NHS Greater Glasgow & Clyde, Glasgow, UK.
Ciara Stiles is now with NHS Lanarkshire.
J Pers Disord. 2023 Apr;37(2):177-194. doi: 10.1521/pedi.2023.37.2.177.
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.
个体被诊断为边缘型人格障碍（BPD）通常会经历歧视和耻辱，导致识别和护理延迟。我们进行了一项综述，以探讨和综合探索 BPD 个体经历耻辱和歧视的定性研究。2021 年 8 月，我们系统地搜索了以下数据库：Embase、Medline、Cochrane 图书馆、PsycINFO 和 Cinhal。我们还手动搜索了参考文献列表和 Google Scholar。然后，我们使用元民族志综合研究。我们研究了 7 篇文章，均为高质量或中质量。确定了五个主题：（1）临床医生的抵制（隐瞒信息），（2）排斥，（3）对自我形象/自尊的负面影响，（4）围绕 BPD 永久性的绝望感，（5）感觉自己是个负担。这项综述强调了需要在整个医疗保健服务中更好地理解 BPD。我们还讨论了需要在 BPD 诊断后在整个医疗服务中引入标准化的护理途径。
