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Cluster B Personality Disorder

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1. Group schema-focused therapy enriched with psychomotor therapy versus treatment as usual for older adults with cluster B and/or C personality disorders: a randomized trial. (PubMed)

Group schema-focused therapy enriched with psychomotor therapy versus treatment as usual for older adults with cluster B and/or C personality disorders: a randomized trial. Several types of psychotherapy have been proven successful in the treatment of personality disorders in younger age groups, however studies among older patients are lacking. We developed a group schema-focused therapy (SFT) enriched with psychomotor therapy (PMT) for older adults with cluster B and/or C personality disorders (...) therapy (group SFT + PMT) and TAU for adults aged 60 years and older who suffer from either a cluster B and/or C personality disorder. The primary outcome is general psychological distress measured with the 53-item Brief Symptom Inventory. Secondary outcomes are the Schema Mode Inventory (118-item version) and the Young Schema Questionnaire. Cost-effectiveness analysis will be performed from a societal perspective with the EuroQol five dimensions questionnaire and structured cost-interviews.This study

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2019 BMC Psychiatry

2. Efficacy of Art Therapy in Individuals With Personality Disorders Cluster B/C: A Randomized Controlled Trial. (PubMed)

Efficacy of Art Therapy in Individuals With Personality Disorders Cluster B/C: A Randomized Controlled Trial. Multidisciplinary treatment programs for patients with personality disorders (PDs) often include art therapy, but the efficacy of this intervention has hardly been evaluated. The objective of this study is to evaluate the effects of an art therapy intervention on psychological functioning of patients with a PD. In this randomized controlled trial, 57 adult participants diagnosed (...) with a PD cluster B/C (SCID-II) were randomly assigned to either weekly group art therapy (1.5 hours, 10 weeks) or a waiting list group. Outcome measures OQ45, AAQ-II, and SMI were assessed at baseline, at post-test (10 weeks after baseline), and at follow-up (5 weeks after post-test). The results show that art therapy is an effective treatment for PD patients because it not only reduces PD pathology and maladaptive modes but it also helps patients to develop adaptive, positive modes that indicate

2018 Journal of personality disorders

3. Psychoanalytic-Interactional Therapy versus Psychodynamic Therapy by Experts for Personality Disorders: A Randomized Controlled Efficacy-Effectiveness Study in Cluster B Personality Disorders. (PubMed)

Psychoanalytic-Interactional Therapy versus Psychodynamic Therapy by Experts for Personality Disorders: A Randomized Controlled Efficacy-Effectiveness Study in Cluster B Personality Disorders. With regard to cluster B personality disorders, most psychotherapeutic treatments focus on borderline personality disorder. Evidence-based treatments for patients with other cluster B personality disorders are not yet available. Psychoanalytic-interactional therapy (PIT) represents a transdiagnostic (...) treatment for severe personality disorders. PIT has been applied in clinical practice for many years and has proven effective in open studies. In a randomized controlled trial, we compared manual-guided PIT to nonmanualized pychodynamic therapy by experts in personality disorders (E-PDT) in patients with cluster B personality disorders.In an inpatient setting, patients with cluster B personality disorders were randomly assigned to manual-guided PIT (n = 64) or nonmanualized E-PDT (n = 58). In addition

2016 Psychotherapy and Psychosomatics

4. Always on guard: emotion regulation in women with borderline personality disorder compared to nonpatient controls and patients with cluster-C personality disorder. (PubMed)

Always on guard: emotion regulation in women with borderline personality disorder compared to nonpatient controls and patients with cluster-C personality disorder. Borderline personality disorder (BPD) is characterized by emotion dysregulation; however, it is unclear whether this is restricted to negative emotional stimuli or to what degree this is specific to BPD. We investigated neural correlates of hypothesized increased emotional sensitivity and impaired emotion regulation in patients (...) with BPD.During functional MRI (fMRI) scanning, patients with BPD, nonpatient controls and patients with cluster-C personality disorder completed an emotion regulation task, including negative, positive and erotic social pictures.We included 55 patients with BPD, 42 nonpatient controls and 24 patients with cluster-C personality disorder in our analyses. Passive viewing of negative stimuli resulted in greater activity in the anterior insula, temporoparietal junction and dorsolateral prefrontal cortex

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2018 Journal of Psychiatry & Neuroscience

5. Prefrontal glutamatergic emotion regulation is disturbed in cluster B and C personality disorders - A combined <sup>1</sup>H/<sup>31</sup>P-MR spectroscopic study. (PubMed)

