Modeling the Relationship Between Affective Lability, Impulsivity, and Suicidal Behavior in Patients with Borderline Personality Disorder

2000 ◽  
Vol 6 (5) ◽  
pp. 247-255 ◽  
Author(s):  
PAUL S. LINKS ◽  
ANDREA BOGGILD ◽  
NITIN SARIN
2021 ◽  
Vol 35 (Supplement A) ◽  
pp. 114-131
Author(s):  
Emily R. Edwards ◽  
Nina L. J. Rose ◽  
Molly Gromatsky ◽  
Abigail Feinberg ◽  
David Kimhy ◽  
...  

Long-standing theories of borderline personality disorder (BPD) suggest that symptoms develop at least in part from childhood adversity. Emotion dysregulation may meaningfully mediate these effects. The current study examined three factors related to emotion dysregulation—alexithymia, affective lability, and impulsivity—as potential mediators of the relation between childhood adversity and BPD diagnosis in 101 individuals with BPD and 95 healthy controls. Path analysis compared three distinct models informed by the literature. Results supported a complex mediation model wherein (a) alexithymia partially mediated the relation of childhood adversity to affective lability and impulsivity; (b) affective lability mediated the relation of childhood adversity to BPD diagnosis; and (c) affective lability and impulsivity mediated the relation of alexithymia to BPD diagnosis. Findings suggest that affective lability and alexithymia are key to understanding the relationship between childhood adversity and BPD. Interventions specifically targeting affective lability, impulsivity, and alexithymia may be particularly useful for this population.


2014 ◽  
Vol 16 (2) ◽  
pp. 114-119 ◽  
Author(s):  
Rachel Kling

As many research studies show, a large portion of clinicians in the mental field hold pejorative attitudes toward those with borderline personality disorder. Oftentimes, these attitudes become manifest through the use of stigmatizing language to describe client behavior, such as “manipulative” and “attention seeking.” In this article, combining personal experience with research, I explore how stigmatizing language and attitudes affect the relationship between client and clinician and how such language impacts recovery. I offer for consideration solutions that might be more conducive to recovery and lead to a better working relationship between client and clinician.


2021 ◽  
Vol 35 (5) ◽  
pp. 730-749
Author(s):  
Martino Belvederi Murri ◽  
Federica Folesani ◽  
Silvia Costa ◽  
Bruno Biancosino ◽  
Luigi Zerbinati ◽  
...  

Very few studies have focused on the relationship between cognitive functions and clinical features in borderline personality disorder (BPD). Subjects with BPD and healthy controls were administered the Repeatable Battery for the Assessment of Neuropsychological Status, Trail Making Test A and B, and the Wisconsin Card Sorting Test. The Brief Symptom Inventory (BSI-53) was used to assess the severity of current symptoms. Attachment style was assessed with the Experiences in Close Relationship Questionnaire, identity integration with the Personality Structure Questionnaire, and other domains of personality dysfunction with the RUDE Scale for Personality Dysfunction. Patients with BPD performed significantly worse than healthy controls in all cognitive domains. Cognitive functions, particularly delayed memory and visuospatial abilities, displayed meaningful associations with trait-like clinical features, above the effect of global cognition and state psychopathology. These findings highlight the need to evaluate effects of cognitive rehabilitation on trait features among individuals with BPD.


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