Abstract:Borderline personality disorder (BPD) is associated with obesity, a major
risk factor for a number of chronic illnesses (e.g., cardiovascular disease). We
examined whether impulsivity and affective instability mediate the association
between BPD pathology and body mass index (BMI). Participants were a community
sample of adults ages 55–64 and their informants. The Structured
Interview for DSM-IV Personality measured BPD symptoms and the Revised NEO
Personality Inventory measured self- and informant-report impu… Show more
“…It would be interesting to reanalyse these effects for ION to understand if these outcomes pertain to trait Impulsiveness as the underlying attribute, or something more specific (cf. Iacovino et al, ; Terracciano et al, ).…”
Section: Discussionmentioning
confidence: 99%
“…However, not all N5: Impulsiveness items relate to BMI. Terracciano et al () specify that the Impulsiveness scale effect [on BMI] was due to two items specific to the eating domain (‘When I am having my favorite food, I tend to eat too much’ and ‘I sometimes eat myself sick’) (p. 685).Although this may seem to provide little evidence for trait Impulsiveness being associated with BMI, follow‐up studies have still concluded that Impulsiveness relates to BMI without testing the crucial role of the two aforementioned items behind this association (Sutin, Costa, et al, ; Sutin et al, , ; see Iacovino, Powers, & Oltmanns, , for a notable exception).…”
“…It would be interesting to reanalyse these effects for ION to understand if these outcomes pertain to trait Impulsiveness as the underlying attribute, or something more specific (cf. Iacovino et al, ; Terracciano et al, ).…”
Section: Discussionmentioning
confidence: 99%
“…However, not all N5: Impulsiveness items relate to BMI. Terracciano et al () specify that the Impulsiveness scale effect [on BMI] was due to two items specific to the eating domain (‘When I am having my favorite food, I tend to eat too much’ and ‘I sometimes eat myself sick’) (p. 685).Although this may seem to provide little evidence for trait Impulsiveness being associated with BMI, follow‐up studies have still concluded that Impulsiveness relates to BMI without testing the crucial role of the two aforementioned items behind this association (Sutin, Costa, et al, ; Sutin et al, , ; see Iacovino, Powers, & Oltmanns, , for a notable exception).…”
“…Consistent with prior work (Iacovino, Powers, & Oltmanns, ; Whiteside & Lynam, ), we calculated impulsivity scores by taking the average of NEO‐PI‐R impulsiveness (from neuroticism), excitement‐seeking (from extraversion), deliberation (from conscientiousness; reverse scored), and self‐discipline (from conscientiousness; reverse scored). All facets had small to moderate correlations (.27–.57; all p < .001), except for self‐discipline with excitement‐seeking ( r = .02, p = .57).…”
Personality predicts the occurrence of dependent stressful life events (SLE; i.e., events reliant, at least in part, on an individual's behavior). This process, termed stress generation, contributes to psychiatric outcomes, but its role in physical health is unknown. Data were included from 998 participants (aged 55–64) in the St. Louis Personality and Aging Network (SPAN) study. Assessments occurred every 6 months for 18 months. Neuroticism, impulsivity, and agreeableness were measured with the Revised NEO Personality Inventory. Dependent (e.g., divorce) and independent (e.g., family death) SLE occurring within 6 months following baseline were assessed with the List of Threatening Experiences and confirmed by interviews. Health problems occurring within a year after SLE were the outcome. Analyses examined whether neuroticism, impulsivity, and agreeableness indirectly predict the onset of new health problems through exposure to dependent SLE. Each personality trait was associated with dependent, but not independent, SLE. Only dependent SLE predicted new health problems. Each personality trait indirectly predicted the onset of new health problems through dependent SLE. Findings suggest that personality-driven stress generation influences physical health during late mid-life. Addressing personality in interventions may reduce the occurrence of SLE, in turn decreasing health risks.
“…Interestingly, although impulsivity decreased with age in BPD, it continued to result in these negative consequences. BPD has also been found to predict arthritis and heart disease, in which obesity accounts for some of the variance in this relationship [ 44 , 54 ].…”
Section: Waxing and Waning Course Of Bpd From Childhood To Old Agementioning
Purpose of Review
To provide an update of a life span perspective on borderline personality disorder (BPD). We address the life span course of BPD, and discuss possible implications for assessment, treatment, and research.
Recent Findings
BPD first manifests itself in adolescence and can be distinguished reliably from normal adolescent development. The course of BPD from adolescence to late life is characterized by a symptomatic switch from affective dysregulation, impulsivity, and suicidality to maladaptive interpersonal functioning and enduring functional impairments, with subsequent remission and relapse. Dimensional models of BPD appear more age neutral and more useful across the entire life span. There is a need for age-specific interventions across the life span.
Summary
BPD symptoms and impairments tend to wax and wane from adolescence up to old age, and presentation depends on contextual factors. Our understanding of the onset and early course of BPD is growing, but knowledge of BPD in late life is limited. Although the categorical criteria of DSM allow for reliable diagnosis of BPD in adolescence, dimensional models appear both more age neutral, and useful up to late life. To account for the fluctuating expression of BPD, and to guide development and selection of treatment across the life span, a clinical staging model for BPD holds promise.
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