline personality features (BPF) in pregnant and postpartum individuals. A systematic review and meta-analysis was conducted by searching three databases (PubMed, PsycINFO, and Embase) on April 6th, 2021. Research articles and conference abstracts that evaluated BPF or BPD in pregnant, postpartum, or mixed perinatal populations were included. Sixteen publications were included in the systematic review (n = 14 research articles, n = 2 conference abstracts), seven of which were included in the meta-analysis. Among non-clinical samples, prevalence rates of BPF during pregnancy ranged from 6.9 to 26.7%, while rates of BPD across the perinatal period ranged from 0.7 to 1.7%. Among clinical samples, rates of BPF and BPD across the perinatal period spanned 9.7-34% and 2.0-35.2%, respectively. Results from the meta-analysis revealed that the pooled prevalence rate of BPD in clinical samples during the perinatal period is 14.0% (95% CI [7.0, 22.0]). Among clinical perinatal samples, there is a high prevalence of borderline personality pathology. This review highlights the need for appropriate validated screening methods to identify and treat BPD in the perinatal population.

Screening for borderline personality pathology on college campuses.

Although borderline symptoms show a normative decline throughout adulthood, severe psychosocial impairment often remains. Identifying personality pathology in college-age students may help prevent "adaptive failure" that can occur during the critical period of development from puberty through the late 20s and thus reduce impairment later in life. The aims of the current study were to estimate the prevalence of borderline personality disorder (BPD) in a diverse college sample, determine which symptoms confer the greatest relative risk of screening positive for BPD and examine the utility of the Personality Inventory for DSM-5 brief form (PID-5-BF) in identifying BPD. Participants were 1456 undergraduate students, and 312 individuals (21.4% of the sample) screened positive for BPD. Chronic feelings of emptiness conferred the greatest relative risk of any symptom; students who endorsed this symptom were 15 times more likely to screen positive for BPD than those who did not. Scales and composite scores of the PID-5-BF demonstrated diagnostic accuracy ranging from sufficient to excellent. The current study contributes to literature concerning best practices in screening for personality pathology in young adults. Results suggest that chronic feelings of emptiness are significant for detecting at-risk students and implications for the use of the PID-5-BF are discussed.

An Overview on Borderline Personality Disorder

Borderline Personality Disorder (BPD) is a psychiatric disease marked by unstable interpersonal relationships, fear of abandonment, difficulty regulating emotions, feelings of emptiness, persistent dysphoria or sadness, impulsivity, and increased risk-taking behaviors. The prevalence of borderline personality disorder has been reported at 11 percent in the psychiatric outpatient community and as high as 20% in the psychiatric inpatient population. Patients with BPD have a high rate of morbidity, which makes medical treatment more difficult. Although the role of genetics in BPD is unclear, inheritance of BPD appears to be considerable. Life events are also found to play a role in the development of BPD. The most important risk factor for the development of BP is childhood trauma. Symptoms that have been present since adolescence or early adulthood and manifest in a variety of settings are used to make the diagnosis. There are no lab or imaging tests available to aid in the diagnosis. Patients with borderline personality disorder benefit from three evidence-based treatments. Mentalizing-based therapy (MBT). Dialectical behavior therapy (DBT) and transference-focused psychotherapy (TFP). In this review we will be discussing epidemiology, etiology, clinical features diagnosis and treatment of BPD.