Childhood trauma and functional disability in psychosis, bipolar disorder and borderline personality disorder: a review of the literature

2014 ◽  
Vol 32 (1) ◽  
pp. 21-30 ◽  
Author(s):  
J. Cotter ◽  
M. Kaess ◽  
A. R. Yung
Keyword(s):  
Bipolar Disorder ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Childhood Trauma ◽  
Psychotic Disorders ◽  
Functional Disability ◽  
Clinical Work ◽  
Borderline Personality ◽  
Response To Treatment ◽  
Neurocognitive Deficits

ObjectivesWe aimed to examine the association between childhood trauma and functional impairment in psychotic disorders, bipolar disorder and borderline personality disorder, to speculate on possible mechanisms that underlie this association and discuss the implications for clinical work.MethodsNarrative review of the peer-reviewed English language literature in the area.ResultsHigh rates of childhood trauma in psychotic disorders, bipolar disorder and borderline personality disorder were identified. This was associated with impaired social and occupational functioning in both the premorbid and established phases of each of these psychiatric disorders over and above the deficits typically observed in these populations. Possible mechanisms mediating this relationship include neurocognitive deficits, insecure attachment, higher rates of comorbidities and problems with adherence and response to treatment.ConclusionsRoutine clinical inquiry about childhood maltreatment should be adopted within mental health settings. This has potentially important treatment implications for identifying those individuals at elevated risk of functional disability. While there is no clear guidance currently available on how to target childhood trauma in the treatment of psychotic disorders, bipolar disorder or borderline personality disorder, there are several promising lines of enquiry and further research is warranted.

Patients with borderline personality disorder and bipolar disorder: a descriptive and comparative study

2020 ◽  
pp. 1-12
Author(s):  
Mark Zimmerman ◽  
Caroline Balling ◽  
Iwona Chelminski ◽  
Kristy Dalrymple
Keyword(s):  
Bipolar Disorder ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Rhode Island ◽  
Childhood Trauma ◽  
Suicide Attempts ◽  
Borderline Personality ◽  
Psychiatric Outpatients ◽  
Structured Interviews ◽  
Psychosocial Morbidity

Abstract Background Bipolar disorder and borderline personality disorder (BPD) are each significant public health problems. It has been frequently noted that distinguishing BPD from bipolar disorder is challenging. Consequently, reviews and commentaries have focused on differential diagnosis and identifying clinical features to distinguish the two disorders. While there is a burgeoning literature comparing patients with BPD and bipolar disorder, much less research has characterized patients with both disorders. In the current report from the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project, we compare psychiatric outpatients with both BPD and bipolar disorder to patients with BPD without bipolar disorder and patients with bipolar disorder without BPD. Methods Psychiatric outpatients presenting for treatment were evaluated with semi-structured interviews. The focus of the current study is the 517 patients with both BPD and bipolar disorder (n = 59), BPD without bipolar disorder (n = 330), and bipolar disorder without BPD (n = 128). Results Compared to patients with bipolar disorder, the patients with bipolar disorder and BPD had more comorbid disorders, psychopathology in their first-degree relatives, childhood trauma, suicidality, hospitalizations, time unemployed, and likelihood of receiving disability payments. The added presence of bipolar disorder in patients with BPD was associated with more posttraumatic stress disorder in the patients as well as their family, more bipolar disorder and substance use disorders in their relatives, more childhood trauma, unemployment, disability, suicide attempts, and hospitalizations. Conclusions Patients with both bipolar disorder and BPD have more severe psychosocial morbidity than patients with only one of these disorders.

scholarly journals Narrative coherence of autobiographical memories in women with borderline personality disorder and associations with childhood adversity

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Glenn Bendstrup ◽  
Erik Simonsen ◽  
Mickey T. Kongerslev ◽  
Mie S. Jørgensen ◽  
Lea S. Petersen ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Childhood Trauma ◽  
Childhood Adversity ◽  
Narrative Structure ◽  
Borderline Personality ◽  
Autobiographical Narratives ◽  
Narrative Coherence ◽  
Autobiographical Memories ◽  
Tentative Evidence

Abstract Background People suffering from Borderline Personality Disorder (BPD) seem to have incoherent autobiographical narratives. Tentative evidence suggests that reduced narrative coherence of autobiographical memories is associated with insecure attachment. However, it remains unknown whether incoherent autobiographical narratives in people with BPD are coupled to experiences of childhood trauma, which is highly prevalent in BPD. Method We examined if written autobiographical memories in 26 female participants with BPD had reduced narrative coherence relative to 28 healthy female controls and whether more incoherent narratives were associated with childhood trauma. Results As hypothesized, results showed that compared to controls, the autobiographical memories in participants with BPD had reduced narrative coherence, specifically inadequate orientation about the narrative and lack of narrative structure. More self-reported childhood adversity was coupled to lower orientation across groups whereas increased childhood adversity showed a specific relationship to lowered narrative structure in BPD participants. Conclusion Women with BPD had incoherent autobiographical narratives, and reduced narrative coherence was associated with more self-reported childhood adversity, which appeared to explain the group differences.

Associations of childhood trauma, trauma in adulthood and previous-year stress with psychopathology in patients with major depression and borderline personality disorder

2011 ◽  
Vol 35 (8) ◽  
pp. 647-654 ◽  
Author(s):  
Katja Wingenfeld ◽  
Camille Schaffrath ◽  
Nina Rullkoetter ◽  
Christoph Mensebach ◽  
Nicole Schlosser ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Major Depression ◽  
Personality Disorder ◽  
Childhood Trauma ◽  
Borderline Personality

Modulation of interpersonal trust in borderline personality disorder by intranasal oxytocin and childhood trauma

2013 ◽  
Vol 8 (4) ◽  
pp. 305-313 ◽  
Author(s):  
Andreas Ebert ◽  
Meike Kolb ◽  
Jörg Heller ◽  
Marc-Andreas Edel ◽  
Patrik Roser ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Childhood Trauma ◽  
Interpersonal Trust ◽  
Borderline Personality

scholarly journals Heart rate variability in bipolar disorder and borderline personality disorder: a clinical review

2017 ◽  
Vol 21 (1) ◽  
pp. 23-30 ◽  
Author(s):  
Oliver Carr ◽  
Maarten de Vos ◽  
Kate E A Saunders
Keyword(s):  
Bipolar Disorder ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychiatric Disorders ◽  
Borderline Personality ◽  
Ongoing Research ◽  
Area Of Interest ◽  
Technological Advances

Heart rate variability (HRV) in psychiatric disorders has become an increasing area of interest in recent years following technological advances that enable non-invasive monitoring of autonomic nervous system regulation. However, the clinical interpretation of HRV features remain widely debated or unknown. Standardisation within studies of HRV in psychiatric disorders is poor, making it difficult to reproduce or build on previous work. Recently, a Guidelines for Reporting Articles on Psychiatry and Heart rate variability checklist has been proposed to address this issue. Here we assess studies of HRV in bipolar disorder and borderline personality disorder against this checklist and discuss the implication for ongoing research in this area.

Determining if Borderline Personality Disorder and Bipolar Disorder Are Alternative Expressions of the Same Disorder

2017 ◽  
Vol 78 (8) ◽  
pp. e994-e999 ◽  
Author(s):  
Iris de la Rosa ◽  
María A. Oquendo ◽  
Gemma García ◽  
Barbara Stanley ◽  
Ana González-Pinto ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality
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