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Journal articles on the topic 'Borderline personality; Depression; Epilepsy'

Author: Grafiati

Published: 4 June 2021

Last updated: 9 February 2022

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1

Pirkalani, K. K., and Z. Talaee Rad. "Alopecia Universalis Causes Serious Personality Derangements: First Report of Negative Impact of a Medical Condition on Personality (279 Patients)." European Psychiatry 26, S2 (March 2011): 1125. http://dx.doi.org/10.1016/s0924-9338(11)72830-9.

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ObjectiveTo evaluate the reason of major behavioral problems in alopecia universalis patients, we tried to examine by way of MCMI- III whether these signs are transient, developmental or ingrained.Methods279 patients with alopecia universalis were studied before and 3 months after treatment with MCMI-III and scheduled psychiatric interview. They were stratified in regard to sex, age, socioeconomic class, age of onset of alopecia (before or after 18yrs) and response. The results were compared with 3000 normal examinees.ResultsThere was significant preponderance of personality disorders among patients with early onset (p < 0.003) but not late onset (p = 0.1) alopecia including schizotypal, schizoid, self defeating, borderline and avoidant personalities compared to general population. This was not affected by treatment. (p < 0.004) All patients showed higher scales in axis II disorders including depression, anxiety, drug abuse, alcohol abuse and major thought disorders. (Overall p < 0.02) These were ameliorated with treatment of alopecia. These data were confirmed by scheduled interviews.ConclusionThis is the first report of severe personality disorder in the context of a medical (dermatological) condition. Childhood onset chronic illnesses can cause serious personality disorders that are stronger predictors than genetics or learned behavior encompassed in previous theories on personality. Alopecia universalis has a more sustained effect due to jeopardizing the development of self image. We recommend that many diseases with their onset during childhood, including type I diabetes, epilepsy, childhood cancers … must not only be treated for concomitant anxiety and depression but for abnormal personality development.

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2

Lacey, Darryl L. "Depression and borderline personality disorder." Medical Journal of Australia 197, no. 11-12 (December 2012): 620. http://dx.doi.org/10.5694/mja12.11591.

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Beatson, Josephine A., and Sathya Rao. "Depression and borderline personality disorder." Medical Journal of Australia 197, no. 11-12 (December 2012): 620–21. http://dx.doi.org/10.5694/mja12.11646.

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Beatson, Josephine A., and Sathya Rao. "Depression and borderline personality disorder." Medical Journal of Australia 1, no. 4 (October 1, 2012): 24–27. http://dx.doi.org/10.5694/mjao12.10474.

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5

Lecic-Tosevski, D., M. Divac-Jovanovic, N. Calovska-Hertzog, and Z. Lopicic-Perisic. "Borderline depression of personality disorders." European Psychiatry 11 (January 1996): 369s. http://dx.doi.org/10.1016/0924-9338(96)89183-8.

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SULLIVAN, PATRICK F., PETER R. JOYCE, and ROGER T. MULDER. "Borderline Personality Disorder in Major Depression." Journal of Nervous and Mental Disease 182, no. 9 (September 1994): 508–16. http://dx.doi.org/10.1097/00005053-199409000-00006.

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7

Pilszyk, Anna, and Przemysław Cynkier. "Dyadic death – depression and borderline personality." Psychiatria Polska 49 (2015): 517–27. http://dx.doi.org/10.12740/pp/36431.

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Richman, Mara J., and Zsolt Unoka. "Mental state decoding impairment in major depression and borderline personality disorder: Meta-analysis." British Journal of Psychiatry 207, no. 6 (December 2015): 483–89. http://dx.doi.org/10.1192/bjp.bp.114.152108.

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BackgroundPatients with major depression and borderline personality disorder are characterised by a distorted perception of other people's intentions. Deficits in mental state decoding are thought to be the underlying cause of this clinical feature.AimsTo examine, using meta-analysis, whether mental state decoding abilities in patients with major depression and borderline personality disorder differ from those of healthy controls.MethodA systematic review of 13 cross-sectional studies comparing Reading in the Mind of the Eyes Test (RMET) accuracy performance of patients with major depression or borderline personality disorder and healthy age-matched controls (n = 976). Valence scores, where reported, were also assessed.ResultsLarge significant deficits were seen for global RMET performance in patients with major depression (d =–0.751). The positive RMET valence scores of patients with depression were significantly worse; patients with borderline personality disorder had worse neutral scores. Both groups were worse than controls. Moderator analysis revealed that individuals with comorbid borderline personality disorder and major depression did better than those with borderline personality disorder alone on accuracy. Those with comorbid borderline personality disorder and any cluster B or C personality disorder did worse than borderline personality disorder alone. Individuals with both borderline personality disorder and major depression performed better then those with borderline personality disorder without major depression for positive valence.ConclusionsThese findings highlight the relevance of RMET performance in patients with borderline personality disorder and major depression, and the importance of considering comorbidity in future analysis.

