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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]
Copyright of Journal of Personality Disorders is the property of Guilford Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
FullText Text:
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PubType: Academic Journal
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  Data: Experiences of Stigma and Discrimination in Borderline Personality Disorder: A Systematic Review and Qualitative Meta-Synthesis.
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  Data: <searchLink fieldCode="AR" term="%22Stiles%2C+Ciara%22">Stiles, Ciara</searchLink><i> ciara.stiles@lanarkshire.scot.nhs.uk</i><br /><searchLink fieldCode="AR" term="%22Batchelor%2C+Rachel%22">Batchelor, Rachel</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Gumley%2C+Andrew%22">Gumley, Andrew</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Gajwani%2C+Ruchika%22">Gajwani, Ruchika</searchLink><relatesTo>3</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Personality+Disorders%22">Journal of Personality Disorders</searchLink>. Apr2023, Vol. 37 Issue 2, p177-194. 18p.
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  Data: *<searchLink fieldCode="DE" term="%22Discrimination+%28Sociology%29%22">Discrimination (Sociology)</searchLink><br /><searchLink fieldCode="DE" term="%22Meta-synthesis%22">Meta-synthesis</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+databases%22">Medical databases</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+information+storage+%26+retrieval+systems%22">Psychology information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22CINAHL+database%22">CINAHL database</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapy+patients%22">Psychotherapy patients</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+information+storage+%26+retrieval+systems%22">Medical information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Borderline+personality+disorder%22">Borderline personality disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Social+stigma%22">Social stigma</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Journal of Personality Disorders is the property of Guilford Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=162836716
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        Value: 10.1521/pedi.2023.37.2.177
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      – Code: eng
        Text: English
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        PageCount: 18
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      – SubjectFull: Discrimination (Sociology)
        Type: general
      – SubjectFull: Meta-synthesis
        Type: general
      – SubjectFull: Medical databases
        Type: general
      – SubjectFull: Psychology information storage & retrieval systems
        Type: general
      – SubjectFull: CINAHL database
        Type: general
      – SubjectFull: Psychotherapy patients
        Type: general
      – SubjectFull: Medical information storage & retrieval systems
        Type: general
      – SubjectFull: Borderline personality disorder
        Type: general
      – SubjectFull: Systematic reviews
        Type: general
      – SubjectFull: Social stigma
        Type: general
      – SubjectFull: MEDLINE
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      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
    Titles:
      – TitleFull: Experiences of Stigma and Discrimination in Borderline Personality Disorder: A Systematic Review and Qualitative Meta-Synthesis.
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            NameFull: Stiles, Ciara
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            NameFull: Batchelor, Rachel
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            – D: 01
              M: 04
              Text: Apr2023
              Type: published
              Y: 2023
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              Value: 37
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