Relationship of sex to symptom severity, psychiatric comorbidity, and health care utilization in 163 subjects with borderline personality disorder

McCormick, Brett; Blum, Nancee; Hansel, Rebecca; Franklin, Jo Ann; John, Don St.; Pfohl, Bruce; Allen, Jeff; Black, Donald W.

doi:10.1016/j.comppsych.2007.05.005

Cited by 61 publications

(63 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The relatively high co-occurrence of dependent personality disorder in Chabrol et al's [3] study and the lack of co-occurrence in Chanen et al's [4] study could not be explained by the differing gender ratios as the rate of females in the two studies were high, being 75 and 74%, respectively. Moreover, among the three studies in adults [6,7,8] that have explored the effect of gender in the Axis II co-occurrences on BPD, only one study [8] has reported a significant effect of gender in the prevalence of dependent personality disorder in BPD patients, with women presenting higher co-occurrences than males. The high occurrence of compulsive personality disorder might be explained by the high rate of eating disorders (34.2%) found in our study population.…”

Section: Discussionmentioning

confidence: 99%

“…Our study revealed a gender-dependent distribution of antisocial personality disorders in an adolescent sample. Several studies in adults [6,7,8] have reported significant higher prevalences of antisocial personality disorder in males. In these three studies, the prevalence of antisocial personality disorder ranged from 22 to 57.1% in males and from 8.2 to 25.5% in females.…”

Section: Discussionmentioning

confidence: 99%

“…Since Axis II comorbidity is known to be a negative prognostic factor in the outcome of adult BPD patients [5], better characterization of this comorbidity in BPD adolescents is indicated. Moreover, several studies in adults [6,7,8] have shown that men and women with BPD show significant gender differences in their pattern of Axis II comorbidity. To the best of our knowledge, gender differences have not been investigated in BPD adolescents.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Axis II Comorbidity of Borderline Personality Disorder in Adolescents

Loas

Pham‐Scottez

Cailhol³

et al. 2012

Psychopathology

View full text Add to dashboard Cite

Aims: The objective of the present study was to explore the comorbidity of borderline personality disorder (BPD) with other personality disorders in adolescents and compare these comorbidities in male and female subjects. Methods: The sample was drawn from a European research project investigating the phenomenology of BPD in adolescence (EURNET BPD). A total of 85 BPD patients (11 boys and 74 girls) with a mean age of 16.3 years were included in the study. Results: According to the results of the Structured Interview for DSM-IV Disorders of Personality, obsessive-compulsive (35.3%), antisocial (22.4%), avoidant (21.2%), dependent (11.8%) and paranoid (9.4%) personality disorders had significant co-occurrences with BPD. Although none of the gender differences was statistically significant, we observed a trend towards higher rates of antisocial personality disorders in men (45.5%) than in women (19%). Conclusion: The study results confirmed the frequency of Axis II comorbidity in adolescents with BPD and, for the first time, evidenced a differential pattern of comorbidity in males and females. This differential pattern must be taken into account when developing treatment strategies for adolescents with BPD.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Axis II Comorbidity of Borderline Personality Disorder in Adolescents

Loas

Pham‐Scottez

Cailhol³

et al. 2012

Psychopathology

View full text Add to dashboard Cite

show abstract

“…The latter data have been discussed as consistent with gender role theories regarding affect regulation suggesting that women use more self-focused activities than men [17] . Females displayed higher frequencies for anxiety disorder (particularly generalized anxiety disorder) and somatoform disorders [18] , eating disorder [7,15,16] , and posttraumatic stress disorder [7,15] . Regarding axis II disorders, males suffered consistently more often from antisocial personality disorder (ASPD) [8,15,16,18] .…”

mentioning

confidence: 99%

“…Females displayed higher frequencies for anxiety disorder (particularly generalized anxiety disorder) and somatoform disorders [18] , eating disorder [7,15,16] , and posttraumatic stress disorder [7,15] . Regarding axis II disorders, males suffered consistently more often from antisocial personality disorder (ASPD) [8,15,16,18] . Furthermore, a male preponderance has been reported for sadistic [8] , passive-aggressive [8] , narcissistic [8,15] , paranoid [8] , and schizotypal [15] personality disorder (PD), whereas one study found a higher frequency of histrionic PD [18] in females.…”

mentioning

confidence: 99%

Gender Differences in Axis I and Axis II Comorbidity in Patients with Borderline Personality Disorder