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Snyder, Scott, Wesley M. Pitts, and Alex D. Pokorny. "Borderline Personality Traits in Psychiatric Inpatients." Psychological Reports 58, no. 1 (February 1986): 51–60. http://dx.doi.org/10.2466/pr0.1986.58.1.51.

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While some believe the borderline personality disorder cuts across a variety of diagnoses, others feel it is a discrete clinical entity. The present study was designed to assess retrospectively the degree of borderline psychopathology in a group of 4800 psychiatric inpatients with a variety of primary diagnoses (i.e., major affective disorder, dementia, etc.) and to measure the relationship of schizophrenia and depression scales with borderline traits. Patients with schizophrenia or personality disorder had the most marked borderline traits. Borderline psychopathology was closer to the schizophrenic spectrum than had been anticipated. Objective rating scales for depression were more powerful discriminators of depression in borderline patients compared to the subjective rating scales. Findings are discussed in light of the theoretical literature and recent empirical studies.

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Brown, Paul. "Borderline personality disorder, depression, trauma and dissociation." Australasian Psychiatry 24, no. 4 (August 2016): 399. http://dx.doi.org/10.1177/1039856216638790.

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Yoshimatsu, Kei, and Brian Palmer. "Depression in Patients with Borderline Personality Disorder." Harvard Review of Psychiatry 22, no. 5 (2014): 266–73. http://dx.doi.org/10.1097/hrp.0000000000000045.

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Rippetoe, Patricia A., Renato D. Alarcon, and William G. Walter-Ryan. "Interactions between Depression and Borderline Personality Disorder." Psychopathology 19, no. 6 (1986): 340–46. http://dx.doi.org/10.1159/000284458.

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Koenigsberg, Harold W., Iseoma Anwunah, Antonia S. New, Vivian Mitropoulou, Frances Schopick, and Larry J. Siever. "Relationship between depression and borderline personality disorder." Depression and Anxiety 10, no. 4 (1999): 158–67. http://dx.doi.org/10.1002/(sici)1520-6394(1999)10:4<158::aid-da4>3.0.co;2-b.

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Luca, Maria, Antonina Luca, and Carmela Calandra. "Borderline Personality Disorder and Depression: An Update." Psychiatric Quarterly 83, no. 3 (October 22, 2011): 281–92. http://dx.doi.org/10.1007/s11126-011-9198-7.

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Manos, Nikolas, Elpida Vasilopoulou, and Michael Sotiriou. "DSM-III Diagnosed Borderline Personality Disorder and Depression." Journal of Personality Disorders 1, no. 3 (September 1987): 263–68. http://dx.doi.org/10.1521/pedi.1987.1.3.263.

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Blackwood, D. H. R., D. M. St Clair, and S. P. Kutcher. "P300 in depression, schizophrenia and borderline personality disorder." Biological Psychology 23, no. 1 (August 1986): 104. http://dx.doi.org/10.1016/0301-0511(86)90138-9.

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Nishizono-Maher, Aya, Norimasa Ikuta, Yozo Ogiso, Naoki Moriya, Yuko Miyake, and Kuninao Minakawa. "Psychotic symptoms in depression and borderline personality disorder." Journal of Affective Disorders 28, no. 4 (August 1993): 279–85. http://dx.doi.org/10.1016/0165-0327(93)90063-p.

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Broadbear, Jillian H., Julian Nesci, Rosemary Thomas, Katherine Thompson, Josephine Beatson, and Sathya Rao. "Evaluation of changes in prescription medication use after a residential treatment programme for borderline personality disorder." Australasian Psychiatry 24, no. 6 (July 10, 2016): 583–88. http://dx.doi.org/10.1177/1039856216654391.

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Objective: Residential patients diagnosed with borderline personality disorder were evaluated to determine whether borderline personality disorder-focused psychotherapy reduced prescribing, personality disorder and co-morbid symptom severity. Method: Psychotropic prescriptions were measured at admission, discharge and 1 year later in 74 female participants with one or more personality disorder diagnosis and co-morbid mood disorders. Changes in pharmacotherapy were examined in the context of improvements in borderline personality disorder and/or co-morbid disorder symptom severity. Residential treatment included individual and group psychotherapy for borderline personality disorder. The Structured Clinical Interview for DSM-IV was used to confirm the borderline personality disorder diagnosis and associated co-morbid conditions. The Beck Depression Inventory was completed at each time point. Results: A significant reduction in the incidence and severity of self-rated depression as well as clinician assessed personality disorder, including borderline personality disorder, was accompanied by a reduction in prescription of psychoactive medications. Conclusions: Three to six months of intensive borderline personality disorder-specific psychotherapy showed lasting benefit with regard to symptom severity of personality disorders (borderline personality disorder in particular) as well as depressive symptoms. This improvement corresponded with a reduction in prescriptions for psychoactive medications, which is consistent with current thinking regarding treatment for borderline personality disorder.

