Gender Differences in a Clinical Sample of Patients with Borderline Personality Disorder

2012 ◽  
Vol 26 (3) ◽  
pp. 368-380 ◽  
Author(s):  
Anke Banzhaf ◽  
Kathrin Ritter ◽  
Angela Merkl ◽  
Olaf Schulte-Herbrüggen ◽  
Claas-Hinrich Lammers ◽  
...  
2012 ◽  
pp. 1-13
Author(s):  
Anke Banzhaf ◽  
Kathrin Ritter ◽  
Angela Merkl ◽  
Olaf Schulte-Herbrüggen ◽  
Claas-Hinrich Lammers ◽  
...  

2020 ◽  
pp. 1-8
Author(s):  
Timothy A. Allen ◽  
Alexandre Y. Dombrovski ◽  
Paul H. Soloff ◽  
Michael N. Hallquist

Abstract Background Individuals diagnosed with borderline personality disorder (BPD) often describe their lives as stressful and unpredictable. However, it is unclear whether the adversity faced by those with BPD is a product of stress reactivity or stress generation. Here, we examined the dynamic, prospective associations between BPD and stressful life events over 3 years. Given the heterogeneity present in BPD, we sought to understand which empirically derived dimensions of this heterogeneous disorder explain stress reactivity v. stress generation. Methods Participants included 355 individuals diagnosed with BPD and followed longitudinally at three annual assessments. Auto-regressive cross-lagged panel models were used to examine prospective associations between stressful life events and three latent dimensions implicated in BPD: negative affect, disinhibition, and antagonism. Results Antagonism and disinhibition, but not negative affect, prospectively predicted dependent stressful life events (events the individual may have some role in). Evidence for decompensation under stress was more tenuous, with independent stressful life events (those presumably outside the individual's control) predicting increases in negative affect. Conclusions Our longitudinal study of a well-characterized clinical sample found more evidence for stress generation than for stress-induced decompensation in BPD. Stress generation in BPD is driven by externalizing dimensions: antagonism and disinhibition. These results highlight the utility of empirically derived dimensions for parsing heterogeneity present in BPD, leading to improvements in diagnostic evaluation, clinical prediction, and individualized approaches to treatment planning.


2003 ◽  
Vol 44 (4) ◽  
pp. 284-292 ◽  
Author(s):  
Dawn M Johnson ◽  
M.Tracie Shea ◽  
Shirley Yen ◽  
Cynthia L Battle ◽  
Caron Zlotnick ◽  
...  

1993 ◽  
Vol 7 (2) ◽  
pp. 182-185 ◽  
Author(s):  
Rebecca A. Dulit ◽  
Minna R. Fyer ◽  
Frank T. Miller ◽  
Michael H. Sacks ◽  
Allen J. Frances

2018 ◽  
Vol 32 (5) ◽  
pp. 636-653 ◽  
Author(s):  
Claire Slavin-Stewart ◽  
Khrista Boylan ◽  
Jeffrey D. Burke

The aim of this study was to determine whether borderline personality disorder (BPD) can be differentiated from other disorders in a clinical sample of adolescent girls. Participants (N = 75) were grouped based on the pattern of BPD symptom endorsement using a latent class analysis. Four latent classes were identified. The most impaired class endorsed seven BPD symptoms and an average of three comorbid disorders. An intermediate class endorsed three BPD symptoms and had the highest prevalence of PTSD (41.7%). A third class reported two BPD symptoms and had a high prevalence of anxiety disorders (62%). The fourth class had no BPD symptoms and, on average, one comorbid disorder. Only a small subset of these teenage girls met criteria for BPD, and they had distinct and severe impairment. The results suggest the modest likelihood of a BPD diagnosis in clinical samples of teenage girls, and to also be vigilant for PTSD.


2020 ◽  
Author(s):  
Timothy Allen

Background: Individuals diagnosed with borderline personality disorder (BPD) often describe their lives as stressful and unpredictable. However, it is unclear whether the adversity faced by those with BPD is a product of stress reactivity or stress generation. Here, we examined the dynamic, prospective associations between BPD and stressful life events over three years. Given the heterogeneity present in BPD, we sought to understand which empirically derived dimensions of this heterogenous disorder explain stress reactivity vs. stress generation.Methods: Participants included 355 individuals diagnosed with BPD and followed longitudinally at three annual assessments. Auto-regressive cross-lagged panel models were used to examine prospective associations between stressful life events and three latent dimensions implicated in BPD: negative affect, disinhibition, and antagonism. Results: Antagonism and disinhibition, but not negative affect, prospectively predicted dependent stressful life events (events the individual may have some role in). Evidence for decompensation under stress was more tenuous, with independent stressful life events (those presumably outside the individual’s control) predicting increases in negative affect.Conclusions: Our longitudinal study of a well-characterized clinical sample found more evidence for stress generation than for stress-induced decompensation in BPD. Stress generation in BPD is driven by externalizing dimensions: antagonism and disinhibition. These results highlight the utility of empirically derived dimensions for parsing heterogeneity present in BPD, leading to improvements in diagnostic evaluation, clinical prediction, and individualized approaches to treatment planning.


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