Borderline personality and psychotropic medication prescription in an outpatient psychiatry clinic

Sansone, Randy A.; Rytwinski, Dorota; Gaither, George A.

doi:10.1016/s0010-440x(03)00147-0

Cited by 38 publications

(29 citation statements)

References 6 publications

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“…Additionally, recent analysis of data from the MSAD 16-year follow-up wave suggests non-recovered BPD patients are significantly more likely to take medications to help them sleep than recovered BPD patients, even after adjustment for other demographic and psychiatric comorbidities (Plante et al, 2013). When taken in the context of other investigations that have demonstrated BPD outpatients are prescribed more psychotropic medications relative to patients with other psychiatric disorders (Sansone et al, 2003), it is conceivable that medications to treat insomnia may be used in excess in patients with BPD. The results of this study suggest that patient factors, specifically beliefs related to the necessity of soporific medications to treat insomnia, may be at least partially responsible for higher rates of sedative-hypnotic use in BPD patients.…”

Section: Discussionmentioning

confidence: 99%

Relationship between maladaptive cognitions about sleep and recovery in patients with borderline personality disorder

Plante

Frankenburg

Fitzmaurice

et al. 2013

Psychiatry Research

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Borderline personality disorder (BPD) has been associated with maladaptive cognitive processes including dysfunctional attitudes and a negative attribution style. Comorbid insomnia affects the course of multiple psychiatric disorders, and has been associated with absence of recovery from BPD. Because dysfunctional beliefs and attitudes are common among patients with insomnia, the purpose of this study was to evaluate the association between maladaptive sleep-related cognitions and recovery status (symptomatic remission plus good concurrent psychosocial functioning) in patients with BPD. 223 BPD patients participating in the McLean Study of Adult Development (MSAD) were administered the Dysfunctional Beliefs and Attitudes about Sleep questionnaire (DBAS-16) as part of the 16-year follow-up wave. Maladaptive sleep cognitions were compared between recovered (n=105) and non-recovered (n=118) BPD participants, in analyses that adjusted for age, sex, depression, anxiety, and primary sleep disorders. Results demonstrated non-recovered BPD patients had significantly more severe maladaptive sleep-related cognitions as measured by the overall DBAS-16 score. These results demonstrate an association between dysfunctional beliefs and attitudes about sleep and recovery status among BPD patients. Further research is warranted to evaluate treatments targeted towards maladaptive sleep-related cognitions, and their subsequent effects on the course of BPD.

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Section: Discussionmentioning

confidence: 99%

Relationship between maladaptive cognitions about sleep and recovery in patients with borderline personality disorder

Plante

Frankenburg

Fitzmaurice

et al. 2013

Psychiatry Research

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“…Zanarini et al 5 followed 290 patients with BPD over 6 years; 40% of these patients were taking 3 or more scheduled medications at each follow-up period, significantly more than control subjects. In a retrospective study involving 280 outpatients, Sansone et al 6 found that patients with BPD were prescribed significantly more psychotropic drugs than were patients with or without other personality disorders.…”

Section: Discussionmentioning

confidence: 99%

Medication Utilization Patterns and Methods of Suicidality in Borderline Personality Disorder

et al. 2006

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“…Previous studies on individuals with PD diagnoses demonstrated that BPD individuals differ in usage of outpatient, inpatient, and psychopharmacologic treatments when compared to other PD groups [7,8] and when compared to major depression groups without PD [9]. Patients with BPD also receive more psychotropic medications when compared to all other non-PD diagnostic groups [10,11]. Such findings, which require replication, would be further enhanced by comparisons to a broader axis I psychiatric diagnosis group as well as to a nonpsychiatric, healthy group.…”

Section: Introductionmentioning

confidence: 99%

Psychosocial impairment and treatment utilization by patients with borderline personality disorder, other personality disorders, mood and anxiety disorders, and a healthy comparison group

Ansell

Sanislow

McGlashan

et al. 2007

Comprehensive Psychiatry

125

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This study compared psychosocial functioning and treatment utilization in 130 participants who were diagnosed with a borderline personality disorder (BPD), a non-BPD personality disorder (OPD), a mood and/or anxiety disorder (MAD), or had no current psychiatric diagnosis and served as a healthy comparison group. Diagnostic and Statistical Manual of Mental Disorders (4th Edition) diagnoses, psychosocial functioning, and treatment utilization were determined by using well-established semistructured research interviews conducted by trained doctoral-level clinicians. Analysis of variance revealed the most severe deficits in functioning characterized the BPD group across areas of global functioning with more moderate impairments in functioning occurring in OPD and MAD groups. The BPD group was characterized by significantly greater psychiatric and nonpsychiatric treatment utilization than the other groups. These findings indicate that BPD as well as other personality disorders are a source of considerable psychologic distress and functional impairment equivalent to, and at times exceeding, the distress found in mood and anxiety disorders. The public health impact of BPD diagnosis is highlighted by the high rates of psychiatric and nonpsychiatric treatment utilization. D

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Borderline personality and psychotropic medication prescription in an outpatient psychiatry clinic

Cited by 38 publications

References 6 publications

Relationship between maladaptive cognitions about sleep and recovery in patients with borderline personality disorder

Relationship between maladaptive cognitions about sleep and recovery in patients with borderline personality disorder

Medication Utilization Patterns and Methods of Suicidality in Borderline Personality Disorder

Psychosocial impairment and treatment utilization by patients with borderline personality disorder, other personality disorders, mood and anxiety disorders, and a healthy comparison group

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