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FAVA, M., A. H. FARABAUGH, A. H. SICKINGER, E. WRIGHT, J. E. ALPERT, S. SONAWALLA, A. A. NIERENBERG, and J. J. WORTHINGTON III. "Personality disorders and depression." Psychological Medicine 32, no. 6 (August 2002): 1049–57. http://dx.doi.org/10.1017/s0033291702005780.

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Background. Personality disorders (PDs) were assessed among depressed out-patients by clinical interview before and after antidepressant treatment with fluoxetine to assess the degree of stability of PD diagnoses and determine whether changes in PD diagnoses across treatment are related to the degree of improvement in depressive symptoms.Method. Three hundred and eighty-four out-patients (55% women; mean age = 39.9±10.5) with major depressive disorder (MDD) diagnosed with the SCID-P were enrolled into an 8 week trial of open treatment with fluoxetine 20 mg/day. The SCID-II was administered to diagnose PDs at baseline and endpoint.Results. A significant proportion (64%) of our depressed out-patients met criteria for at least one co-morbid personality disorder. Following 8 weeks of fluoxetine treatment, there was a significant reduction in the proportion of patients meeting criteria for avoidant, dependent, passive-aggressive, paranoid and narcissistic PDs. From baseline to endpoint, there was also a significant reduction in the mean number of criteria met for paranoid, schizotypal, narcissistic, borderline, avoidant, dependent, obsessive–compulsive, passive aggressive and self-defeating personality disorders. While changes in cluster diagnoses were not significantly related to improvement in depressive symptoms, there were significant relationships between degree of reduction in depressive symptoms (percentage change in HAM-D-17 scores) and degree of change in the number of criteria met for paranoid, narcissistic, borderline and dependent personality disorders.Conclusions. Personality disorder diagnoses were found to be common among untreated out-patients with major depressive disorder. A significant proportion of these patients no longer met criteria for personality disorders following antidepressant treatment, and changes in personality disorder traits were significantly related to degree of improvement in depressive symptoms in some but not all personality disorders. These findings suggest that the lack of stability of PD diagnoses among patients with current MDD may be attributable in part to a direct effect of antidepressant treatment on behaviours and attitudes that comprise PDs.

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Chen, Fenglan, Xiujin Lin, Yuli Pan, Xuan Zeng, Shengjie Zhang, Hong Hu, Miaoyu Yu, and Junduan Wu. "Insomnia partially mediates the relationship between pathological personality traits and depression: a case-control study." PeerJ 9 (March 30, 2021): e11061. http://dx.doi.org/10.7717/peerj.11061.

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Background and Objective Personality disorders are frequently associated with insomnia and depression, but little is known about the inter-relationships among these variables. Therefore, this study examined these inter-relationships and the possible mediating effect of insomnia on the association between specific personality pathologies and depression severity. Methods There were 138 study participants, including 69 individuals with depression and 69 healthy controls. The main variables were measured by the Hamilton Depression Rating Scale-24 (HAMD-24), Athens Sleep Insomnia Scale (AIS), and the Personality Diagnostic Questionnaire (PDQ-4+). Multivariate linear regression and mediation analysis were conducted. Results With the exception of the antisocial personality score, all the PDQ-4+ scores and AIS scores were significantly higher in the depression group than in the healthy control group (p < 0.001). In the total sample, all personality pathology scores (p < 0.001), except the antisocial personality score, had significant positive correlations with the AIS scores and HAMD-24 scores, and the AIS scores and HAMD-24 scores were positively correlated (r = 0.620, p < 0.001). Regression analysis revealed that borderline personality, passive-aggressive personality, and insomnia positively predicted the severity of depression, after adjusting for sociodemographic covariates, and that insomnia partially mediated the associations of borderline personality and passive-aggressive personality with depression severity. Conclusions Borderline personality, passive-aggressive personality, and insomnia tend to increase the severity of depression, and the effect of borderline and passive-aggressive personality on depression severity may be partially mediated by insomnia. This is the first study to report these findings in a Chinese sample, and they may help researchers to understand the pathways from specific personality pathologies to the psychopathology of depression better, which should be useful for designing interventions to relieve depression severity, as the impact of specific personality pathology and insomnia should be considered.

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Judd, Fiona, Stephanie Lorimer, Richard H. Thomson, and Angela Hay. "Screening for depression with the Edinburgh Postnatal Depression Scale and finding borderline personality disorder." Australian & New Zealand Journal of Psychiatry 53, no. 5 (October 12, 2018): 424–32. http://dx.doi.org/10.1177/0004867418804067.