Prefrontal glutamatergic emotion regulation is disturbed in cluster B and C personality disorders - A combined 1H/31P-MR spectroscopic study. Personality disorders (PD) belong to the most common and most serious mental disorders as regards social dysfunction, inability to work, occurrence of comorbidity and suicidal risk. PDs also crucially influence the incidence, clinical course and treatment response of mental disorders with high suicidal risk, such as depression (...) or substance abuse. One key issue of PD concerns the regulation of emotions.Both 1H-/31P-Chemical Shift Imaging (CSI) was applied in a single session to assess neurochemical markers of glutamate function (NAA, Glu) and local energy metabolism (PCr, ATP) in two patient cohorts encompassing 22 cluster B (CB) and 21 cluster C (CC) PD patients, whereby 10 patients of each group were on low-dose antidepressants, and in 60 healthy controls (HC). Non-parametric statistical tests and correlation analyses were

2017 Journal of Affective Disorders

6. Prevalence, Mortality, and Health Care Use among Patients with Cluster B Personality Disorders Clinically Diagnosed in Quebec: A Provincial Cohort Study, 2001-2012 (PubMed)

Prevalence, Mortality, and Health Care Use among Patients with Cluster B Personality Disorders Clinically Diagnosed in Quebec: A Provincial Cohort Study, 2001-2012 Cluster B personality disorders (PDs) are prevalent mental health conditions in the general population (1%-6% depending on the subtype and study). Affected patients are known to be heavier users of both mental and medical health care systems than patients with other clinical conditions such as depression.Several rates were estimated (...) in the study. The lifetime prevalence of cluster B PDs was 2.6%. The mean years of lost life expectancy were 13 for men and 9 for women compared to the provincial population. The 3 most important causes of death are suicide (20.4%), cardiovascular diseases (19.1%), and cancers (18.6%). In 2011 to 2012, 78% had consulted a general practitioner and 62% a psychiatrist, 44% were admitted to an emergency department, and 22% were hospitalised.Considering mortality, cluster B personality disorder is a severe

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2017 Canadian journal of psychiatry. Revue canadienne de psychiatrie

7. Always on guard: emotion regulation in women with borderline personality disorder compared to nonpatient controls and patients with cluster-C personality disorder. (PubMed)

Always on guard: emotion regulation in women with borderline personality disorder compared to nonpatient controls and patients with cluster-C personality disorder. Borderline personality disorder (BPD) is characterized by emotion dysregulation; however, it is unclear whether this is restricted to negative emotional stimuli or to what degree this is specific to BPD. We investigated neural correlates of hypothesized increased emotional sensitivity and impaired emotion regulation in patients (...) with BPD.During fMRI scanning, patients with BPD, nonpatient controls and patients with cluster-C personality disorder completed an emotion regulation task, including negative, positive and erotic social pictures.We included 55 patients with BPD, 42 nonpatient controls and 24 patients with cluster-C personality disorder in our analyses. Passive viewing of negative stimuli resulted in greater activity in the anterior insula, temporoparietal junction and dorsolateral prefrontal cortex in patients with BPD than

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2017 Journal of Psychiatry & Neuroscience

8. Personality disorders

disorders involve a chronic pattern of both internal perception and observable behaviour in at least two of the following four symptom domains: cognitive-perceptual, affect, interpersonal functioning, and impulse control. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 5th ed. Arlington, VA: American Psychiatric Association; 2013. Personality disorders have been categorised into three general categories or clusters: cluster A (odd/eccentric); cluster B (dramatic (...) ); cluster C (anxious/fearful). American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 5th ed. Arlington, VA: American Psychiatric Association; 2013. However, the foundation upon which personality disorders have been defined has been the subject of rigorous debate. Thus assessment and treatment recommendations do not share the same evidence base found for the mood, anxiety, psychotic, and other axis I (major mental) disorders. Lenzenweger M. The longitudinal study

2019 BMJ Best Practice

9. Cluster B Personality Disorder

Cluster B Personality Disorder Cluster B Personality Disorder Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Cluster B Personality (...) Disorder Cluster B Personality Disorder Aka: Cluster B Personality Disorder , Dramatic Personality Disorder , Histrionic Personality , Borderline Personality , Antisocial Personality , Narcissistic Personality , Sociopath , Psychopath From Related Chapters II. Definition Dramatic, emotional or eratic personalities III. General Features of all Cluster B personalities Dissociation or Denial Inadvertent liars Borderline Abuse Splitting ("the good, the bad, and the ugly") to Conversion ("now maybe you can

2018 FP Notebook

10. Personality disorders

disorders involve a chronic pattern of both internal perception and observable behaviour in at least two of the following four symptom domains: cognitive-perceptual, affect, interpersonal functioning, and impulse control. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 5th ed. Arlington, VA: American Psychiatric Association; 2013. Personality disorders have been categorised into three general categories or clusters: cluster A (odd/eccentric); cluster B (dramatic (...) ); cluster C (anxious/fearful). American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 5th ed. Arlington, VA: American Psychiatric Association; 2013. However, the foundation upon which personality disorders have been defined has been the subject of rigorous debate. Thus assessment and treatment recommendations do not share the same evidence base found for the mood, anxiety, psychotic, and other axis I (major mental) disorders. Lenzenweger M. The longitudinal study

