Borderline Personality Disorder and Traits in Veterans: <i>Psychiatric Comorbidity, Healthcare Utilization, and Quality of Life Along a Continuum of Severity</i>

Black, Donald W.; Blum, Nancee; Letuchy, Elena M.; Doebbeling, Caroline Carney; Forman‐Hoffman, Valerie L.; Doebbeling, Bradley N.

doi:10.1017/s1092852900014772

Cited by 37 publications

(29 citation statements)

References 24 publications

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“…The overall prevalence of mood instability in the adult population, as defined by the SCID-II item was high at 13.9% and consistent with the prevalence in Gulf War veterans as measured by the Schedule for Non-adaptive and Adaptive Personality (Black et al, 2006).…”

Section: Prevalence Of Mood Instabilitysupporting

confidence: 69%

“…Number of BPD traits in veterans was found to be associated strongly with the likelihood of utilising healthcare services, although the relative effects of each of the different BPD traits was not tested (Black et al, 2006). Our findings extend this previous evidence by showing that a single trait of BPD, namely mood instability could be significant enough for individuals to seek treatment from healthcare services, although we cannot be sure of causality.…”

Section: Mood Instability Service Use and Suicidalitycontrasting

confidence: 43%

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The prevalence and clinical associations of mood instability in adults living in England: Results from the Adult Psychiatric Morbidity Survey 2007

Marwaha

Parsons

Flanagan

et al. 2013

Psychiatry Research

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Mood instability is under investigated but potentially clinically important. This study aimed to describe the prevalence of mood instability in adults living in England and test whether it is important in explaining the extent of symptoms of common mental disorders, suicidality and healthcare use. An analysis of data from the Adult Psychiatric Morbidity Survey 2007, a household survey of private households in England (N=7403) was completed. The prevalence of mood instability was 13.9%. In univariate analysis it was strongly associated with socio-demographic and clinical variables. In regression modelling mood instability was 3 independently associated with non-psychotic psychopathology increasing the odds by 9.89.It was also linked with suicidal ideas (OR: 2.04) but not suicidal acts, and associated with being in receipt of medication, counselling or therapy for mental health problems (OR:1.88), independent of a diagnosis of Borderline Personality Disorder. Mood instability is relatively common in the adult population, occurs frequently in common mental disorders and appears to be an important symptom in its own right. It is associated with two important measures in psychiatry, namely suicidal thinking and healthcare service use. It warrants more widespread recognition and further research is required to understand if, when and how to intervene.

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Section: Prevalence Of Mood Instabilitysupporting

confidence: 69%

Section: Mood Instability Service Use and Suicidalitycontrasting

confidence: 43%

The prevalence and clinical associations of mood instability in adults living in England: Results from the Adult Psychiatric Morbidity Survey 2007

Marwaha

Parsons

Flanagan

et al. 2013

Psychiatry Research

View full text Add to dashboard Cite

show abstract

“…Previous evidence sampling Gulf War veterans suggests an increasing number of borderline personality traits are associated with poorer quality of life, greater functional impairment and healthcare use [17]. Also mood instability and self-harm predicted poorer academic performance and social adjustment in young adults [18] even after controlling for axis I and II psychopathology.…”

Section: Introductionmentioning

confidence: 92%

Mood instability, mental illness and suicidal ideas: results from a household survey

Marwaha

Parsons

Broome

2013

Soc Psychiatry Psychiatr Epidemiol

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Purpose: There is weak and inconsistent evidence that mood instability (MI) is associated with depression, PTSD and suicidality although the basis of this is unclear. Our objectives were first to test whether there is an association between depression and PTSD, and MI and secondly whether MI exerts an independent effect on suicidal thinking over and above that explained by common mental disorders. Methods: We used data from the Adult Psychiatric Morbidity Survey 2007 (N=7131). Chi-square tests were used to examine associations between depression and PTSD, and MI, followed by regression modelling to examine associations between MI and depression, and with PTSD. Multiple logistic regression analyses were used to assess the independent effect of MI on suicidal thinking, after adjustment for demographic factors and the effects of common mental disorder diagnoses.Results: There are high rates of MI in depression and PTSD and the presence of MI increases the odds of depression by 10.66 (95% CI 7.51-15.13) and PTSD by 8.69 (95% CI 5.90-12.79) respectively, after adjusting for other factors. Mood instability independently explained suicidal thinking, multiplying the odds by nearly five (OR 4.82; 95% CI 3.39-6.85), and was individually by some way the most important single factor in explaining suicidal thoughts.Conclusions: MI is strongly associated with depression and PTSD. In people with common mental disorders MI is clinically significant as it acts as an additional factor exacerbating the risk of suicidal thinking. It is important to enquire about MI as part of clinical assessment and treatment studies are required.

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“…In addition to affective disorders, personality disorders are the most common comorbid diagnoses in substance abusing patients [26][27][28] . Specific personality traits, especially borderline and schizotypal personality traits, were negatively associated with QOL in patients with serious mental disorders and the general public [29][30][31][32] . Heroin abusers with comorbid personality disorders showed lower QOL results compared to abusers without personality disorders as well [26] .…”

mentioning

confidence: 98%

Association of Personality Disorders, Family Conflicts and Treatment with Quality of Life in Opiate Addiction

et al. 2008

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Aim: The purpose of this study was to investigate the association of the current status and longitudinal changes in different clinical and social variables with quality of life (QOL) in opiate addiction. Our hypotheses were that drug use, comorbid personality disorders and social problems are associated with worse QOL. Methods: 107 participants with long-term opiate addiction were included and interviewed at entry with the Europ-ASI and the PDQ-R. QOL (SF-36) and changes in different domains of the Europ-ASI were assessed after 2 years. Results: Personality disorders, interpersonal conflicts with the family or partner and ongoing need for somatic and psychiatric treatment were significantly associated with worse subjective QOL, whereas changes in drug and alcohol use, the economic situation, legal problems and social problems with persons outside of the family showed no relevant association with QOL. Conclusion: Our results provide support for an emphasis in treatment on helping clients to reduce intra- and interpersonal conflicts according to comorbid conditions and among family members and partnerships. In addition, the present data provide further support for the advantages of extended interventions in long-term opiate addiction.

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Borderline Personality Disorder and Traits in Veterans: Psychiatric Comorbidity, Healthcare Utilization, and Quality of Life Along a Continuum of Severity

Cited by 37 publications

References 24 publications

The prevalence and clinical associations of mood instability in adults living in England: Results from the Adult Psychiatric Morbidity Survey 2007

The prevalence and clinical associations of mood instability in adults living in England: Results from the Adult Psychiatric Morbidity Survey 2007

Mood instability, mental illness and suicidal ideas: results from a household survey

Association of Personality Disorders, Family Conflicts and Treatment with Quality of Life in Opiate Addiction

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