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Objective: The aim of the study was to explore the range of psychiatric diagnoses seen in pregnant women who score above the ‘cut-off’ on the Edinburgh Postnatal Depression Scale when this is used as a routine screening instrument in the antenatal period. Method: Subjects were all pregnant women referred to and seen by the Perinatal Consultation-Liaison Psychiatry Team of a tertiary public hospital over a 14-month period. Edinburgh Postnatal Depression Scale score at maternity ‘booking-in’ visit, demographic and clinical data were recorded and diagnoses were made according to Diagnostic and Statistical Manual of Mental Disorders (5th ed.) criteria following clinical interview(s) and review of documented past history. Data were analysed using descriptive statistics. Results: A total of 200 patients who had completed the Edinburgh Postnatal Depression Scale were seen for assessment; 86 (43%) scored ⩾13 on Edinburgh Postnatal Depression Scale. Of those scoring 13 or more on Edinburgh Postnatal Depression Scale, 22 (25.6%) had a depressive disorder. In total, 12 patients (14%) had an anxiety disorder, 14 (16.3%) had borderline personality disorder and 13 (15.1%) had a substance use disorder. An additional 23 women (26.7%) had two or more borderline personality traits. Conclusion: Psychiatric assessment of women who scored 13 or more on the Edinburgh Postnatal Depression Scale at routine antenatal screening identified a significant number with borderline personality disorder or borderline personality traits rather than depressive or anxiety disorders. Clinical Practice Guidelines note the importance of further assessment for all women who score 13 or more on the Edinburgh Postnatal Depression Scale. The findings here suggest that this assessment should be made by a clinician able to identify personality pathology and organise appropriate and timely interventions.

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di Giacomo, E., A. Alamia, S. Manzutto, F. Aspesi, M. Lazzari, G. Riboldi, and M. Clerici. "1774 – Female perspective of borderline personality disorder and depression." European Psychiatry 28 (January 2013): 1. http://dx.doi.org/10.1016/s0924-9338(13)76750-6.

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NESS, DAVID E. "ECT in Patients With Depression and Borderline Personality Disorder." American Journal of Psychiatry 162, no. 9 (September 2005): 1762—a—1762. http://dx.doi.org/10.1176/appi.ajp.162.9.1762-a.

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Stanley, Barbara, and Scott T. Wilson. "Heightened Subjective Experience of Depression in Borderline Personality Disorder." Journal of Personality Disorders 20, no. 4 (August 2006): 307–18. http://dx.doi.org/10.1521/pedi.2006.20.4.307.

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Grunhaus, Leon, Douglas King, John F. Greden, and Pam Flegel. "Depression and panic in patients with borderline personality disorder." Biological Psychiatry 20, no. 6 (June 1985): 688–92. http://dx.doi.org/10.1016/0006-3223(85)90106-4.

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SUZUKI, Tsunemoto, and Hidetaka KAMIYA. "Verbal aggression in students with characteristics of borderline personality, narcissistic personality, and depression." Proceedings of the Annual Convention of the Japanese Psychological Association 76 (September 11, 2012): 1AMC20. http://dx.doi.org/10.4992/pacjpa.76.0_1amc20.

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Belsky, Daniel W., Avshalom Caspi, Louise Arseneault, Wiebke Bleidorn, Peter Fonagy, Marianne Goodman, Renate Houts, and Terrie E. Moffitt. "Etiological features of borderline personality related characteristics in a birth cohort of 12-year-old children." Development and Psychopathology 24, no. 1 (January 31, 2012): 251–65. http://dx.doi.org/10.1017/s0954579411000812.

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AbstractIt has been reported that borderline personality related characteristics can be observed in children, and that these characteristics are associated with increased risk for the development of borderline personality disorder. It is not clear whether borderline personality related characteristics in children share etiological features with adult borderline personality disorder. We investigated the etiology of borderline personality related characteristics in a longitudinal cohort study of 1,116 pairs of same-sex twins followed from birth through age 12 years. Borderline personality related characteristics measured at age 12 years were highly heritable, were more common in children who had exhibited poor cognitive function, impulsivity, and more behavioral and emotional problems at age 5 years, and co-occurred with symptoms of conduct disorder, depression, anxiety, and psychosis. Exposure to harsh treatment in the family environment through age 10 years predicted borderline personality related characteristics at age 12 years. This association showed evidence of environmental mediation and was stronger among children with a family history of psychiatric illness, consistent with diathesis–stress models of borderline etiology. Results indicate that borderline personality related characteristics in children share etiological features with borderline personality disorder in adults and suggest that inherited and environmental risk factors make independent and interactive contributions to borderline etiology.

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Winsper, Catherine, Dieter Wolke, Jan Scott, Carla Sharp, Andrew Thompson, and Steven Marwaha. "Psychopathological outcomes of adolescent borderline personality disorder symptoms." Australian & New Zealand Journal of Psychiatry 54, no. 3 (October 24, 2019): 308–17. http://dx.doi.org/10.1177/0004867419882494.

