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Exploring General Practitioners' Views and Experiences of Providing Care to People with Borderline Personality Disorder in Primary Care: A Qualitative Study in Australia.

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  • معلومة اضافية
    • المصدر:
      Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: Basel : MDPI, c2004-
    • الموضوع:
      Attitude of Health Personnel*; Borderline Personality Disorder/*diagnosis ; Borderline Personality Disorder/*therapy ; General Practitioners/*psychology ; Primary Health Care/*methods; Adult ; Australia ; Female ; Focus Groups ; Humans ; Male ; Middle Aged ; Qualitative Research ; South Australia
    • نبذة مختصرة :
      The prevalence of people seeking care for Borderline Personality Disorder (BPD) in primary care is four to five times higher than in the general population. Therefore, general practitioners (GPs) are important sources of assessment, diagnosis, treatment, and care for these patients, as well as important providers of early intervention and long-term management for mental health and associated comorbidities. A thematic analysis of two focus groups with 12 GPs in South Australia (in discussion with 10 academic, clinical, and lived experience stakeholders) highlighted many challenges faced by GPs providing care to patients with BPD. Major themes were: (1) Challenges Surrounding Diagnosis of BPD; (2) Comorbidities and Clinical Complexity; (3) Difficulties with Patient Behaviour and the GP⁻Patient Relationship; and (4) Finding and Navigating Systems for Support. Health service pathways for this high-risk/high-need patient group are dependent on the quality of care that GPs provide, which is dependent on GPs' capacity to identify and understand BPD. GPs also need to be supported sufficiently in order to develop the skills that are necessary to provide effective care for BPD patients. Systemic barriers and healthcare policy, to the extent that they dictate the organisation of primary care, are prominent structural factors obstructing GPs' attempts to address multiple comorbidities for patients with BPD. Several strategies are suggested to support GPs supporting patients with BPD.
    • References:
      Aust N Z J Psychiatry. 2014 May;48(5):433-41. (PMID: 23943633)
      Soc Psychiatry Psychiatr Epidemiol. 2004 Oct;39(10):765-76. (PMID: 15669657)
      Gen Hosp Psychiatry. 2001 Jul-Aug;23(4):193-7. (PMID: 11543845)
      Lancet. 2011 Nov 5;378(9803):1654-63. (PMID: 22008420)
      Am J Psychiatry. 2004 Nov;161(11):2108-14. (PMID: 15514413)
      BMC Fam Pract. 2012 Mar 16;13:19. (PMID: 22423592)
      J Psychiatr Ment Health Nurs. 2015 Sep;22(7):510-21. (PMID: 26122817)
      BMJ Open. 2016 Jan 12;6(1):e009654. (PMID: 26758263)
      World Psychiatry. 2017 Jun;16(2):215-216. (PMID: 28498598)
      Acta Psychiatr Scand. 2000 Oct;102(4):256-64. (PMID: 11089725)
      Aust Fam Physician. 2011 Jun;40(6):376-81. (PMID: 21655482)
      Neuro Endocrinol Lett. 2017 Aug;38(4):275-289. (PMID: 28871714)
      Am J Psychiatry. 2006 Jul;163(7):1173-8. (PMID: 16816221)
      Med Clin North Am. 2014 Sep;98(5):1049-64. (PMID: 25134872)
      PLoS One. 2017 Mar 1;12(3):e0171592. (PMID: 28249032)
      J Pers Disord. 2005 Oct;19(5):487-504. (PMID: 16274278)
      J Clin Psychiatry. 2004 Aug;65(8):1049-56. (PMID: 15323588)
      Psychosom Med. 2010 Sep;72(7):641-7. (PMID: 20508177)
      J Ment Health. 2019 Mar 12;:1-21. (PMID: 30862201)
      Compr Psychiatry. 2003 Jan-Feb;44(1):28-34. (PMID: 12524633)
      Prim Care Companion J Clin Psychiatry. 2008;10(4):286-90. (PMID: 18787678)
      Lancet Psychiatry. 2016 Feb;3(2):91. (PMID: 26851320)
      Gac Sanit. 2013 Mar-Apr;27(2):171-4. (PMID: 22402239)
      J Psychiatr Res. 2013 Oct;47(10):1499-506. (PMID: 23856083)
      J Clin Psychiatry. 2004 Dec;65(12):1660-5. (PMID: 15641871)
      J Clin Psychiatry. 2008 Apr;69(4):533-45. (PMID: 18426259)
      J Clin Psychol. 2015 Aug;71(8):753-63. (PMID: 26197971)
      Osteopath Med Prim Care. 2008 Apr 29;2:6. (PMID: 18445285)
      Aust Fam Physician. 2014 Jun;43(6):399-402. (PMID: 24897992)
      Arch Intern Med. 2002 Jan 14;162(1):53-60. (PMID: 11784220)
    • Contributed Indexing:
      Keywords: borderline personality disorder; general practitioners; mental health services; mental illness; primary care; qualitative research
    • الموضوع:
      Date Created: 20181220 Date Completed: 20190314 Latest Revision: 20231005
    • الموضوع:
      20231215
    • الرقم المعرف:
      PMC6313450
    • الرقم المعرف:
      10.3390/ijerph15122763
    • الرقم المعرف:
      30563256