Exploring screening for borderline personality disorder in pediatric inpatients with psychiatric Illness

Preyde, Michèle; DiCroce, Marco; Parekh, Shrenik; Heintzman, John

doi:10.1016/j.psychres.2022.114397

Cited by 9 publications

(9 citation statements)

References 44 publications

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“…No que diz respeito às características socioambientais associadas ao diagnóstico de TPB, Preyde, et al, (2022) observaram, em estudo transversal, que pacientes diagnosticados com este transtorno apresentaram diferenças significativas em relação ao uso problemático de dispositivos eletrônicos, suicídio considerado, trauma passado e suspensões anteriores da escola.…”

Section: Discussionunclassified

Importância do diagnóstico precoce do transtorno de personalidade borderline: Uma breve revisão sistemática

Silva

Amaral

Lopes

et al. 2023

RSD

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Introdução: O Transtorno de Personalidade Borderline (TPB) cursa com instabilidade dos relacionamentos interpessoais, dos afetos e da autoimagem, sendo a impulsividade uma característica marcante deste transtorno. O diagnóstico de TPB é realizado de acordo com os critérios definidos pelo DSM-5 e há evidências de que o diagnóstico e o tratamento precoce são benéficos, principalmente no que tange à melhoria do funcionamento psicossocial dos pacientes. Objetivo: Visa analisar a importância do diagnóstico precoce do Transtorno de Personalidade Borderline. Metodologia: Foram utilizadas as seguintes bases de dados: PUBMED, LILACS e SCIELO. Os descritores selecionados foram encontrados no dicionário Descritores em Ciências da Saúde (DeCS) e Medical Subject Heading Terms (MeSH), com as fórmulas “Borderline personality disorder” AND “Early diagnosis”. Utilizou-se artigos de 2018 a 2022. Resultado: A pesquisa nas bases de dados resultou em 123 estudos, sendo que 11 foram analisados e incluídos nesta revisão. Observou-se uma forte incidência desse transtorno em pacientes do sexo feminino, além de sua associação com outros transtornos, como o de ansiedade e o depressivo. Somado a isso, identificou-se aumento dos custos diretos e indiretos em pacientes com TPB e que há possibilidade de triagem online desses pacientes, favorecendo a identificação precoce e a minimização dos custos e prejuízos à qualidade de vida. Conclusão: O presente estudo mostra que a descoberta do TPB previne não apenas o agravamento dos sintomas na fase tardia, mas também evita desfechos psicopatológicos fatais, custos elevados de saúde pública e prejuízos na vida socioemocional, familiar e profissional do indivíduo.

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Section: Discussionunclassified

Importância do diagnóstico precoce do transtorno de personalidade borderline: Uma breve revisão sistemática

Silva

Amaral

Lopes

et al. 2023

RSD

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“…Lectures. Training Materials сопутствующие проблемы, но часто это неправильные диагнозы [33]. В результате подростки получают неэффективное лечение.…”

Section: резюме _____________________________________________________...unclassified

Borderline Personality Disorder in Adolescence: A Literature Review

Леонова¹,

Раева²

2023

Психиатрия, Психотерапия И Клиническая Психология

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Пограничное расстройство личности – это расстройство, характеризующееся импульсивностью, низким самоконтролем, эмоциональной неустойчивостью, высокой тревожностью и выраженным уровнем десоциализации. Несмотря на то, что официальное признание расстройства произошло более полувека назад, до настоящего времени оно существенно отстает по количеству исследований, касающихся лечения, семейного психообразования и других аспектов, по сравнению с другими психическими нарушениями. С внедрением новой классификации болезней 11-го пересмотра станет возможной диагностика пограничного личностного расстройства у лиц подросткового возраста, что представляет собой неоднозначный вопрос, требующий многомерного подхода к его решению. Доказанные методы терапии, появившиеся в последнее время, и позитивные прогностические данные раннего вмешательства говорят в пользу необходимости обучения специалистов для осуществления своевременной диагностики расстройства и его лечения. Borderline Personality Disorder is a disorder characterized by impulsivity, low self-control, emotional instability, high anxiety, and severe levels of desocialization. Despite the fact that the disorder was officially recognized more than half a century ago, it still lags far behind for research on treatment, family psychological education, and other aspects compared to other mental disorders. With the implementation of the new, 11th revision, of the Classification of Diseases, the diagnosis of borderline personality disorder in adolescents will be possible, which is an ambiguous issue requiring multidimensional approaches towards its management. Evidence-based therapies recently emerged and a positive prognostic evidence for early intervention support the need for specialist training for timely diagnosis and treatment of this disorder.

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“…to builds up their self-esteem and help them make friends." Some of the major concerns for adolescents with mental illness are academic difficulties, low educational achievement, low employment, social exclusion, and possible homelessness (Preyde et al, 2018). The director of patients' rights described an ideal adolescent psychiatric hospital as a small town where buildings surround a courtyard and there is a residential unit, a school, and a therapy mall that includes various therapy rooms, a movie theater, a pharmacy, a gift store, and a restaurant to resemble a typical community outside of the hospital.…”

Section: Architectural Compositionmentioning

confidence: 99%

“…It is just easier for everyone." Adolescents often have difficulties with interpersonal relationships, social situations, managing psychiatric symptoms, stigma, and bullying (Preyde et al, 2018). A physician at Hospital A talked about the importance of replicating family life and social activity in the community to encourage positive interactions with peers and improve adolescent patients' sense of selfworth.…”

Section: Architectural Compositionmentioning

confidence: 99%

Architectural Design Qualities of an Adolescent Psychiatric Hospital to Benefit Patients and Staff

Norouzi,

Martinez,

Rico

2023

HERD

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Objectives: This study is focused on how architectural design of adolescent psychiatric hospitals could positively affect not only patients but also staff members working at the hospitals. Background: Adolescents between the ages of 12 and 18 are among the young population with the highest percentage of mental illness. However, there are limited number of intentionally designed psychiatric hospitals for adolescents. Staff who work in adolescent psychiatric hospitals may face workplace violence. Studies on environmental impacts suggest that the built environment affects patients’ well-being and safety as well as staff’s satisfaction, working condition, safety, and health. However, there are very few studies that focus on adolescent psychiatric hospitals and the impact of the built environment on both staff and patients. Methods: Data were collected through literature analysis and semi-structured interviews with staff of three psychiatric state hospitals with adolescent patient units. The triangulation of multiple data sources informed a set of environmental design conditions that captures the complexity and connectedness of architectural design and the occupants of an adolescent psychiatric hospital. Results: The results present architectural composition, atmosphere, lighting, natural environment, safety, and security as indispensable design conditions to create an enclosed and city-like campus that provides a serene, secure, and structured environment that benefit staff and adolescent patients. Conclusion: The specific design strategies that need to be incorporated in the architectural design of a safe and secure adolescent psychiatric hospital include an open floor plan that respects patients’ autonomy and offers privacy while always providing staff with full visibility of patients.

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Exploring screening for borderline personality disorder in pediatric inpatients with psychiatric Illness

Cited by 9 publications

References 44 publications

Importância do diagnóstico precoce do transtorno de personalidade borderline: Uma breve revisão sistemática

Importância do diagnóstico precoce do transtorno de personalidade borderline: Uma breve revisão sistemática

Borderline Personality Disorder in Adolescence: A Literature Review

Architectural Design Qualities of an Adolescent Psychiatric Hospital to Benefit Patients and Staff

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