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Objective: Despite considerable morbidity and functional losses associated with adolescent borderline personality disorder, little is known about psychopathological outcomes. This study examined associations between adolescent borderline personality disorder symptoms and subsequent depressive, psychotic and hypomanic symptoms. Methods: We used data from the Avon Longitudinal Study of Parents and Children. Participants were adolescents living in the community who had data for all longitudinal outcomes ( N = 1758). We used logistic regression and path analysis to investigate associations between borderline personality disorder (five or more probable/definite symptoms) reported at age 11–12 years and depressive and psychotic symptoms reported at age 12 and 18, and lifetime hypomanic symptoms reported at age 22–23 years. Results: Adolescent borderline personality disorder symptoms were associated with psychotic symptoms (odds ratio: 2.36, confidence interval: [1.82, 3.06]), diagnosis of depression at age 18 years (odds ratio: 1.30, confidence interval: [1.03, 1.64]) and hypomanic symptoms (odds ratio: 2.89, confidence interval: [2.40, 3.48]) at 22–23 years. Path analysis controlling for associations between all outcomes indicated that borderline personality disorder symptoms were independently associated with depressive symptoms (β = 0.97, p < 0.001) at 12 years and hypomanic (β = 0.58, p < 0.01) symptoms at 22–23 years. Borderline personality disorder symptoms were also associated with psychotic symptoms at age 12 years (β = 0.58, p < 0.01), which were linked (β = 0.34, p < 0.01) to psychotic symptoms at age 18 years. Conclusion: Adolescents with borderline personality disorder symptoms are at future risk of psychotic and hypomanic symptoms, and a diagnosis of depression. Future risk is independent of associations between psychopathological outcomes, indicating that adolescent borderline personality disorder symptoms have multifinal outcomes. Increasing awareness of borderline personality disorder in early adolescence could facilitate timely secondary prevention of these symptoms subsequently, helping to prevent future psychopathology.

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JONES, B., H. HEARD, M. STARTUP, M. SWALES, J. M. G. WILLIAMS, and R. S. P. JONES. "Autobiographical memory and dissociation in borderline personality disorder." Psychological Medicine 29, no. 6 (November 1999): 1397–404. http://dx.doi.org/10.1017/s0033291799001208.

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Background. This study investigated whether individuals with borderline personality disorder (BPD) tend to be overgeneral in their autobiographical recall and whether the extent of their overgeneral recall covaries with their susceptibilities to dissociative experiences, as expected on theoretical grounds.Methods. Twenty-three patients with BPD and 23 matched controls completed the Autobiographical Memory Test (AMT) and self-report measures of depression, anxiety, trait anger and dissociative experiences.Results. Participants with BPD scored significantly higher than the control group on the measures of depression, anxiety, trait anger, and dissociative experiences and also retrieved significantly more general memories on the AMT. The number of general memories retrieved by the BPD group correlated significantly with their dissociation scores but not with their scores on mood measures.Conclusions. Patients with BPD have difficulties in recalling specific autobiographical memories. These difficulties are related to their tendency to dissociate and may help them to avoid episodic information that would evoke acutely negative affect.

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Gescher, Dorothee Maria, Simon Cohen, Axel Ruttmann, and Jaroslav Malevani. "ECT Revisited: Impact on Major Depression in Borderline Personality Disorder." Australian & New Zealand Journal of Psychiatry 45, no. 11 (November 2011): 1003–4. http://dx.doi.org/10.3109/00048674.2011.617723.

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Nigg, Joel T., Naomi E. Lohr, Drew Westen, Laura J. Gold, and Kenneth R. Silk. "Malevolent object representations in borderline personality disorder and major depression." Journal of Abnormal Psychology 101, no. 1 (1992): 61–67. http://dx.doi.org/10.1037/0021-843x.101.1.61.

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Beeney, Joseph E., Kenneth N. Levy, Lisa M. Gatzke-Kopp, and Michael N. Hallquist. "EEG asymmetry in borderline personality disorder and depression following rejection." Personality Disorders: Theory, Research, and Treatment 5, no. 2 (April 2014): 178–85. http://dx.doi.org/10.1037/per0000032.

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He, Wei, Hao Chai, Leilei Zheng, Wenjun Yu, Wanzhen Chen, Jianming Li, Wei Chen, and Wei Wang. "Mismatch negativity in treatment-resistant depression and borderline personality disorder." Progress in Neuro-Psychopharmacology and Biological Psychiatry 34, no. 2 (March 2010): 366–71. http://dx.doi.org/10.1016/j.pnpbp.2009.12.021.

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Lee, Michelle M., and James C. Overholser. "Cognitive-Behavioral Treatment of Depression with Comorbid Borderline Personality Traits." Journal of Contemporary Psychotherapy 34, no. 3 (2004): 231–45. http://dx.doi.org/10.1023/b:jocp.0000036632.27389.c4.

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WIXOM, JEAN, PAMELA LUDOLPH, and DREW WESTEN. "The Quality of Depression in Adolescents with Borderline Personality Disorder." Journal of the American Academy of Child & Adolescent Psychiatry 32, no. 6 (November 1993): 1172–77. http://dx.doi.org/10.1097/00004583-199311000-00009.

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Rothschild, Louis, and Mark Zimmerman. "Borderline Personality Disorder and Age of Onset in Major Depression." Journal of Personality Disorders 16, no. 2 (April 2002): 189–99. http://dx.doi.org/10.1521/pedi.16.2.189.22551.