2018 BMJ Best Practice

11. Heart rate variability in bipolar disorder and borderline personality disorder: a clinical review

function. Both bipolar disorder (BD) and borderline personality disorder (BPD) have higher rates of cardiovascular mortality. Despite their contrasting aetiologies and treatments, they are phenotypically similar, both being characterised by mood instability. This makes them ideal groups in which to compare HRV ( ). Figure 1 (A) An ECG signal with R peaks denoted by black dots. (B) The corresponding tachogram or R–R interval series. Variations in HR occur due to the constant need of the heart to adapt (...) Heart rate variability in bipolar disorder and borderline personality disorder: a clinical review Heart rate variability in bipolar disorder and borderline personality disorder: a clinical review | Evidence-Based Mental Health We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts

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2018 Evidence-Based Mental Health

12. Anxiety and Depression in Drug-Dependent Patients with Cluster C Personality Disorders (PubMed)

Anxiety and Depression in Drug-Dependent Patients with Cluster C Personality Disorders Comorbidity between personality disorders (PD) and substance-use disorders (SUD) is one of the most common findings in the psychiatric field. The patients with Cluster C disorders present maladjustment traits often characterized by high levels of anxiety. The main aim of this study was to find evidences about higher anxiety and depression prevalence on Cluster C than others Clusters, analyzing similarities (...) and differences within, with other Cluster A and B PD patients and patients without PD.A total of 822 substance dependent patients (ages18-78; Mean = 38.35, SD = 10.14) completed the structured clinical interview for DSM-IV Axis I and Axis II disorders, Beck Depression Inventory, and State-Trait Anxiety Inventory.Results supported poly-consumption in Cluster C patients, being greater alcohol consumption as well as abuse of both stimulants and depressants. Anxiety and depression did not show just one pattern

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2018 Frontiers in Psychiatry

13. Impact of Personality Disorder Cluster on Depression Outcomes Within Collaborative Care Management Model of Care (PubMed)

Impact of Personality Disorder Cluster on Depression Outcomes Within Collaborative Care Management Model of Care Previous studies have suggested that having a comorbid personality disorder (PD) along with major depression is associated with poorer depression outcomes relative to those without comorbid PD. However, few studies have examined the influence of specific PD cluster types. The purpose of the current study is to compare depression outcomes between cluster A, cluster B, and cluster C PD (...) patients treated within a collaborative care management (CCM), relative to CCM patients without a PD diagnosis. The overarching goal was to identify cluster types that might confer a worse clinical prognosis.This retrospective chart review study examined 2826 adult patients with depression enrolled in CCM. The cohort was divided into 4 groups based on the presence of a comorbid PD diagnosis (cluster A/nonspecified, cluster B, cluster C, or no PD). Baseline clinical and demographic variables, along

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2018 Journal of primary care & community health

14. Cost-effectiveness of psychotherapy for cluster B personality disorders

Cost-effectiveness of psychotherapy for cluster B personality disorders Cost-effectiveness of psychotherapy for cluster B personality disorders Cost-effectiveness of psychotherapy for cluster B personality disorders Soeteman DI, Verheul R, Delimon J, Meerman AM, van den Eijnden E, Rossum BV, Ziegler U, Thunnissen M, Busschbach JJ, Kim JJ Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary (...) of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. CRD summary This analysis assessed the cost-effectiveness of three settings for psychotherapy, which were in-patient, out-patient, and day hospital, for the treatment of cluster B personality disorders. The authors concluded that out-patient and day hospital psychotherapy were both cost-effective. The preferred strategy depended on the willingness to pay from each

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2010 NHS Economic Evaluation Database.

15. Differentiating bipolar disorder from borderline personality disorder: Diagnostic accuracy of the difficulty in emotion regulation scale and personality inventory for DSM-5. (PubMed)

Differentiating bipolar disorder from borderline personality disorder: Diagnostic accuracy of the difficulty in emotion regulation scale and personality inventory for DSM-5. Confusion abounds when differentiating the diagnoses of bipolar disorder (BD) from borderline personality disorder (BPD). This study explored the relative clinical utility of affective instability and self-report personality trait measures for accurate identification of BD and BPD.Receiver operator characteristics (...) and diagnostic efficiency statistics were calculated to ascertain the relative diagnostic efficiency of self-report measures. Inpatients with research-confirmed diagnoses of BD (n = 341) or BPD (n = 381) completed the Difficulty in Emotion Regulation Scale (DERS) and Personality Inventory for DSM-5 (PID-5).The total score for DERS evidenced relatively poor accuracy for differentiating the disorders (AUC = 0.72, SE = 0.02, p < .0001), while subscales of affective instability measures yielded fair

