ArticlePloS one2019
Barriers and facilitators to employment in borderline personality disorder: A qualitative study among patients, mental health practitioners and insurance physicians.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Patients' Needs Regarding Work-Focused Healthcare: A Qualitative Evidence Synthesis.Journal of occupational rehabilitation · 2025Pooled it
- The impact of bipolar spectrum disorders on professional functioning: A systematic review.Frontiers in psychiatry · 2022Pooled it
- From randomised trial to national implementation: employment outcomes from individual placement and support in english alcohol and drug treatment services.International journal of public health · 2026Trial
- Improving Vocational Rehabilitation for people with Mental Health Problems through Intersectoral Collaboration: A Mixed-Method Implementation Study.Administration and policy in mental health · 2026Article
- The Experience of Participating in Individual Placement and Support (IPS) Employment Program: Perspectives of Four Individuals with Borderline Personality Disorder.Community mental health journal · 2026Article
- Practice Assessment Tool for the Care of Patients With Borderline Personality Disorder.Focus (American Psychiatric Publishing) · 2025Article
- The Association Between Borderline Personality Disorder Symptoms and Social Behaviour Among University Students.Medicina (Kaunas, Lithuania) · 2025Article
- Sources of Stigma and its Relation to Internalized Stigma in Women with Borderline Personality Disorder.Actas espanolas de psiquiatria · 2025Article
- What strategies do people with borderline personality disorder use to maintain their well-being and performance at work?Borderline personality disorder and emotion dysregulation · 2025Article
- Destigmatizing borderline personality disorder with social justice and intersectional cultural humility: How researchers can construct and deconstruct stigma.Feminism & psychology · 2025Article
- Association Between Unemployment and Mental Disorders: A Narrative Update of the Literature.International journal of environmental research and public health · 2024Review
- Employment interventions to assist people who experience borderline personality disorder: A scoping review.The International journal of social psychiatry · 2023Article
- Course and predictors of social security disability insurance in patients with borderline personality disorder over 24 years of prospective follow-up.Borderline personality disorder and emotion dysregulation · 2023Article
- Differential associations between childhood maltreatment types and borderline personality disorder from the perspective of emotion dysregulation.Borderline personality disorder and emotion dysregulation · 2023Article
- The impact of a telephone hotline on suicide attempts and self-injurious behaviors in patients with borderline personality disorder.Frontiers in psychiatry · 2023Article
- Individual placement and support and employment in personality disorders: a registry based cohort study.BMC psychiatry · 2022Article
- The experience of loneliness among people with a "personality disorder" diagnosis or traits: a qualitative meta-synthesis.BMC psychiatry · 2022Article
- A cross-sectional survey of stigma towards people with a mental illness in the general public. The role of employment, domestic noise disturbance and age.Social psychiatry and psychiatric epidemiology · 2021Article
- Features of YouTubeDigital healthArticle
- Borderline Personality Disorder and Loneliness: Broadening the Scope of Treatment for Social Rehabilitation.Harvard review of psychiatryReview
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBorderline personality disorder (BPD) is associated with unemployment and impaired functioning. However, a comprehensive understanding of barriers and facilitators to employment from a multidisciplinary perspective is currently lacking. Therefore, the aim of this qualitative study was to explore barriers and facilitators in gaining and maintaining employment in BPD from the perspectives of patients, mental health practitioners (MHPs) and insurance physicians (IPs).
methodsFifteen semi-structured interviews were conducted in patients with BPD and two focus groups were carried out among MHPs (n = 7) and IPs (n = 6) following a thematic content analysis approach.
resultsAll participants described barriers and facilitators relating to three overall themes: characteristics of BPD, stigma, and support to employment. Barriers to employment mainly related to characteristics of BPD, such as low self-image, difficulty posing personal boundaries, difficulty regulating emotions, and lack of structure. MHPs and IPs additionally mentioned externalization and overestimation of competencies on the part of patients. Enhancing emotion regulation and self-reflection by successful treatment was suggested as a facilitator to enhance employment. Increasing collaboration between mental health and vocational rehabilitation services, and increasing knowledge about BPD, were suggested to increase sustainable employment and decrease stigma.
conclusionsThe present findings revealed that both facilitators and barriers are important in gaining and maintaining employment in BPD in which diminishing symptoms, examining stigma and increasing support to employment are key. As a next step, supported employment strategies that follow patient preferences and integrate employment and mental health services, should be studied in the context of BPD.
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