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Abela, John R. Z., Andrew V. L. Payne, and Norma Moussaly. "Cognitive Vulnerability to Depression in Individuals With Borderline Personality Disorder." Journal of Personality Disorders 17, no. 4 (August 2003): 319–29. http://dx.doi.org/10.1521/pedi.17.4.319.23968.

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Renneberg, Babette, Katrin Heyn, Rita Gebhard, and Silke Bachmann. "Facial expression of emotions in borderline personality disorder and depression." Journal of Behavior Therapy and Experimental Psychiatry 36, no. 3 (September 2005): 183–96. http://dx.doi.org/10.1016/j.jbtep.2005.05.002.

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Nivoli, A., L. F. Nivoli, M. Antonioli, L. Floris, L. Folini, P. Milia, L. I. Vento, C. Depalmas, and L. Lorettu. "Dissociative Symptoms in Borderline Personality Disorder." European Psychiatry 41, S1 (April 2017): S258. http://dx.doi.org/10.1016/j.eurpsy.2017.02.059.

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ObjectiveTo study the association of dissociative symptoms and specific psychopathological dimensions in a sample of patients with Borderline Personality Disorder (BPD).MethodsAn observational analytic study was conducted. Patients with BPD were administered the Diagnostic Interview for Borderline (DIB-R) and Dissociative Experience Scale (DES–II).ResultsParticipants were 34 adult patients with BPD. The majority presented with dissociative symptoms (65.6%; n = 21). A statistical significant correlation was found between DES total score and DIB-R subscales: depression (P = 0.04), feeling of loneliness and emptiness (P = 0.005), sexual deviation (P = 0.002) and intolerance to loneliness (P = 0.01). Furthermore, depersonalization was statistically correlated with the severity of borderline psychopathology (DIB-R total score- P = 0.04), suicidal behavior (P = 0.001) and interpersonal problems (P = 0.04). Derealization was significantly correlated with cognition (P = 0.02), psychotic thought (P = 0.004) and intolerance to loneliness (P = 0.02).ConclusionsDissociative symptoms are not easy to detect in the clinical daily work. More than a half of patients with BPD presented with dissociative symptoms detected with a specific rating scale. Particularly, only some specific psychopathological dimensions are correlated with dissociation and need to be assessed in patients with BPD.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Walton, Carla J., Nick Bendit, Amanda L. Baker, Gregory L. Carter, and Terry J. Lewin. "A randomised trial of dialectical behaviour therapy and the conversational model for the treatment of borderline personality disorder with recent suicidal and/or non-suicidal self-injury: An effectiveness study in an Australian public mental health service." Australian & New Zealand Journal of Psychiatry 54, no. 10 (June 17, 2020): 1020–34. http://dx.doi.org/10.1177/0004867420931164.

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Objectives: Borderline personality disorder is a complex mental disorder that is associated with a high degree of suffering for the individual. Dialectical behaviour therapy has been studied in the largest number of controlled trials for treatment of individuals with borderline personality disorder. The conversational model is a psychodynamic treatment also developed specifically for treatment of borderline personality disorder. We report on the outcomes of a randomised trial comparing dialectical behaviour therapy and conversational model for treatment of borderline personality disorder in a routine clinical setting. Method: Participants had a diagnosis of borderline personality disorder and a minimum of three suicidal and/or non-suicidal self-injurious episodes in the previous 12 months. Consenting individuals were randomised to either dialectical behaviour therapy or conversational model and contracted for 14 months of treatment ( n = 162 commenced therapy). Dialectical behaviour therapy involved participants attending weekly individual therapy, weekly group skills training and having access to after-hours phone coaching. Conversational model involved twice weekly individual therapy. Assessments occurred at baseline, mid-treatment (7 months) and post-treatment (14 months). Assessments were conducted by a research assistant blind to treatment condition. Primary outcomes were change in suicidal and non-suicidal self-injurious episodes and severity of depression. We hypothesised that dialectical behaviour therapy would be more effective in reducing suicidal and non-suicidal self-injurious behaviour and that conversational model would be more effective in reducing depression. Results: Both treatments showed significant improvement over time across the 14 months duration of therapy in suicidal and non-suicidal self-injury and depression scores. There were no significant differences between treatment models in reduction of suicidal and non-suicidal self-injury. However, dialectical behaviour therapy was associated with significantly greater reductions in depression scores compared to conversational model. Conclusion: This research adds to the accumulating body of knowledge of psychotherapeutic treatment of borderline personality disorder and supports the use of both dialectical behaviour therapy and conversational model as effective treatments in routine clinical settings, with some additional benefits for dialectical behaviour therapy for persons with co-morbid depression.

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Hobson, R. Peter, Matthew P. H. Patrick, Jessica A. Hobson, Lisa Crandell, Elisa Bronfman, and Karlen Lyons-Ruth. "How mothers with borderline personality disorder relate to their year-old infants." British Journal of Psychiatry 195, no. 4 (October 2009): 325–30. http://dx.doi.org/10.1192/bjp.bp.108.060624.

