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Borderline Personality Disorder Clinical Overview

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39 Questions

What percentage of patients with borderline personality disorder achieve remission in the decade after seeking treatment?

90%

Which of the following is NOT considered a core feature of borderline personality disorder?

Consistent self-concept

What percentage of people with borderline personality disorder also have major depression?

80%

What is the most common substance use disorder among people with borderline personality disorder?

Alcohol use disorder

What is the primary reason for substance use in people with borderline personality disorder?

To self-medicate emotional instability

Which brain region is implicated in the emotional dysregulation seen in borderline personality disorder?

Limbic network

What is a common characteristic of people with borderline personality disorder?

Poor self-image

What percentage of the general population is estimated to have borderline personality disorder?

1% to 2%

What behavior is commonly observed in individuals with borderline personality disorder?

Self-mutilation or suicidal behaviors

What proportion of all psychiatric admissions does borderline personality disorder constitute?

20% to 25%

How do individuals with borderline personality disorder typically feel?

Empty and unstable

What is the long-term outcome for people with borderline personality disorder described as?

Encouraging

Which of the following is NOT a characteristic of emotional reactivity in borderline personality disorder?

Greater emotional intensity in positive emotions

The text discusses a study that explored the emotion of shame in people with borderline personality disorder. What did the researchers find about how these individuals interpreted the scenario of spilling wine on a carpet at a party?

They were more likely to report feeling shame and wishing they were anywhere but at the party

How were the feelings of shame in people with borderline personality disorder associated with other psychological factors?

They were associated with lower self-esteem, lower quality of life, and higher levels of anger and hostility

The text mentions that the incorporation of shame in interpreting certain situations has also been observed in which of the following populations?

Children and youth with characteristics of borderline personality disorder

Which of the following is NOT a characteristic of borderline personality disorder?

Marked impulsivity, beginning by early adulthood and present in a variety of contexts

The text mentions a study that used morphing technology to test how people with and without borderline personality disorder could correctly identify the emotion of a face that was changing from a neutral expression to an emotional expression. What did the researchers find?

People with borderline personality disorder were more accurate than controls in identifying the emotion

What did a study find about the memory processes of individuals with borderline personality disorder?

They remembered more words related to the disorder despite being instructed to forget them.

What environmental risk factor is highlighted in explaining borderline personality disorder?

Early trauma, especially sexual and physical abuse.

What was significant about the findings of the study comparing abused and neglected children to controls in terms of developing borderline personality disorder?

More abused and neglected children went on to develop borderline personality disorder compared to controls.

What aspect of childhood trauma is highlighted as particularly significant for girls and women in relation to developing borderline personality disorder?

Sexual abuse

Apart from childhood trauma, what other factors are suggested to contribute to the development of borderline personality disorder?

Temperament and neurological impairments interacting with parental styles.

In what group of people have symptoms of borderline personality disorder been observed due to rapid cultural changes?

Child and adult immigrants

According to the passage, what is the first vulnerability in the proposed integrative model for borderline personality disorder?

A generalized biological vulnerability

Which of the following is NOT a characteristic of individuals with borderline personality disorder mentioned in the passage?

They are unlikely to seek treatment

According to the passage, what is the primary focus of dialectical behavior therapy (DBT) in the early stages of treatment?

Helping patients cope with stressors that trigger suicidal behaviors and maladaptive responses

What is the third vulnerability in the proposed integrative model for borderline personality disorder?

A specific psychological vulnerability learned from early environmental experiences

According to the passage, what is one of the challenges in providing treatment for individuals with borderline personality disorder?

They have problems with drug misuse, noncompliance with treatment, and attempts to take their own lives

What is the final stage of dialectical behavior therapy (DBT) according to the passage?

Clients learn to trust their own responses rather than depend on the validation of others

What was the main finding of the study comparing dialectical behavior therapy (DBT) with general therapeutic support for women?

Women in the DBT group were less suicidal and better socially adjusted.

In the study by Yen et al. (2009), what improvements were observed in participants receiving DBT in an inpatient setting?

Reduction in levels of hopelessness and anger expression.

What do longitudinal studies suggest about symptomatic remission rates in borderline personality disorder (BPD)?

Symptomatic remission rates are low in individuals with BPD.

What type of research did Schnell & Herpertz (2007) conduct to measure emotional reactions in women with borderline personality disorder?

Brain imaging study using upsetting photos.

What is a significant finding from the pilot study by Schnell & Herpertz (2007) regarding emotional reactions to upsetting photos?

Arousal in the amygdala improved in women with positive treatment experiences.

What area of the brain was found to have improved arousal to upsetting photos as a function of treatment?

Hippocampus

What did Linehan & Kehrer (1993) find regarding the effectiveness of dialectical behavior therapy (DBT) versus 'treatment as usual'?

'Treatment as usual' led to less suicidal behavior in women.

According to Zeitler et al. (2020), what is a common trend observed in longitudinal studies related to borderline personality disorder?

'Treatment as usual' leads to high rates of symptomatic remission.

What promise does integrative research hold for understanding borderline personality disorder according to the text?

'It may enhance our understanding of successful treatment mechanisms.'

Learn about the clinical features and prevalence of borderline personality disorder. Explore the challenges faced by individuals with this disorder such as unstable moods, relationships, and self-esteem issues. Understand the significant risk of self-harm associated with borderline personality disorder.

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