Borderline Personality Disorder (BPD) (Systematic Review)

Required

Systematic Review of Borderline Personality Disorder (BPD) with a  PRISMA flow chart (12-15 pages); APA style.

Research Question – Borderline Personality Disorder (BPD): the impact of misdiagnosis and relapse on patients – A Systematic Review. (12-15 pages.

Literature Review;

1: The research question is, what are the levels and impact of BPD misdiagnosis and relapse on patients and therefore a systematic review will be performed to establish the prevalence of misdiagnosis and relapse.

A systematic review and analysis will be conducted to further understand the levels and impact of misdiagnosis of Borderline Personality Disorder (BPD) with Bipolar Disorder (BD) and subsequent relapses in patients with the disorder.

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2: Published and peer-reviewed publications will be identified using the APA, BMC Psychiatry, NAMI, NCBI, Science Direct as sources. The following authors Biskin, R, S. Petersen, N. Zanarini, MC and Zimmerman, M will be selected and followed, and their published literature reviewed closely holistic and comprehensive manner.

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3: In order to address the research question, a comprehensive search will be carried out to identify and retrieve articles from peer-reviewed published journals would be searched using databases such as; APA, BMC Psychiatry, NAMI, NCBI, Science Direct. The search strategy would use key words such as e.g. “BPD” and “Bipolar” and “Personality Disorders” and “Misdiagnosis” and “Impact” and “Treatments” and “Relapse.

There will also be combinations of words used such as “BPD and Misdiagnosis” or “BPD and Misdiagnosis and Bipolar Disorder” or “Misdiagnosis and its Impact” or “Impact of the Misdiagnosis”.

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4: Study designs, populations, gender, ages of participants and prior diagnosis will be analysed to assess the quality of the studies reviewed.

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5: The evidence will be summarized and report key methods, results and conclusions of the review.

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6: Since the research will be a systematic review, analysing the data will be based on the literature and opinions given in other studies to inform the extent to which the research question holds. For example, the research question will be determined as valid and worth the effort if there is significant evidence to prove that misdiagnoses have occurred and has impacted the patients, where the patients have experienced relapses and had to be assigned BPD treatment. On the contrary, the research question will be determined as weak or untrue if there will be insignificant evidence to link patient relapses to misdiagnoses. There will be some use of some basic percentages to demonstrate findings/data.

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This study would be a systematic review of articles from peer reviewed journals and studies published from years 2008 to 2019. – Peer reviewed articles in the databases selected, (published between 2008 to 2019) and in English language which reports evidence or findings regarding the misdiagnosis of Borderline Personality Disorder (BPD) and impact of relapse on patients

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The decision to apply a systematic review is informed by the understanding that there does not appear to be agreement or alignment in the internationally published literature on the misdiagnosis of BPD and the current levels of this.  There is currently no study being conducted to systematically evaluate misdiagnosis and allow for alignment of the data. The data will be collected from analyses of existing published international literature on misdiagnosis of BPD. There is currently study data that indicates misdiagnosis is occasioned by relapses in patients. Thus, establishing whether such is the case and to what extent it affects relapses in BPD patients requires an evaluation of existing literature and studies without necessarily computing figures and will be presented using a PRISMA flow chart followed by CASP assessment.

Specific Authors and Articles to be included in review;

• Based on the review of the literature, a set of recommendations will be given so that health professionals can inform their practice (effective interventions) to help further prevent and lower the current levels of BPD misdiagnosis.
• The systematic analysis of current literature will identify tendencies, trends and any potential biases in the published literature regarding BPD misdiagnosis. As a result, this study will have the potential to inform future studies which could address the biases/tendencies found in the current study.