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BackgroundWomen with borderline personality disorder have conflictual interpersonal relations that may extend to disrupted patterns of interaction with their infants.AimsTo assess how women with borderline personality disorder engage with their 12 to 18-month-old infants in separation–reunion episodes.MethodWe videotaped mother–infant interactions in separation–reunion episodes of the Strange Situation test. The mothers were women with borderline personality disorder, with depression, or without psychopathological disorder. Masked ratings of maternal behaviour were made with the Atypical Maternal Behavior Instrument for Assessment and Classification.ResultsAs predicted, a higher proportion (85%) of women with borderline personality disorder than women in the comparison groups showed disrupted affective communication with their infants. They were also distinguished by the prevalence of frightened/disoriented behaviour.ConclusionsMaternal borderline personality disorder is associated with dysregulated mother–infant communication.

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Atlas, Jeffrey A., and Michele A. Wolfson. "Depression and Dissociation as Features of Borderline Personality Disorder in Hospitalized Adolescents." Psychological Reports 78, no. 2 (April 1996): 624–26. http://dx.doi.org/10.2466/pr0.1996.78.2.624.

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26 adolescents showing Borderline Personality Disorder were compared with 12 carrying other diagnoses to clarify associated features of these conditions. In line with recent literature, the borderline adolescents evidenced significant depression and dissociation, suggesting the importance of evaluating instability of mood (versus thinking) and weak continuity in self-experience when identifying and treating this disorder.

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Morozova, V. "PSYCHOLOGICAL FEATURES OF PEOPLE WITH BORDERLINE PERSONALITY DISORDERS." Bulletin of Taras Shevchenko National University of Kyiv. Series “Psychology”, no. 2 (9) (2018): 47–51. http://dx.doi.org/10.17721/bsp.2018.2(9).12.

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The article presents the results of an empirical study of the psychological features of people with signs of borderline personality disorder. The study involved 40 people with signs of borderline personality disorder aged 14-56 years. According to the purpose of the study, the following tasks have been set: To investigate personality with borderline disorder; Identify and evaluate the neurotic states of a person with a borderline personality disorder; Conduct correlation analysis to investigate trends in the relationship between the indicator of the number of signs of borderline disorder and personal characteristics. The following research methods were used: 5PFQ Big Five technique (R. McCray, P. Costa), Clinical questionnaire for the detection and evaluation of neurotic conditions (KK Yakhin, DM Mendelevich) and Methods for diagnosing borderline personality disorder (TY Lasovskaya, CP Korolenko, SV Yaechnikov). The data obtained were subjected to a mathematical and statistical analysis procedure using the SPSS Statistic program. It is proved that emotional lability (instability of emotions), impulsiveness and self-harming behavior are important diagnostic criteria of a borderline personality disorder. High level of manifestation of signs of borderline personality disorder is accompanied by such mental states of disadaptation as neurotic depression, asthenia, tension and anxiety.

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Mulder, Roger T., L. John Horwood, and Peter Tyrer. "The borderline pattern descriptor in the International Classification of Diseases, 11th Revision: A redundant addition to classification." Australian & New Zealand Journal of Psychiatry 54, no. 11 (September 8, 2020): 1095–100. http://dx.doi.org/10.1177/0004867420951608.

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Objective: The International Classification of Diseases, 11th Revision classification of personality disorder removes all categories of disorder in favour of a single diagnostic spectrum extending from no personality dysfunction to severe personality disorder. Following concerns from some clinicians and Personality Disorder Societies, it was subsequently agreed to include a borderline pattern descriptor as a qualifier of the main diagnosis. We explore the value of this additional descriptor by examining personality data in patients with major depression. Method: We examined personality data obtained using the Structured Clinical Interview for Personality Disorder-II in 606 patients enrolled in five randomised controlled trials of depression. The Structured Clinical Interview for Personality Disorder-II uses the Diagnostic and Statistical Manual of Mental Disorders categorical system, which includes borderline personality disorder. The International Classification of Diseases, 11th Revision classification has five domain traits. Each of the Diagnostic and Statistical Manual of Mental Disorders personality disorder symptoms or behaviours from Structured Clinical Interview for Personality Disorder-II was reordered into the five domains independently by two assessors. The relationship between the two systems was examined by tabular and correlational analysis. Results: The findings showed that the symptoms of borderline personality disorder were associated with greater severity of personality disturbance in the International Classification of Diseases, 11th Revision classification ( p < 0.0001) and were associated primarily with the Negative Affective, Dissocial and Disinhibited domains. There was only a weak association with the other two domains, Anankastia and Detachment. Conclusion: The addition of a borderline pattern descriptor is likely to add little to the International Classification of Diseases, 11th Revision classification of personality disorder. Its features are well represented within the severity/domain structure, which allows for more fine-grained description of the personality features that constitute the borderline concept.

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Matos Pires, A., Y. Martins, and M. Suarez Gomez. "Interictal depressive disorders in epilepsy patients." European Psychiatry 33, S1 (March 2016): S417. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1506.

