Self-harm and suicidal behavior in borderline personality disorder with and without bulimia nervosa.

Abstract:

OBJECTIVE:Few studies have investigated whether a diagnosis of Bulimia nervosa (BN) confers additional risk of life-threatening behaviors such as self-harm and suicidal behavior in borderline personality disorder (BPD). METHOD:Participants were 483 treatment-seeking women diagnosed with BPD according to the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II; First, Gibbon, Spitzer, Williams, & Benjamin, 1997; Diagnostic and Statistical Manual of Mental Disorders, 4th ed.; APA, 1994) and admitted to the Norwegian Network of Psychotherapeutic Day Hospitals between 1996 and 2009. Of these, 57 (11.8%) women met DSM-IV diagnostic criteria for BN according to the Mini-International Neuropsychiatric Interview (M.I.N.I.; Sheehan et al., 1998) and they were compared with women with BPD and other Axis I disorders. RESULTS:We found that comorbid BN is uniquely and significantly associated with increased risk of suicidal behavior among women being treated for BPD. Findings underscore the importance of routinely screening for BN among women seeking treatment for BPD, as co-occurring bulimia appears to be a significant marker for immediate life-threatening behaviors in this already high-risk population, which is a significant public health issue. A significantly greater proportion of women with BPD-BN reported suicidal ideation at intake (past 7 days), engaged in self-harm behavior during treatment, and attempted suicide during treatment. All bivariate associations remained significant in the logistic regression models after controlling for mood, anxiety, and substance-related disorders. CONCLUSION:The presence of a concurrent diagnosis of BN among women with BPD is significantly and uniquely associated with recent suicidal ideation, and self-harm behavior and suicide attempts during treatment after controlling for major classes of mental disorders. Co-occurring BN appears to represent a significant marker for immediate life-threatening behaviors in women seeking treatment for BPD. Extra vigilance and careful monitoring of suicidal behavior during treatment is important for these individuals, and routine screening for BN is warranted.

journal_name

J Consult Clin Psychol

authors

Reas DL,Pedersen G,Karterud S,Rø Ø

doi

10.1037/ccp0000014

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

643-8

issue

3

eissn

0022-006X

issn

1939-2117

pii

2014-55558-001

journal_volume

83

pub_type

杂志文章
  • Psychotherapy for depression in adults: a meta-analysis of comparative outcome studies.

    abstract::Although the subject has been debated and examined for more than 3 decades, it is still not clear whether all psychotherapies are equally efficacious. The authors conducted 7 meta-analyses (with a total of 53 studies) in which 7 major types of psychological treatment for mild to moderate adult depression (cognitive-be...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,meta分析

    doi:10.1037/a0013075

    authors: Cuijpers P,van Straten A,Andersson G,van Oppen P

    更新日期:2008-12-01 00:00:00

  • The influence of sexual orientation and masculinity on young men's tobacco smoking.

    abstract:OBJECTIVE:The prevalence of smoking among gay men is considerably higher than in the general population. To investigate possible causes of this health risk disparity, this study used multilevel modeling of daily diary data to examine the temporal relationship between smoking and both sexual orientation concealment and ...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037/a0022917

    authors: Pachankis JE,Westmaas JL,Dougherty LR

    更新日期:2011-04-01 00:00:00

  • Predicting change for individual psychotherapy clients on the basis of their nearest neighbors.

    abstract::This study extended client-focused research by using the nearest neighbor (NN) approach, a client-specific sampling and prediction strategy derived from research on alpine avalanches. Psychotherapy clients (N=203) seen in routine practice settings in the United Kingdom completed a battery of intake measures and then c...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037/0022-006X.73.5.904

    authors: Lutz W,Leach C,Barkham M,Lucock M,Stiles WB,Evans C,Noble R,Iveson S

    更新日期:2005-10-01 00:00:00

  • Self-instruction to prevent HIV infection among African-American and Hispanic-American adolescents.

    abstract::This study tested the efficacy of self-instruction intervention to reduce avoidable risks for HIV infection associated with drug use and unsafe sexual activity among African-American and Hispanic adolescents (N = 60). After completing pretests, adolescent participants in the study were randomly divided into three cond...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1037//0022-006x.58.4.432

    authors: Schinke SP,Gordon AN,Weston RE

    更新日期:1990-08-01 00:00:00

  • Child STEPs in California: A cluster randomized effectiveness trial comparing modular treatment with community implemented treatment for youth with anxiety, depression, conduct problems, or traumatic stress.

