Psychiatric Disorders in the Families of Borderline Patients

Soloff, Paul H.; Millward, James W.

doi:10.1001/archpsyc.1983.01790010039004

Cited by 125 publications

(36 citation statements)

References 34 publications

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“…Only the group of patients with both borderline and schizotypal features were indistinguishable from the early schizophrenic group on the MMPI. This finding is entirely consistent with Soloff and Millward's (1983) report of higher rates of schizophrenia in the relatives of mixed schizotypal-borderline patients than in the relatives of pure schizotypal patients. They also reported that approximately 16% of the relatives of the mixed group required hospitalization, in contrast to 5 to 6% of the relatives of the pure schizotypals and pure borderlines.…”

Section: Discussionsupporting

confidence: 93%

“…It should be noted, however, that several recent investigations have not found increased rates of schizophrenia in the first-degree relatives of pure schizotypal probands (Baron, Gruen, Asnis, & Lord, 1985;Soloff & Millward, 1983;Torgersen, 1984). Instead, some have argued that it is the mixed borderline-schizotypal personality group who are related more closely to schizophrenia than are the pure schizotypal group (Soloff & Millward, 1983).…”

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confidence: 96%

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Relationship of borderline syndrome disorders to early schizophrenia on the MMPI

Edell

1987

J. Clin. Psychol.

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An intriguing question in modern psychopathology is the relationship of borderline syndrome disorders to other psychopathological conditions and to each other. The present study compared groups of DSM‐III defined Borderline Personality Disorder (N = 51), Schizotypal Personality Disorder (N = 14), and Mixed Borderline‐Schizotypal Personality Disorder (N = 17), with CATEGO diagnosed Schizophrenic Disorder of recent onset (N = 30) and nonpsychiatric controls (N = 20) on the MMPI. Profile and individual scale analyses revealed gross elevations on multiple scales in each of the patient groups, as compared with controls. Subtle differences in test performance between the borderline personality and schizotypal personality groups are noted and are consistent with their separation as disorders in DSM‐III. Multivariate profile analyses distinguished the borderline, schizotypal, and early schizophrenic groups from each other, but not from the mixed personality group. Thus, this latter group may serve to bridge these diverse populations.

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Section: Discussionsupporting

confidence: 93%

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confidence: 96%

Relationship of borderline syndrome disorders to early schizophrenia on the MMPI

Edell

1987

J. Clin. Psychol.

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“…For example, it has been suggested that there is a familial co-occurrence of Axis I schizophrenic disorders with traits and disorders from the odd, eccentric cluster (Gottesman & Shields, 1982;Gunderson, Siever, & Spaulding, 1983;Kendler, 1988a,b;Kety, 1983Kety, , 1985Kety, , 1987Kety, , 1988Shields, Heston, & Gottesman, 1975;Stephens, Atkinson, Kay, Roth, & Garside, 1975). Others have reported a familial association between Axis I affective disorders, and traits and disorders from the erratic, dramatic cluster (Baron, Gruen, Asnis, & Lord 1985b;Loranger, Oldham, & Tulis 1982;McGlashan, 1983;Pope, Jonas, Hudson, Cohen, & Gunderson, 1983;Soloff & Millward, 1983) The New York High-Risk Project (NYHRP) allows a systematic evaluation of rates of personality features and disorder in offspring of informative psychiatric and control groups. To explore the specific relationships of Axis I and Axis II disorders, our interviewers-blind to the clinical status of parents-made standardized, direct Axis II assessments of offspring.…”

Section: Introductionmentioning

confidence: 99%

Personality features and disorder in the subjects in the New York high-risk project

Squires-Wheeler¹,

Skodol²,

Adamo³

et al. 1993

Journal of Psychiatric Research

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SummaryOne hundred and seventy-five offspring of parents in two psychiatrically ill groups and of normal controls in the New York High-Risk Project (NYHRP) were assessed for Axis II personality traits and disorders as defined by the Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised (DSM-III-R). These offspring include: subjects at high risk for schizophrenia (HRSz, n = 48), all of whom have a parent with schizophrenic disorder; subjects at high risk for affective disorder (HRAff, n = 40), all of whom have a parent with affective disorder; and subjects at no increased risk for psychiatric illness (NC, n = 87), whose parents are psychiatrically normal.The trained interviewers, who administered a standardized direct interview, were blind to parental clinical status and to previous clinical status of the offspring.The rates for any personality disorder (PD) ranged from 7% to 20%. Comorbidity between Axis I and Axis II disorders was high for all groups.

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“…The authors concluded that the first-degree relatives of BPD patients were ten times more likely to be treated for borderline disorder than the relatives of schizophrenic or bipolar patients. Soloff and Millward (1983) completed a family study of BPD patients but did not present data on BPD in the relatives of their borderline patients. Pope, Jonas, Hudson, Cohen, and Gunderson (1983), in an attempt to establish the validity of DSM-III BPD, reviewed chart information on 33 hospital inpatients.…”

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confidence: 99%

The Occurrence of Borderline Personality Disorder in the Families of Borderline Patients

Links¹,

Steiner²,

Huxley³

1988

Journal of Personality Disorders

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This paper reports on the morbid risk of borderline personality disorder (BPD) in first-degree relatives of BPD patients using direct and indirect family data. From data obtained on 320 family members, the morbid risk for BPD was found to be 15.3%. Concomitant diagnoses were frequently present in the relatives with BPD, and the sex ratio of male to female relatives with BPD was 1:1.2. The evidence suggests that there is an increased prevalence of BPD in the first-degree family members of borderline patients.Investigating the occurrence of borderline personality disorder (BPD) in the family members of borderline patients has been of interest to psychodynamic theorists and to researchers examining the validity of the borderline con cept. Since Masterson (1976) first suggested that the mothers of borderlines are often themselves suffering from borderline syndromes, a number of investigators have carried out family studies to examine whether borderline disorders are more frequently found in the families of BPD patients. Loranger, Oldham, and Tulis (1982) tested the validity of BPD by comparing the prevalence of BPD in families of borderline patients to the prevalence in families of schizophrenics and bipolar disorder patients. Only female probands were included in the study. The authors employed a chart review to identify those relatives who had been treated for psychiatric problems. They established their own criteria for BPD to use in the chart review and required that two of nine criteria be present to establish the BPD diagnosis. The criteria appeared to highlight antisocial behaviors as four of the nine items were: (1) lying, stealing, truancy, runaway, vandalism, arrest, impris onment, acting out, or behavior problems; (2) alcohol or drug abuse; (3) assaultive, violent physical fights; and (4) impulsive, reckless, injury-prone,

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Psychiatric Disorders in the Families of Borderline Patients

Cited by 125 publications

References 34 publications

Relationship of borderline syndrome disorders to early schizophrenia on the MMPI

Relationship of borderline syndrome disorders to early schizophrenia on the MMPI

Personality features and disorder in the subjects in the New York high-risk project

The Occurrence of Borderline Personality Disorder in the Families of Borderline Patients

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