{
    "ok": true,
    "doi": "10.3390\/medicina62061120",
    "status": "found",
    "title": "Documented Borderline Personality Disorder and EMR Indicators of Potential Under-Recognition in Depressive Outpatients",
    "authors": [
        "Lifang Dang",
        "Shun Lei Oo",
        "Nahathai Wongpakaran",
        "Awirut Oon-arom",
        "Rewadee Jenraumjit",
        "Justin DeMaranville",
        "Tinakon Wongpakaran"
    ],
    "container": "Medicina",
    "year": "2026",
    "doi_url": "https:\/\/doi.org\/10.3390\/medicina62061120",
    "is_open_access": true,
    "oa_status": "gold",
    "best_landing_page": "https:\/\/pubmed.ncbi.nlm.nih.gov\/42356132",
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    "abstract": "Background and Objectives: This study aimed to estimate the prevalence of documented borderline personality disorder (BPD) diagnosis and study-defined BPD indicators among adults with depressive disorders in outpatient psychiatric care, and to quantify a subgroup who were indicator-positive but had no documented diagnosis (potential under-recognition). Materials and Methods: This retrospective, cross-sectional study included adult outpatients with depressive disorders receiving pharmacological treatment at Maharaj Nakorn Chiang Mai Hospital. BPD status was classified using (1) a documented BPD diagnosis in the electronic medical record (EMR) and (2) study-defined indicators, comprising a symptom-based indicator (documentation of ≥5 DSM-5 BPD criteria) and a prescribing-based indicator (antidepressant treatment with concurrent use of antipsychotics and\/or mood stabilizers). Prevalence and overlap across diagnoses and indicators were summarized using a Venn distribution. Results: Among 1175 patients, 63 (5.4%) had a documented BPD diagnosis. Using EMR indicators, 84 (7.1%) met the symptom-based indicator and 325 (27.7%) met the prescribing-based indicator. In total, 374 (31.8%) had either a documented BPD diagnosis or at least one indicator, while 801 (68.2%) had neither. Overall, 370 (31.5%) met at least one indicator (symptom-based and\/or prescribing-based). Among indicator-positive patients, 311 (84.1%) had no documented BPD diagnosis, representing 26.5% (311\/1175) of the total cohort. Conclusions: Study-defined EMR indicators flagged a substantial subgroup with potential under-recognition of BPD features in depressive-disorder clinics. These indicators may help prioritize targeted assessment and structured diagnostic evaluation to support access to BPD-informed care and support referral to BPD-informed psychotherapy.",
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            "source": "DOAJ (DOAJ: Directory of Open Access Journals)",
            "landing_page_url": "https:\/\/doaj.org\/article\/3d22f86d66ea4391807210c86c1988cc",
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            "source": "PubMed Central",
            "landing_page_url": "https:\/\/pubmed.ncbi.nlm.nih.gov\/42356132\/",
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            "version": "submittedVersion"
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    "crossref_links": [
        {
            "url": "https:\/\/www.mdpi.com\/1648-9144\/62\/6\/1120\/pdf",
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