    abstract:OBJECTIVE:This study reports outcomes from a randomized effectiveness trial testing modular treatment versus multiple community-implemented evidence-based treatments for youth. METHOD:An ethnoracially diverse sample of 138 youth ages 5 to 15 (62 girls, 76 boys) whose primary clinical concerns involved diagnoses or cli...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/ccp0000133

    authors: Chorpita BF,Daleiden EL,Park AL,Ward AM,Levy MC,Cromley T,Chiu AW,Letamendi AM,Tsai KH,Krull JL

    更新日期:2017-01-01 00:00:00

  • Reduced autobiographical memory specificity predicts depression and posttraumatic stress disorder after recent trauma.

    abstract::In this prospective longitudinal study, the authors examined the relationship between reduced specificity in autobiographical memory retrieval and the development of depression, posttraumatic stress disorder (PTSD), and specific phobia after injury in an assault. Assault survivors (N = 203) completed the Autobiographi...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037/0022-006X.76.2.231

    authors: Kleim B,Ehlers A

    更新日期:2008-04-01 00:00:00

  • Does marriage and relationship education work? A meta-analytic study.

    abstract::In this meta-analytic study, the authors examined the efficacy of marriage and relationship education (MRE) on 2 common outcomes: relationship quality and communication skills. A thorough search produced 86 codable reports that yielded 117 studies and more than 500 effect sizes. The effect sizes for relationship quali...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,meta分析

    doi:10.1037/a0012584

    authors: Hawkins AJ,Blanchard VL,Baldwin SA,Fawcett EB

    更新日期:2008-10-01 00:00:00

  • Biobehavioral approaches to the treatment of essential hypertension.

    abstract::Despite recent advances in the medical management of hypertension, chronically elevated blood pressure remains a major health problem in the United States, affecting almost 50 million Americans. It is widely recognized that lifestyle factors contribute to the development and maintenance of elevated blood pressure. Thi...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,评审

    doi:

    authors: Blumenthal JA,Sherwood A,Gullette EC,Georgiades A,Tweedy D

    更新日期:2002-06-01 00:00:00

  • Randomized clinical trial of cognitive behavioral social skills training for schizophrenia: improvement in functioning and experiential negative symptoms.

    abstract:OBJECTIVE:Identifying treatments to improve functioning and reduce negative symptoms in consumers with schizophrenia is of high public health significance. METHOD:In this randomized clinical trial, participants with schizophrenia or schizoaffective disorder (N = 149) were randomly assigned to cognitive behavioral soci...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/a0037098

    authors: Granholm E,Holden J,Link PC,McQuaid JR

    更新日期:2014-12-01 00:00:00

  • Variation in the drinking trajectories of freshmen college students.

    abstract::F. K. Del Boca, J. Darkes, P. E. Greenbaum, and M. S. Goldman (2004) examined temporal variations in drinking during the freshmen college year and the relationship of several risk factors to these variations. Here, using the same data, the authors investigate whether a single growth curve adequately characterizes the ...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037/0022-006X.73.2.229

    authors: Greenbaum PE,Del Boca FK,Darkes J,Wang CP,Goldman MS

    更新日期:2005-04-01 00:00:00

  • Cognition in test-anxious children: the role of on-task and coping cognition reconsidered.

    abstract::This study investigated cognition in children with high, moderate, and low test anxiety under naturalistic test-taking conditions. Children with high test anxiety not only reported more negative self-evaluations and more off-task thoughts but also more on-task and coping thoughts. Consistent with previous research, no...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1037//0022-006x.62.2.404

    authors: Prins PJ,Groot MJ,Hanewald GJ

    更新日期:1994-04-01 00:00:00

  • Preventing marital distress through communication and conflict management training: a 4- and 5-year follow-up.

    abstract::This article reports the 4- and 5-year follow-up results of evaluating the effects of a marital distress prevention program. The program, Prevention and Relationship Enhancement Program (PREP), is a 5-session program designed to teach couples effective communication and conflict management skills. At the 5-year follow...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037//0022-006x.61.1.70

    authors: Markman HJ,Renick MJ,Floyd FJ,Stanley SM,Clements M

    更新日期:1993-02-01 00:00:00

  • Predictors and moderators of response to cognitive behavioral therapy and medication for the treatment of binge eating disorder.

