Borderline personality disorder traits and mentalising ability: The self-other social cognition paradox

Grealy, Molly Kelly; Godfrey, Emmet; Brady, Finn; O’Sullivan, Erin Whyte; Burke, Tom

doi:10.3389/fpsyt.2022.1023348

Cited by 4 publications

(2 citation statements)

References 80 publications

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“…A range of other RF assessment methods have therefore been developed, primarily self-report measures, intended to reduce administration time and increase applicability (11)(12)(13)(14)(15)(16)). However, the validity of self-report measures has been questioned (17), and several potential limitations of self-report measures has been emphasized, including lack of meta-perspective, social desirability bias, and possibilities of misinterpretation of the questions (14,18). In patients with personality disorders (PDs) characterized by egosyntonic traits and significant impairments in self-reflexivity, scores based on self-report can be even more challenging to the validity of inferences (19).…”

Section: Introductionmentioning

confidence: 99%

Minding mentalizing - convergent validity of the Mentalization Breakdown Interview

Ulvestad,

Johansen,

Kvarstein

et al. 2024

Front. Psychiatry

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ObjectivesMentalizing difficulties are central to borderline personality disorder (BPD), have severe consequences, and are an explicit focus in mentalization-based treatment. The significance of mentalizing capacity as a predictor or mediator of change is however still uncertain due to a scarcity of research. The Mentalization Breakdown Interview (MBI) was developed as a time saving tool for studying psychotherapy processes and outcome in borderline pathology. This study aimed to investigate the convergent validity of reflective functioning (RF) ratings based on the MBI (MBI-RF) by a comparison with the gold standard, i.e., RF assessments based on the Adult Attachment Interview (AAI-RF). A secondary aim was to investigate how MBI-RF relates to core symptoms of BPD, levels of functional impairment and symptom distress compared with AAI-RF.MethodForty-five patients with BPD or significant BPD traits were included. MBI-RF and AAI-RF were rated using the Reflective Functioning Scale. Levels of MBI-RF and AAI-RF and the correlation between the measures were calculated, as well as their associations with the Difficulties in Emotion Regulation Scale, Levels of Personality Functioning-Brief Form 2.0, Work and Social Adjustment Scale, Patient Health Questionnaire, Depression, Generalized Anxiety Disorder-7, self-harm, suicide attempts, and PD diagnostics.ResultsThe correlation between MBI-RF and AAI-RF was 0.79 (p<0.01), indicating high convergent validity. There were few significant associations between MBI-RF and AAI-RF and clinical measures.ConclusionsThe study provides support for the convergent validity of the MBI as a BPD-focused RF assessment method. The MBI has the potential as a time saving, reliable and valid method to be applied in treatment research on patients with borderline pathology. The results indicate that measures of MBI-RF and AAI-RF are different from clinical symptoms.Clinical trial registrationClinicalTrials.gov ID NCT04157907.

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Section: Introductionmentioning

confidence: 99%

Minding mentalizing - convergent validity of the Mentalization Breakdown Interview

Ulvestad,

Johansen,

Kvarstein

et al. 2024

Front. Psychiatry

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“…Patients with BPD are characterized by emotional instability, unstable interpersonal relationships, impulsiveness, and irritability. Patients with BPD have cognitive impairments and tend to focus on negative information ( 46 ). Adolescents with BPD have difficulties identifying and expressing emotions when dealing with interpersonal problems and often resort to extreme forms of self-harm to regulate negative emotions ( 12 ).…”

Section: Discussionmentioning

confidence: 99%

Effects of BPD tendencies and subjective well-being on NSSI in adolescents with PTSD

Deng

Yan²,

et al. 2023

Front. Psychiatry

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BackgroundSevere posttraumatic stress disorder (PTSD) may lead to non-suicidal self-injury (NSSI), and borderline personality disorder (BPD) tendencies may play a role in this process. Secondary vocational students experience more social, familial and other pressures and are more vulnerable to psychological problems. Thus, we explored the effect of BPD tendencies and subjective well-being (SWB) on NSSI in secondary vocational students with PTSD.MethodsA total of 2,160 Chinese secondary vocational students in Wuhan participated in our cross-sectional investigation. The Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), criteria for PTSD, NSSI Questionnaire, Personality Diagnostic Questionnaire-4+, subjective well-being scale, and family adaptation, partnership, growth, affection, and resolve (APGAR) Index were used. We conducted a binary logistic regression model and linear regression analysis.ResultsSex (odds ratio [OR] = 0.354, 95% confidence interval [CI] = 0.171–0.733), BPD tendencies (OR = 1.192, 95% CI = 1.066–1.333) and SWB (OR = 0.652, 95% CI = 0.516–0.824) were independent factors that predicted NSSI in secondary vocational students with PTSD. Spearman’s correlation analysis showed that BPD tendencies were positively correlated with NSSI frequency (r = 0.282, P < 0.01). SWB was negatively correlated with NSSI frequency (r = −0.301, P < 0.01). The linear regression showed that BPD tendencies (β = 0.137, P < 0.05 and β = −0.230, P < 0.001) were significantly correlated with NSSI frequency. Spearman’s correlation analysis showed that family functioning was positively correlated with SWB (r = 0.486, P < 0.01) and negatively correlated with BPD tendencies (r = −0.296, P < 0.01).ConclusionIn adolescents, PTSD in response to stressful events could lead to NSSI, and BPD tendencies promote the intensity of NSSI, while SWB diminishes its intensity. Improvement in family functioning may actively guide the development of mental health and improve SWB; such steps may constitute interventions to prevent or treat NSSI.

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Cohabitant: The Design, Implementation, and Evaluation of a Virtual Reality Application for Interfaith Learning and Empathy Building

Rifat,

Ayad,

Asha

et al. 2024

Proceedings of the CHI Conference on Human Factors in Computing Systems

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Borderline personality disorder traits and mentalising ability: The self-other social cognition paradox

Cited by 4 publications

References 80 publications

Minding mentalizing - convergent validity of the Mentalization Breakdown Interview

Minding mentalizing - convergent validity of the Mentalization Breakdown Interview

Effects of BPD tendencies and subjective well-being on NSSI in adolescents with PTSD

Cohabitant: The Design, Implementation, and Evaluation of a Virtual Reality Application for Interfaith Learning and Empathy Building

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