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Experiences of Stigma and Discrimination in Borderline Personality Disorder: A Systematic Review and Qualitative Meta-Synthesis.

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Title: Experiences of Stigma and Discrimination in Borderline Personality Disorder: A Systematic Review and Qualitative Meta-Synthesis.
Authors: Stiles, Ciara ciara.stiles@lanarkshire.scot.nhs.uk, Batchelor, Rachel1, Gumley, Andrew2, Gajwani, Ruchika3
Source: Journal of Personality Disorders. Apr2023, Vol. 37 Issue 2, p177-194. 18p.
Subject Terms: *Discrimination (Sociology), Meta-synthesis, Medical databases, Psychology information storage & retrieval systems, CINAHL database, Psychotherapy patients, Medical information storage & retrieval systems, Borderline personality disorder, Systematic reviews, Social stigma, MEDLINE, Thematic analysis, Psychosocial factors
Abstract: Individuals with a diagnosis of borderline personality disorder (BPD) typically experience discrimination and stigma, resulting in poor identification and delayed care. We conducted a review to examine and synthesize qualitative studies exploring experiences of stigma and discrimination among individuals with BPD. In August 2021, we systematically searched the following databases: Embase, Medline, Cochrane Library, PsycINFO, and Cinhal. We also hand searched reference lists and Google Scholar. We then synthesized studies using meta-ethnography. We included seven articles in the study, all of high or moderate quality. Five themes were identified: (1) resistance from clinicians (withholding information), (2) othering, (3) negative impact on self-image/esteem, (4) hopelessness surrounding the perceived permanency of BPD, and (5) feeling like a burden. This review highlights the need for improved understanding of BPD across health care services. We also discussed the need to introduce a standardized pathway of care across health services following a BPD diagnosis. [ABSTRACT FROM AUTHOR]
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Database: Education Research Complete
Description
Abstract:Individuals with a diagnosis of borderline personality disorder (BPD) typically experience discrimination and stigma, resulting in poor identification and delayed care. We conducted a review to examine and synthesize qualitative studies exploring experiences of stigma and discrimination among individuals with BPD. In August 2021, we systematically searched the following databases: Embase, Medline, Cochrane Library, PsycINFO, and Cinhal. We also hand searched reference lists and Google Scholar. We then synthesized studies using meta-ethnography. We included seven articles in the study, all of high or moderate quality. Five themes were identified: (1) resistance from clinicians (withholding information), (2) othering, (3) negative impact on self-image/esteem, (4) hopelessness surrounding the perceived permanency of BPD, and (5) feeling like a burden. This review highlights the need for improved understanding of BPD across health care services. We also discussed the need to introduce a standardized pathway of care across health services following a BPD diagnosis. [ABSTRACT FROM AUTHOR]
ISSN:0885579X
DOI:10.1521/pedi.2023.37.2.177