Dissociation in patients with borderline personality disorder in acute inpatient care – A latent profile analysis

Jaeger, Susanne; Steinert, Tilman; Uhlmann, Carmen; Flammer, Erich; Bichescu-Burian, Dana; Tschöke, Stefan

doi:10.1016/j.comppsych.2017.07.005

Cited by 14 publications

(10 citation statements)

References 51 publications

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“…In addition, neutral objects will be displayed to provide control images (eg, towels and books; see figure 2 for examples of neutral images), which will be taken from an existing and validated database 45. A break will be included halfway through the stimulus presentation to assess participants’ emotional status and to prevent dissociations 46. Image presentation and SAM rating screens will be pseudorandomised across all categories.…”

Section: Methods and Analysismentioning

confidence: 99%

Development and validation of an emotional picture set of self-injury (EPSI) for borderline personality disorder: protocol for a validation study

et al. 2019

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IntroductionBorderline personality disorder (BPD) is a severe psychiatric disorder that is characterised by major problems in emotion regulation. Affected persons frequently engage in non-suicidal self-injury (NSSI) to regulate emotions. NSSI is associated with high emotionality in patients with BPD and it can be expected that stimuli depicting scenes of NSSI elicit an emotional response indicative of BPD. The present study protocol describes the development and validation of an emotional picture set of self-injury (EPSI) to advance future research on emotion regulation in BPD.Methods and analysisThe present validation study aims to develop and validate an emotional picture set relevant for BPD. Emotional responses to EPSI as well as to a neutral picture set will be investigated in a sample of 30 patients with BPD compared with 30 matched, healthy controls and to 30 matched depressive controls. Emotional responses will be assessed by heart rate variability, facial expression and Self-Assessment Manikin.Ethics and disseminationEthics approval was obtained by the medical ethics committee of the Carl-von-Ossietzky University of Oldenburg, Germany (registration: 2017–044). The results of the trial will be submitted for publication in a peer-reviewed journal.Trial registration number NCT03149926; Pre-results.

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Section: Methods and Analysismentioning

confidence: 99%

Development and validation of an emotional picture set of self-injury (EPSI) for borderline personality disorder: protocol for a validation study

et al. 2019

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“…Up to 80% of patients experience transient dissociative symptoms. Research suggests that dissociative symptoms are most severe in a subgroup of patients with higher overall symptom severity [1,37] and more severe traumatic experiences [26••, 38].…”

Section: Clinical Presentationsmentioning

confidence: 99%

Dissociation in Borderline Personality Disorder: Recent Experimental, Neurobiological Studies, and Implications for Future Research and Treatment

Krause-Utz

Frost

Chatzaki

et al. 2021

Curr Psychiatry Rep

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Purpose of Review The aim of this review article is to give an overview over recent experimental neurobiological research on dissociation in borderline personality disorder (BPD), in order to inform clinicians and to stimulate further research. First, we introduce basic definitions and models that conceptualize dissociation from a transdiagnostic perspective. Then, we discuss recent findings in BPD. Recent Findings Stress-related dissociation is a key symptom of BPD, closely linked to other core domains of the disorder (emotion dysregulation, identity disturbances, and interpersonal disturbances). The understanding of neurobiological correlates of dissociation across different psychiatric disorders (e.g., dissociative disorders, post-traumatic stress disorder) is steadily increasing. At the same time, studies explicitly focusing on dissociation in BPD are still scarce. Summary There is evidence for adverse effects of dissociation on affective-cognitive functioning (e.g., interference inhibition), body perception, and psychotherapeutic treatment response in BPD. On the neural level, increased activity in frontal regions (e.g., inferior frontal gyrus) and temporal areas (e.g., inferior and superior temporal gyrus) during symptom provocation tasks and during resting state was observed, although findings are still diverse and need to be replicated. Conceptual differences and methodological differences in study designs and sample characteristics (e.g., comorbidities, trauma history) hinder a straightforward interpretation and comparison of studies. Given the potentially detrimental impact of dissociation in BPD, more research on the topic is strongly needed to deepen the understanding of this complex clinical condition.

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“…Disassociation occurs in 75-80% of BPD patients (Cavicchioli, Fossati, & Maffei, 2017;Dell, Links, Thabane, & Fougere, 2009;Jaeger et al, 2017;Kundakci et al, 2003), and is defined by the DSM-5 as "a disruption of and/or discontinuity in the normal integration of consciousness, memory, identity, emotion, perception, body representation, motor control, and behaviour" (APA, 2013, p. 291). Dissociative states in BPD patients are frequently linked to stress driven changes in self-image, and tend to last for minutes or hours (Dell & Korzekwa, 2017).…”

Section: Diagnostic Criteriamentioning

confidence: 99%

Elucidating the relationship between borderline personality disorder and intimate partner violence

Munro

Sellbom

2020

Personality & Mental Health

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This study examined the established association between borderline personality disorder (BPD) and intimate partner violence (IPV). More specifically, it compared the DSM‐5 traditional categorical personality disorder (PD) model with the DSM‐5 Alternative Model of PD (AMPD) operationalizations of BPD in their relative associations with IPV. The effects of gender, as well as the associations between BPD and different forms of IPV were also considered. Additionally, we investigated the specific BPD‐relevant AMPD personality traits that influence the BPD‐IPV association. The study sample were 250 community‐dwelling men and women recruited through an established crowdsourcing platform. Results revealed that both the ‘traditional’ and AMPD operationalizations of BPD were approximately equally associated with IPV perpetration, although the traditional BPD operationalization demonstrated some minor advantages in this regard. The AMPD trait facets of hostility (negative affectivity), suspiciousness (negative affectivity) and risk taking (disinhibition) were most strongly associated with IPV perpetration for the total sample, and additional negative affectivity trait facets were also associated with IPV for men only. Implications for these findings are discussed. © 2020 John Wiley & Sons, Ltd.

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Dissociation in patients with borderline personality disorder in acute inpatient care – A latent profile analysis

Cited by 14 publications

References 51 publications

Development and validation of an emotional picture set of self-injury (EPSI) for borderline personality disorder: protocol for a validation study

Development and validation of an emotional picture set of self-injury (EPSI) for borderline personality disorder: protocol for a validation study

Dissociation in Borderline Personality Disorder: Recent Experimental, Neurobiological Studies, and Implications for Future Research and Treatment

Elucidating the relationship between borderline personality disorder and intimate partner violence

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