2019 Journal of Affective Disorders

16. Cost-effectiveness of psychotherapy for cluster C personality disorders: a decision-analytic model in the Netherlands

Cost-effectiveness of psychotherapy for cluster C personality disorders: a decision-analytic model in the Netherlands Cost-effectiveness of psychotherapy for cluster C personality disorders: a decision-analytic model in the Netherlands Cost-effectiveness of psychotherapy for cluster C personality disorders: a decision-analytic model in the Netherlands Soeteman DI, Verheul R, Meerman AM, Ziegler U, Rossum BV, Delimon J, Rijnierse P, Thunnissen M, Busschbach JJ, Kim JJ Record Status (...) This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. CRD summary This study examined the cost-effectiveness of short- and long-term out-patient, in-patient, and day hospital psychotherapy for patients with cluster C personality disorders. The authors concluded that short-term day

2011 NHS Economic Evaluation Database.

17. Subtypes of borderline personality disorder patients: a cluster-analytic approach (PubMed)

Subtypes of borderline personality disorder patients: a cluster-analytic approach The borderline personality disorder (BPD) population is notably heterogeneous, and this has potentially important implications for intervention. Identifying distinct subtypes of patients may represent a first step in identifying which treatments work best for which individuals.A cluster-analysis on dimensional personality disorder (PD) features, as assessed with the SCID-II, was performed on a sample of carefully (...) screened BPD patients (N = 187) referred for mentalization-based treatment. The optimal cluster solution was determined using multiple indices of fit. The validity of the clusters was explored by investigating their relationship with borderline pathology, symptom severity, interpersonal problems, quality of life, personality functioning, attachment, and trauma history, in addition to demographic and clinical features.A three-cluster solution was retained, which identified three clusters of BPD patients

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2017 Borderline personality disorder and emotion dysregulation

18. Lamotrigine is not effective for the treatment of borderline personality disorder

Psychiatry. 2002;159(2):276-83. Lamotrigine for people with borderline personality disorder: a RCT Published on 13 April 2018 Crawford M J, Sanatinia R, Barrett B, Cunningham G, Dale O, Ganguli P, Lawrence-Smith G, Leeson V C, Lemonsky F, Lykomitrou-Matthews G, Montgomery A, Morriss R, Munjiza J, Paton C, Skorodzien I, Singh V, Tan W, Tyrer P & Reilly J G. Health Technology Assessment Volume 22 Issue 17 , 2018 Background No drug treatments are currently licensed for the treatment of borderline (...) Lamotrigine is not effective for the treatment of borderline personality disorder Lamotrigine is not effective for the treatment of borderline personality disorder Discover Portal Discover Portal Lamotrigine is not effective for the treatment of borderline personality disorder Published on 17 July 2018 doi: Lamotrigine, a mood-stabilising drug, is not clinically effective for the treatment of borderline personality disorder. Over one year follow up, this NIHR-funded trial did not find

2019 NIHR Dissemination Centre

19. Adjunctive avatar therapy for mentalization-based treatment of borderline personality disorder: a mixed-methods feasibility study

. Borderline personality disorder and suicidality . 4. Cristea IA , Gentili C , Cotet CD , et al . Efficacy of psychotherapies for borderline personality disorder: a systematic review and meta-analysis . 5. Bateman A , Fonagy P . Mentalization based treatment for borderline personality disorder . 6. Daubney M , Bateman A . Mentalization-based therapy (MBT): an overview . 7. van Rijn B , Cooper M , Jackson A , et al . Avatar-based therapy within prison settings: pilot evaluation . 8. First M , Gibbon M (...) Adjunctive avatar therapy for mentalization-based treatment of borderline personality disorder: a mixed-methods feasibility study Adjunctive avatar therapy for mentalization-based treatment of borderline personality disorder: a mixed-methods feasibility study | Evidence-Based Mental Health We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our

2018 Evidence-Based Mental Health

20. Review of pharmacologic treatment in cluster A personality disorders (PubMed)

Review of pharmacologic treatment in cluster A personality disorders A personality disorder is a pervasive and enduring pattern of behaviors that impacts an individual's social, occupational, and overall functioning. Specifically, the cluster A personality disorders include paranoid personality disorder, schizoid personality disorder, and schizotypal personality disorder. Patients with cluster A personality disorders tend to be isolative and avoid relationships. The quality of life may also (...) be reduced in these individuals, which provokes the question of how to treat patients with these personality disorders. The purpose of this review is to evaluate the current literature for pharmacologic treatments for the cluster A personality disorders.A Medline/PubMed and Ovid search was conducted to identify literature on the psychopharmacology of paranoid personality disorder, schizoid personality disorder, and schizotypal personality disorder. There were no exclusions in terms of time frame from

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2016 The Mental Health Clinician

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