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IntroductionDepression is recognized as more frequent psychiatric disorder in epilepsy patients with significant impact on their health-related quality of life.AimsTo analyze the occurrence and clinical particularities of different types of interictal depression in epilepsy patients.MethodsOne hundred and fourteen epilepsy patients with interictal depression were assessed with a clinical interview and Hamilton depression and anxiety rating scales. Diagnostic criteria of ICD-10 and of the International League Against Epilepsy (ILAE) were used.ResultsA total of 45.6% of patients met ILAE criteria of inerictal dysforic disorder (IDD) with predominance of depressive mood, irritability, fear and atypical pain. All patients had chronic epilepsy with specific epileptic personality changes. Comorbid adjustment disorders (depressive and anxious-depressive reactions) were diagnosed in 27.2% of patients. The most frequent trigger situations were: family problems, serious illness, unemployment, financial difficulties. In more than half of patients were registered specific personality changes whose severity was in inverse ratio with trauma severity. A total of 18.4% of patients met criteria of comorbid affective disorder (depressive and bipolar) with some specific clinical traits due to personality changes. In 8.8% of patients, anticonvulsant-induced depression was observed; it was clinically simple, resolved after offending medication withdrawal.ConclusionsObserved depressive disorders were heterogeneous: comorbid or attributed to epilepsy or its treatment. The most frequent condition was IDD. Specific personality changes may contribute to higher susceptibility and development of psychogenic depression. We emphasize the importance of treatment history (possibility of anticonvulsant-induced depression).Disclosure of interestThe authors have not supplied their declaration of competing interest.

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di Giacomo, Ester, Fabrizia Colmegna, Antonios Dakanalis, Rodolfo Pessina, Valeria Placenti, Francesca Pescatore, and Massimo Clerici. "Screening for postpartum depression and borderline personality disorder: Food for thought." Australian & New Zealand Journal of Psychiatry 54, no. 3 (December 8, 2019): 319–20. http://dx.doi.org/10.1177/0004867419893425.

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Bellino, Silvio, Luca Patria, Erika Paradiso, Rossella Di Lorenzo, Caterina Zanon, Monica Zizza, and Filippo Bogetto. "Major Depression in Patients with Borderline Personality Disorder: A Clinical Investigation." Canadian Journal of Psychiatry 50, no. 4 (March 2005): 234–38. http://dx.doi.org/10.1177/070674370505000407.

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Objective: Borderline personality disorder (BPD) is characterized by a high frequency of comorbidity with major depressive disorder (MDD). This study aimed to compare the clinical characteristics of 2 groups of patients with MDD: those with concomitant BPD and those with other concomitant personality disorders. Methods: We assessed 119 outpatients, using a semistructured interview for demographic and clinical features, the Structured Clinical Interview for DSM-IV, Hamilton anxiety and depression scales, the Zung Self-Rating Depression Scale (ZSDS), the Social and Occupational Functioning Assessment Scale (SOFAS), the Sheehan Disability Scale, and the Revised Childhood Experiences Questionnaire. We performed a regression analysis, using the number of criteria for BPD as the dependent variable. Results: Severity of BPD was positively related to the ZSDS score, to self-mutilating behaviours, and to the occurrence of mood disorders in first-degree relatives; it was negatively related to the SOFAS score and age at onset of MDD. Conclusions: Patients with comorbid MDD and BPD present differential characteristics that indicate a more serious and impairing condition with a stronger familial link with mood disorders than is shown by depression patients with other Axis II codiagnoses.

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Weissman, Myrna M. "Can Epidemiology Translate Into Understanding Major Depression With Borderline Personality Disorder?" American Journal of Psychiatry 168, no. 3 (March 2011): 231–33. http://dx.doi.org/10.1176/appi.ajp.2010.10121737.

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Andover, Margaret S., Carolyn M. Pepper, Karen A. Ryabchenko, Elizabeth G. Orrico, and Brandon E. Gibb. "Self-Mutilation and Symptoms of Depression, Anxiety, and Borderline Personality Disorder." Suicide and Life-Threatening Behavior 35, no. 5 (October 2005): 581–91. http://dx.doi.org/10.1521/suli.2005.35.5.581.

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Arrondo, Gonzalo, Graham K. Murray, Emma Hill, Bence Szalma, Krishna Yathiraj, Chess Denman, and Robert B. Dudas. "Hedonic and disgust taste perception in borderline personality disorder and depression." British Journal of Psychiatry 207, no. 1 (July 2015): 79–80. http://dx.doi.org/10.1192/bjp.bp.114.150433.

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SummaryDepression and borderline personality disorder (BPD) are both thought to be accompanied by alterations in the subjective experience of environmental rewards. We evaluated responses in women to sweet, bitter and neutral tastes (juice, quinine and water): 29 with depression, 17 with BPD and 27 healthy controls. The BPD group gave lower pleasantness and higher disgust ratings for quinine and juice compared with the control group; the depression group did not differ significantly from the control group. Juice disgust ratings were related to self-disgust in BPD, suggesting close links between abnormal sensory processing and self-identity in BPD.

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