Tadić¹,

Wagner²,

Höch³

et al. 2009

Psychopathology

View full text Add to dashboard Cite

Background/Aims: Differences in the clinical presentation of men and women with borderline personality disorder (BPD) are of potential interest for investigations into the neurobiology, genetics, natural history, and treatment response of BPD. The purpose of this study was to investigate gender differences in axis I and axis II comorbidity and in diagnostic criteria in BPD patients. Methods: 110 women and 49 men with BPD were assessed with the computer-based version of the Munich-Composite International Diagnostic Interview and the Structured Clinical Interview for DSM-IV Personality Disorders. Gender differences were investigated for the following outcomes: (a) lifetime, 12-month and 4-week prevalence of axis I disorders; (b) axis II disorders, and (c) DSM-IV BPD diagnostic criteria. Results: With regard to lifetime prevalence of axis I disorders, men more often displayed a substance use disorder, in particular alcohol dependency (65 vs. 43%); on the other hand, women more frequently had an affective (94 vs. 82%), anxiety (92 vs. 80%) or eating disorder (35 vs. 18%), in particular anorexia nervosa (21 vs. 4%). Regarding the 12-month prevalence, we found significantly more women suffering from anorexia nervosa (13 vs. 0%). Considering the 4-week prevalence, there were no significant gender differences. With regard to axis II disorders, men had a higher frequency of antisocial personality disorder (57 vs. 26%). Regarding the BPD diagnostic criteria, men more often displayed ‘intensive anger’ (74 vs. 49%), whereas women more frequently showed ‘affective instability’ (94 vs. 82%). Conclusion: In this German study, we could replicate and extend the findings from previous US studies, where men and women with BPD showed important differences in their pattern of psychiatric comorbidity. The implications for clinicians and researchers are discussed.

show abstract

Psychological therapies for people with borderline personality disorder

Storebø

Stoffers‐Winterling

Völlm

et al. 2020

Cochrane Database of Systematic Reviews

232

244

View full text Add to dashboard Cite

This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To assess the beneficial and harmful effects of psychological therapies for people with borderline personality disorder (BPD). B A C K G R O U N D Description of the condition Borderline personality disorder (BPD) is a condition first recognised in the 20th century (Gunderson 2009). Historically, the term BPD was coined by Adolph Stern to describe a condition in the 'borderland' between psychosis and neurosis (Stern 1938). Subsequent psychoanalytic contributions (especially that of Kernberg 1975) have reaffirmed this distinction, emphasising that the capacity to test reality remains grossly intact but is subject to subtle distortions, especially under stress. According to current diagnostic criteria, BPD is characterised by a pervasive pattern of instability in affect regulation, impulse control , interpersonal relationships, and self-image (APA 2013; WHO 1993). Clinical hallmarks include emotional dysregulation, impulsive aggression, repeated self-injury, and chronic suicidal tendencies (Fonagy 2009; Lieb 2004). Whereas some authors have suggested that it is a variant of affective disorders (Akiskal 2004), others claim that it is only the causes of these diseases that partially overlap in BPD (Paris 2007). Despite the difficulties in defining and delimiting the condition, BPD is still being widely researched. Its importance stems from the considerable psychological suffering of the persons concerned (

show abstract

Relationship of sex to symptom severity, psychiatric comorbidity, and health care utilization in 163 subjects with borderline personality disorder

Cited by 61 publications

References 31 publications

Axis II Comorbidity of Borderline Personality Disorder in Adolescents

Axis II Comorbidity of Borderline Personality Disorder in Adolescents

Gender Differences in Axis I and Axis II Comorbidity in Patients with Borderline Personality Disorder

Psychological therapies for people with borderline personality disorder

Contact Info

Product

Resources

About