    abstract:OBJECTIVE:To examine predictors and moderators of response to cognitive behavioral therapy (CBT) and medication treatments for binge-eating disorder (BED). METHOD:108 BED patients in a randomized double-blind placebo-controlled trial testing CBT and fluoxetine treatments were assessed prior, throughout, and posttreatm...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/a0027001

    authors: Grilo CM,Masheb RM,Crosby RD

    更新日期:2012-10-01 00:00:00

  • Effectiveness of an internet intervention (Deprexis) for depression in a united states adult sample: A parallel-group pragmatic randomized controlled trial.

    abstract:OBJECTIVE:To examine the effectiveness of an Internet intervention for depression with a randomized, controlled trial in a large sample of adults recruited from the United States. METHOD:The current study examines the effectiveness of Deprexis, an Internet treatment for depression that was provided with relatively min...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037/ccp0000171

    authors: Beevers CG,Pearson R,Hoffman JS,Foulser AA,Shumake J,Meyer B

    更新日期:2017-04-01 00:00:00

  • How does brief motivational intervention change heavy drinking and harm among underage young adult drinkers?

    abstract:OBJECTIVE:This study tested mediating processes hypothesized to explain the therapeutic benefit of an efficacious motivational interview (MI). The constructs of interest were motivation to change, cognitive dissonance about current drinking, self-efficacy for change, perceived young adult drinking norms, future drinkin...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/ccp0000200

    authors: Magill M,Colby SM,Orchowski L,Murphy JG,Hoadley A,Brazil LA,Barnett NP

    更新日期:2017-05-01 00:00:00

  • The relationship between experiences of discrimination and mental health among lesbians and gay men: An examination of internalized homonegativity and rejection sensitivity as potential mechanisms.

    abstract:OBJECTIVE:The current study used path analysis to examine potential mechanisms through which experiences of discrimination influence depressive and social anxiety symptoms. METHOD:The sample included 218 lesbians and 249 gay men (total N = 467) who participated in an online survey about minority stress and mental heal...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037/a0029425

    authors: Feinstein BA,Goldfried MR,Davila J

    更新日期:2012-10-01 00:00:00

  • Cost-benefit analysis of six alternative payment incentives for child therapists.

    abstract::The outcomes and costs of 6 different methods of motivating therapists to meet service delivery goals at a community mental health center for children and adolescents were evaluated over a 5-year period. The costs and cost-savings benefits of each motivational method were compared with each other and with two baseline...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037//0022-006x.62.3.627

    authors: Yates BT,Yokley JM,Thomas JV

    更新日期:1994-06-01 00:00:00

  • Initial impact of the Fast Track prevention trial for conduct problems: I. The high-risk sample. Conduct Problems Prevention Research Group.

    abstract::Fast Track is a multisite, multicomponent preventive intervention for young children at high risk for long-term antisocial behavior. Based on a comprehensive developmental model, intervention included a universal-level classroom program plus social skills training, academic tutoring, parent training, and home visiting...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors:

    更新日期:1999-10-01 00:00:00

  • The efficacy of problem-solving communication training alone, behavior management training alone, and their combination for parent-adolescent conflict in teenagers with ADHD and ODD.

    abstract::Two family therapies were compared using teens with attention-deficit/hyperactivity disorder. Ninety-seven families were assigned to either 18 sessions of problem-solving communication training (PSCT) alone or behavior management training (BMT) for 9 sessions followed by PSCT for 9 sessions (BMT/PSCT). Both treatments...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Barkley RA,Edwards G,Laneri M,Fletcher K,Metevia L

    更新日期:2001-12-01 00:00:00

  • Impact of an educational support group on family participants who take care of their schizophrenic relatives.

    abstract::Using a stress-coping framework, we designed a six-session educational support group offering family caretakers information about schizophrenia, training in problem-solving skills for managing patient behavior, and greater access to social support and community resources. Subjects were recruited though local community...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037//0022-006x.57.2.232

    authors: Abramowitz IA,Coursey RD

    更新日期:1989-04-01 00:00:00

  • Mechanisms of change in an exposure-based treatment for irritable bowel syndrome.

    abstract:OBJECTIVE:The aim of this study was to identify mediators of change in a previously published randomized controlled trial that compared Internet-delivered cognitive behavioral treatment based on exposure exercises (ICBT) with Internet-delivered stress management (ISM) for irritable bowel syndrome (IBS). ICBT and ISM ta...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/a0033439

    authors: Ljótsson B,Hesser H,Andersson E,Lindfors P,Hursti T,Rück C,Lindefors N,Andersson G,Hedman E

    更新日期:2013-12-01 00:00:00

  • Positive association of child involvement and treatment outcome within a manual-based cognitive-behavioral treatment for children with anxiety.

