Characterizing Affective Instability in Borderline Personality Disorder

Koenigsberg, Harold W.; Harvey, Philip D.; Mitropoulou, Vivian; Schmeidler, James; New, Antonia S.; Goodman, Marianne; Silverman, Jeremy M.; Serby, Michael; Schopick, Frances; Siever, Larry J.

doi:10.1176/appi.ajp.159.5.784

Cited by 320 publications

(226 citation statements)

References 13 publications

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“…There may be differing patterns of emotional flux such that patients with BPD experience more change between euthymia and anger and depression and anxiety, whilst those with Bipolar Disorder more oscillation from depression to elation (Henry et al, 2001;Koenigsberg et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

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: Introductionmentioning

confidence: 99%

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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“…6 Both disorders are characterized by shifts in affective states, but MDD tends to be more episodic and fixed while BPD is typically enduring and reactive. 7 Several studies have shown that BPD probands have a higher prevalence of affective disorders in their relatives compared to other personality disorders. 8–10 In addition, a multivariate twin study and significant longitudinal associations between BPD and depressive symptoms suggest that the relationship is due to a common latent factor.…”

mentioning

confidence: 99%

The Relationship Between Borderline Personality Disorder and Major Depression in Later Life: Acute Versus Temperamental Symptoms

Galione

Oltmanns

2013

The American Journal of Geriatric Psychiatry

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Objective A recent issue in the personality disorder field is the prevalence and course of Axis II symptoms in later life. Focusing on the presentation of personality disorder criteria over time may have some utility in exploring the relationship between borderline personality disorder (BPD) and major depression in older adults. Temperamental personality symptoms are relatively resistant to change but tend to be nonspecific to disorders, while acute symptoms remit relatively quickly. We predicted that temperamental BPD symptoms would be positively correlated with a history of depression and did not expect to find a relationship between major depression and acute BPD symptoms. Method One thousand six hundred and thirty participants between the ages of 55 and 64 were recruited to participate in a community-based longitudinal study representative of the St. Louis area. Participants completed a battery of assessments at baseline, including diagnostic interviews for all ten personality disorders and major depressive disorder. Results Temperamental and acute BPD symptoms were significantly correlated with a history of major depression. After adjustments were made for the effects of temperamental symptoms on depression, acute symptoms were no longer correlated with a history of depression. As predicted, temperamental symptoms remained significantly related to depression, even after controlling for the effects of acute symptoms. BPD acute symptoms showed a unique negative correlation with the amount of time following remission from a depressive episode. Conclusions Overall, this study supports associations between major depression and borderline personality in older adults. The findings indicate that a history of major depression is primarily related to stable BPD symptoms related to emotional distress, which are more prevalent in older adults compared to acute features.

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“…The research on this topic shows a higher intensity of negative emotions among patients with borderline personality disorder, compared to members of a control group, patients with bipolar disorder and those with Axis II diagnoses (Levine, Marziali, & Hood, 1997;Henry et al, 2001;Koenigsberg, Harvey, Mitropoulou, Schmeidler, & New, 2002). The results suggest that the issue of emotional intensity and emotional deregulation is more severe in patients with borderline personality disorder than in other studied groups.…”

Section: Emotional Regulation In the Action Control Theory By Julius mentioning

confidence: 79%

Emotion regulation, depression and self-harming behaviours in people with borderline personality disorder: the moderating role of action vs. state orientation

Blasczyk-Schiep¹,

Jaworska-Andryszewska²,

Rabska³

et al. 2016

Current Issues in Personality Psychology

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backgroundThe aim of this research is to determine the level of emotion regulation, studied through the method of variable action orientation vs. state and its relationship with depressiveness and dimension of the reasons for living and self-harming behaviour of patients with borderline personality disorder. participants and procedureThe research studied 61 patients diagnosed with an emotionally unstable personality of borderline type. The research used the Polish adaptation of tests to measure the action vs. state orientation (SSI-K), the self-harming behaviour (SHI), depression (BDI) and the reasons for living vs. suicidal tendency (RFL-I). resultsIn people with borderline personality disorder, the level of emotion regulation (action vs. state orientation), reasons for living and depression are predictors of self-harming behaviour. The experience of a depressive episode or lack thereof does not have a relationship with the increase of self-harming. Analysis of the interaction between variables showed that the reasons for living and the action orientation after failure are related to the reduction of self-harming behaviour in all subjects. In depressed people, state orientation is associated with an increase in the action orientation with decreased self-destructive behaviours. conclusionsHigh levels of reasons for living in interaction with the action orientation have a negative relationship with the self-harming behaviour of patients diagnosed with borderline personality disorder. Among those subjects, depressive patients, a statistically lower level of self-harm is related to the action orientation. These results suggest that therapeutic treatment is important to activate both reasons for living as well as action orientation as effective dimensions in preventing self-harming.

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Characterizing Affective Instability in Borderline Personality Disorder

Abstract: By applying a finer-grained perspective on affective instability than those of previous personality disorder studies, this study points to patterns of affective experience characteristic of patients with borderline personality disorder.

Cited by 320 publications

References 13 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

The Relationship Between Borderline Personality Disorder and Major Depression in Later Life: Acute Versus Temperamental Symptoms

Emotion regulation, depression and self-harming behaviours in people with borderline personality disorder: the moderating role of action vs. state orientation

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