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10.4088/PCC.14r01743

http://scihub22266oqcxt.onion/10.4088/PCC.14r01743
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suck abstract from ncbi


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pmid26644960
      Prim+Care+Companion+CNS+Disord 2015 ; 17 (3 ): ä
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  • Borderline Personality in the Medical Setting #MMPMID26644960
  • Sansone RA ; Sansone LA
  • Prim Care Companion CNS Disord 2015[]; 17 (3 ): ä PMID26644960 show ga
  • OBJECTIVE: Individuals with borderline personality disorder in mental health settings tend to present with relationship difficulties, mood instability/dysphoria, and overt self-harm behavior. In contrast, it appears that individuals with borderline personality disorder in medical settings manifest physical symptoms that are medically difficult to substantiate. Through a review of the literature, we examine 2 symptom manifestations among patients with borderline personality in primary care and general medical settings-namely pain sensitivity and multiple somatic complaints. In addition to reviewing the research of others, we also highlight our own investigations into these 2 areas. DATA SOURCES: We conducted a literature search of the PubMed database and a previous version of the PsycINFO search engine (no restrictions). Search terms included borderline personality, borderline personality disorder, personality disorders; chronic pain, pain, pain syndromes; and somatization disorder, Briquet's syndrome, somatic preoccupation, somatic. STUDY SELECTION: Published articles related to borderline personality, pain and somatic symptoms (ie, somatization disorder, somatic preoccupation) were examined. RESULTS: According to our review, the literature indicates higher-than-expected rates of borderline personality disorder among patients in primary care and general medical settings who present with chronic pain conditions and/or somatic preoccupation. CONCLUSIONS: Unlike patients with borderline personality disorder in mental health settings, who tend to present with relationship difficulties, mood instability/dysphoria, and overt self-harm behavior, patients with borderline personality disorder in primary care settings tend to present with unsubstantiated chronic pain of various types as well as somatic preoccupation.
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