Psychotic symptoms in patients with borderline personality disorder
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Psychotic symptoms in patients with borderline personality disorder : prevalence and clinical management. / Schroeder, Katrin; Fisher, Helen L; Schäfer, Ingo.
In: CURR OPIN PSYCHIATR, Vol. 26, No. 1, 01.01.2013, p. 113-9.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Psychotic symptoms in patients with borderline personality disorder
T2 - prevalence and clinical management
AU - Schroeder, Katrin
AU - Fisher, Helen L
AU - Schäfer, Ingo
PY - 2013/1/1
Y1 - 2013/1/1
N2 - PURPOSE OF REVIEW: The aim of this article is to review findings on the prevalence, phenomenology and treatment of psychotic features in borderline personality disorder (BPD), and to discuss factors that might be related to their occurrence.RECENT FINDINGS: Of patients with BPD about 20-50% report psychotic symptoms. Hallucinations can be similar to those in patients with psychotic disorders in terms of phenomenology, emotional impact, and their persistence over time. Although more research is needed on the exact nature of psychotic phenomena in patients with BPD, terms like pseudo-psychotic or quasi-psychotic are misleading and should be avoided. Childhood trauma might play an important role in the development of psychotic symptoms in patients with BPD, as in other populations. More research is necessary on the role of comorbid disorders, especially posttraumatic stress disorder (PTSD). Atypical antipsychotics seem to be beneficial in some patients; evidence on psychotherapy of psychotic symptoms is sparse.SUMMARY: Psychotic symptoms, especially hallucinations, seem to be an important feature of BPD. More research on potential mediators and adequate treatment approaches for psychotic symptoms in BPD is needed, and current diagnostic systems might require revision to emphasise psychotic symptoms.
AB - PURPOSE OF REVIEW: The aim of this article is to review findings on the prevalence, phenomenology and treatment of psychotic features in borderline personality disorder (BPD), and to discuss factors that might be related to their occurrence.RECENT FINDINGS: Of patients with BPD about 20-50% report psychotic symptoms. Hallucinations can be similar to those in patients with psychotic disorders in terms of phenomenology, emotional impact, and their persistence over time. Although more research is needed on the exact nature of psychotic phenomena in patients with BPD, terms like pseudo-psychotic or quasi-psychotic are misleading and should be avoided. Childhood trauma might play an important role in the development of psychotic symptoms in patients with BPD, as in other populations. More research is necessary on the role of comorbid disorders, especially posttraumatic stress disorder (PTSD). Atypical antipsychotics seem to be beneficial in some patients; evidence on psychotherapy of psychotic symptoms is sparse.SUMMARY: Psychotic symptoms, especially hallucinations, seem to be an important feature of BPD. More research on potential mediators and adequate treatment approaches for psychotic symptoms in BPD is needed, and current diagnostic systems might require revision to emphasise psychotic symptoms.
KW - Antipsychotic Agents
KW - Borderline Personality Disorder
KW - Comorbidity
KW - Humans
KW - Psychotherapy
KW - Psychotic Disorders
KW - Stress Disorders, Post-Traumatic
U2 - 10.1097/YCO.0b013e32835a2ae7
DO - 10.1097/YCO.0b013e32835a2ae7
M3 - SCORING: Journal article
C2 - 23168909
VL - 26
SP - 113
EP - 119
JO - CURR OPIN PSYCHIATR
JF - CURR OPIN PSYCHIATR
SN - 0951-7367
IS - 1
ER -