    abstract::Ratings of child involvement in manual-based cognitive-behavioral treatment for anxiety were associated with the absence of primary anxiety diagnosis and reductions in impairment ratings at posttreatment for 59 children with anxiety (ages 8-14 years). Good-to-excellent interrater reliability was established for the in...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1037/0022-006X.72.5.821

    authors: Chu BC,Kendall PC

    更新日期:2004-10-01 00:00:00

  • Twenty years of cognitive assessment: current status and future directions.

    abstract::This commentary examines a number of methodological and conceptual issues that were raised in this special section on cognitive assessment. Although progress has been made in a number of areas since cognitive-clinical researchers first addressed the assessment of cognition almost 20 years ago, important conceptual and...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,评审

    doi:10.1037//0022-006x.65.6.996

    authors: Clark DA

    更新日期:1997-12-01 00:00:00

  • Validity of phallometric measures with sex offenders: comments on the Quinsey, Laws, and Hall debate.

    abstract::In a recent debate, Quinsey and Laws (1990) and Hall (1990) discussed several major methodological issues in research on the validity of phallometric tests. This article examines specific points of the debate more closely and uncovers questionable assumptions underlying some of the Quinsey and Laws criticisms. The imp...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 评论,杂志文章

    doi:10.1037//0022-006x.60.5.812

    authors: Schouten PG,Simon WT

    更新日期:1992-10-01 00:00:00

  • Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the prevention of relapse and recurrence in major depression.

    abstract::This study followed treatment responders from a randomized controlled trial of adults with major depression. Patients treated with medication but withdrawn onto pill-placebo had more relapse through 1 year of follow-up compared to patients who received prior behavioral activation, prior cognitive therapy, or continued...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1037/0022-006X.76.3.468

    authors: Dobson KS,Hollon SD,Dimidjian S,Schmaling KB,Kohlenberg RJ,Gallop RJ,Rizvi SL,Gollan JK,Dunner DL,Jacobson NS

    更新日期:2008-06-01 00:00:00

  • Relapse prevention training and problem-solving therapy in the long-term management of obesity.

    abstract::This study compared 2 extended therapy programs for weight management with standard behavioral treatment (BT) without additional therapy contacts. Participants were 80 obese women who completed 20 weekly group sessions of BT and achieved a mean initial weight loss of 8.74 kg. Participants were randomly assigned to a n...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Perri MG,Nezu AM,McKelvey WF,Shermer RL,Renjilian DA,Viegener BJ

    更新日期:2001-08-01 00:00:00

  • Detecting and describing preventive intervention effects in a universal school-based randomized trial targeting delinquent and violent behavior.

    abstract::This study examined theoretical, methodological, and statistical problems involved in evaluating the outcome of aggression on the playground for a universal preventive intervention for conduct disorder. Moderately aggressive children were hypothesized most likely to benefit. Aggression was measured on the playground u...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1037//0022-006x.68.2.296

    authors: Stoolmiller M,Eddy JM,Reid JB

    更新日期:2000-04-01 00:00:00

  • Introduction to the special section: efficacy and effectiveness in studies of child and adolescent psychotherapy.

    abstract::This article introduces a special series on "transporting" studies of the efficacy of psychotherapy into studies of their effectiveness. Models of the relationship between efficacy and effectiveness are described. Traditional linear models of the phases of scientific expansion suggest that findings from efficacy studi...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037//0022-006x.63.5.683

    authors: Hoagwood K,Hibbs E,Brent D,Jensen P

    更新日期:1995-10-01 00:00:00

  • Social support, AIDS-related symptoms, and depression among gay men.

    abstract::This study examined the impact of social support and HIV-related conditions on depression among 508 gay men participating in the San Francisco Men's Health Study, a population-based prospective study of single men aged 25-54 years. The number of HIV-related symptoms experienced significantly predicted depression cross...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 杂志文章

    doi:10.1037//0022-006x.60.3.463

    authors: Hays RB,Turner H,Coates TJ

    更新日期:1992-06-01 00:00:00

  • Shaping cocaine abstinence by successive approximation.

    abstract::Cocaine-using methadone-maintenance patients were randomized to standard contingency management (abstinence group, n = 49) or to a contingency designed to increase contact with reinforcers (shaping group, n = 46). For 8 weeks, both groups earned escalating-value vouchers based on thrice-weekly urinalyses: The abstinen...

    journal_title:Journal of consulting and clinical psychology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1037//0022-006x.69.4.643

    authors: Preston KL,Umbricht A,Wong CJ,Epstein DH

    更新日期:2001-08-01 00:00:00