Carers of persons with borderline personality disorder (BPD) experience high burden. Treatment guidelines advocate involving carers in comprehensive therapy approaches. This study is a randomized controlled trial group psychoeducation, compared to waitlist. Group psychoeducation involved 6–8 per and focused on improving relationship patterns between relatives BPD, about the disorder, peer support self-care, skills reduce were into intervention (N = 33) or waitlist 35). After 10 weeks, those...

Abstract Background For individuals with borderline personality disorder (BPD), both the reduction in symptoms and improvement of vocational interpersonal function (psychosocial function) are important for recovery. Research suggests that some components BPD make it harder to achieve functional recovery; however, findings varied inconclusive. The present study assesses recovery over time BPD, investigates which explores relationships between these symptoms. Method One hundred ninety‐nine...

Background The relative burden and risk of readmission for people with personality disorders in hospital settings is unknown. Aims To compare use disorder that other mental health diagnoses, such as psychoses affective disorders. Method Naturalistic study presentations a large community catchment. Mixed-effects Cox regression survival curves were generated to examine each group. Results Of 2894 presenting hospital, patients represented 20.5% emergency 26.6% in-patients. Patients or 2.3 times...

Background and objectives People with personality disorders are prevalent in emergency inpatient mental health services. We examined whether implementing a stepped care model of psychological therapy reduces demand on hospital units by people disorder, cluster randomized controlled trial. Method A total 642 inpatients (average age 36.8, 50.5% female) primary ICD-10 disorder were recruited during 18 months baseline, then monitored an month active trial phase. In the phase two equivalent sites...

This study investigates and provides comparative data on the relative contributions of multiple physical psychological health conditions work productivity.A total 667 employees from headquarters office a multinational consumer goods manufacturing firm in Germany completed purpose-designed self-report questionnaire addressing presence 13 common conditions, associated absenteeism presenteeism. Adjustments for comorbidity bias were made using an innovative approach.A 34.8% participants...

Abstract Background Although there is growing evidence that stepped models of care are useful for providing appropriate, person centered care, very few studies applied to personality disorders. A brief, four session, psychological treatment intervention disorder within a whole service model was evaluated. The between acute emergency crisis mental health services and longer-term outpatient treatments. Methods Study 1 used utilization data from 191 individuals referred the brief at single...

Although recovery from borderline personality disorder (BPD) is common, not all individuals improve over time. This study sought to examine the features that contribute response or non-response for at different stages of BPD a longitudinal follow-up. Participants were with diagnosis followed up after 1 year receiving psychological treatment. There no significant differences between participants intake across key indices; however, 1-year follow-up, two groups distinguishable as either...

The welfare of an animal is closely linked to their emotional experiences, making it essential identify reliable indicators these emotions. This study aimed behaviours and facial movements in horses experiencing contrasting valence, triggered by the anticipation a positive condition (going pasture) or negative alone novel environment). Twenty were daily trained wait starting box before being exposed two conditions. After one week training training, we analysed horses' behaviours, cortisol...

Studies of psychologist misconduct generally focus on unethical sexual behaviours. In contrast, the following study reports all complaints by public against psychologists reported to New South Wales Psychologists Registration Board over a 4‐year period. There were 248 independent notifications about 224 registered psychologists, out total sample 9,489 psychologists. The most frequent type was in relation poor communication standards (35.5%). Other professional incompetency (16.5%), report...

Abstract People with personality disorders are frequent users of both inpatient and outpatient psychiatric services, representing a significantly large proportion all mental health clients. Despite this, most services find it challenge to offer the appropriate effective treatment models for people disorders. This paper is report study clinician opinions about how organizations can improve delivery Data was collected from experienced clinicians attending clinical scientific meeting who were...

An increasing number of older adults drive automobiles. Given that the prevalence dementia is rising, it necessary to address issue driving retirement. The purpose this study evaluate how a self-administered decision aid contributed making about retirement by individuals living with dementia. primary outcome measure in was decisional conflict. Knowledge, decision, satisfaction booklet use and acceptability were secondary measures. A mixed methods approach adopted. Drivers recruited from an...

Abstract Borderline personality disorder (BPD) is a severe mental health that subject to significant stigmatisation. With language being key reinforcer of stigma, this co‐produced study aims explore the use regarding BPD and its effect on those with carers. Recommendations reduce stigmatisation are provided for both clinicians researchers. Participants (consumer n = 33) supporting someone (carer 30) discussed their experience hurtful helpful language. Reflexive thematic analysis was used...

Young children’s use of digital technologies has presented challenges for parents, particularly in response to an increased reliance on resources during the Covid-19 pandemic. This mixed-methods study explored young practices within context their families and homes. Although this was originally planned, timing data collection meant that it uniquely positioned capture parent perspectives as pandemic first lockdown unfolding Australia. Data collected through questionnaire ( N = 101)...

Engaging parents who have a personality disorder in interventions designed to protect children from the extremes of supports both parenting skills and healthy child development. In line with evidence-based guidelines, 'Parenting Personality Disorder' brief intervention was developed, focusing on safety, effective communication strategies.Ratings acceptability for model were given by 168 mental health clinicians attended training. Changes clinician attitudes, knowledge also assessed following...

ABSTRACT This study examined the underlying factor structure of DSM‐IV criteria to determine whether diagnosis could be classified into subtypes. It also sought enhance clinical interpretation any identified subtypes by examining their relation comorbid axis I and II disorders. In 95 treatment‐seeking adults (82 women, 13 men), attending a psychiatric outpatient clinic principle components analysis yielded support for three subtypes: ‘affect dysregulation’, ‘rejection sensitivity’...

Objective: A small subgroup of patients is primarily responsible for the large number aggressive and violent incidents in psychiatric inpatient units. This study aims to identify developmental, social interpersonal histories repeatedly order better understand their treatment needs. Methods: total 1269 consecutive inpatients were studied over 18 months, identifying 64 who aggressive; 128 non-aggressive randomly matched by age, sex diagnosis. Developmental, social, familial obtained from a...

Abstract Patients with major depression can expect an average of four depressive episodes in their lifetime. Thus most clients presenting to therapy have had multiple prior treatment. These ‘psychotherapy careers’ as yet received only minimal study and there is little data regarding the relationship these treatments responsiveness psychotherapy. Aim : To explore treatment history its psychotherapy outcome people depression. Method For 48 individuals Australian community‐based facility,...

National Australian Registration and Accreditation of Psychologists from July 2010 replaces the State Territory Psychology Boards, a national set ethical professional standards is required to guide licensing registration model new Board Australia. This study analysed six codes practice currently operating in Australia, five emanating Boards one society (Australian Psychological Society [APS]). A content analysis was performed, comparing coverage standards. Two raters independently scored...

Borderline personality disorder (BPD) is a high prevalence and serious mental health that has historically challenged the finite resources of services. Despite empirical evidence supporting structured psychological therapy as first line treatment, there remains significant barriers in providing timely access to evidence-based treatment for this population. The primary aim study evaluate effectiveness stepped-care group individuals with BPD within local secondary aims are identify variables...