Social Consequences of Borderline Personality Disorder Symptoms in a Population-Based Survey: Marital Distress, Marital Violence, and Marital Disruption

Whisman, Mark A.; Schonbrun, Yael Chatav

doi:10.1521/pedi.2009.23.4.410

Cited by 81 publications

(77 citation statements)

References 2 publications

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“…In another sample of college students (n = 225; 140 females), the severity of BPD traits was related to mate retention tactics [111], i.e., jealousy induction in women and emotional manipulation in men. In a population-based sample of married adults (n = 1,127; 635 females), BPD symptom severity was positively associated with marital distress, perpetration of minor and severe marital violence, and marital disruption even after controlling for the presence of 12-month axis I disorders [112]. Similarly, individuals with high levels of BPD traits experienced more negative daily interpersonal events than individuals with low levels of BPD traits [113,114].…”

Section: Impaired Intimacymentioning

confidence: 99%

Impairments of Interpersonal Functioning: Empathy and Intimacy in Borderline Personality Disorder

Jeung¹,

Herpertz²

2014

Psychopathology

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Impairments of interpersonal functioning are central to borderline personality disorder (BPD). Patients with BPD suffer from severe psychosocial dysfunction in general and - among others - disturbed romantic relationships. Compounding the problem, the diagnosis of BPD interferes with therapeutic relationships and results in pejorative and discriminatory clinical practices. Previously, interpersonal dysfunction has been related to emotional dysregulation, behavioral dyscontrol, and impaired social cognition. However, these features may be intertwined yet separate. In this review, we will focus on disturbed empathy and intimacy as they are referred to as two discrete impairments of interpersonal functioning in the new DSM-5 Section III. The aim of this review is to contribute to a comprehensive, integral understanding of interpersonal dysfunction in BPD based on the behavioral and neurobiological studies available up to now. Despite some inconsistencies, behavioral studies in BPD patients indicate impaired cognitive and affective empathy particularly in complex and ecologically valid measurements. These findings are reflected even more consistently in functional magnet resonance imaging studies. Low quality of intimate relationships in BPD may at least partially result from lower mentalizing abilities and cognitive empathy, higher personal distress and affective empathy in the social context. Finally, the evaluation of the severity and quality of impairment of interpersonal functioning may enable clinicians and researchers to describe and to understand the mechanisms of interpersonal dysfunction better, and to improve the effectiveness of the treatment of patients with BPD.

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Section: Impaired Intimacymentioning

confidence: 99%

Impairments of Interpersonal Functioning: Empathy and Intimacy in Borderline Personality Disorder

Jeung¹,

Herpertz²

2014

Psychopathology

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“…Consistent with this view, a number of studies suggest that subclinical manifestations of borderline personality are associated with impairments in functioning among those not seeking psychiatric treatment. Findings cover several diverse domains of functioning, such as marital and romantic relationships (Daley, Burge, & Hammen, 2000;Hill et al, 2011;Selby, Braithwaite, Joiner, & Fincham, 2008;Whisman & Schonbrun, 2009), employment (Sansone, Leung, & Wiederman, 2012Sansone & Wiederman, 2013), physical health (Powers & Oltmanns, 2012), and academic, interpersonal, and social pursuits (Bagge et al, 2004;Oltmanns, Melley, & Turkheimer, 2002;Powers, Gleason, & Oltmanns, 2013).…”

mentioning

confidence: 99%

The Clinical Significance of Single Features of Borderline Personality Disorder: Anger, Affective Instability, Impulsivity, and Chronic Emptiness in Psychiatric Outpatients

Ellison¹,

Rosenstein²,

Chelminski³

et al. 2016

Journal of Personality Disorders

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Although dimensional models of borderline personality disorder (BPD) are consistent with findings showing that minimal levels of pathology are associated with substantial increases in psychosocial impairment, it is still unclear whether different individual BPD criteria are each clinically significant on their own. The current study uses semistructured interview data from 1,870 adults presenting for outpatient psychiatric treatment to investigate whether the BPD criteria of impulsivity, affective instability, emptiness, and anger are each related to psychosocial morbidity when met in the absence of the other eight criteria. Analyses showed that each of these criteria was associated with dysfunction in comparison with a control group meeting zero BPD criteria, but only the emptiness criterion was a marker of impairment on all indices of psychosocial morbidity: suicidality, history of suicide attempts and psychiatric hospitalizations, social and work dysfunction, Axis I comorbidity, and global functioning. Implications for the study of borderline pathology are discussed.

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“…Several studies of people with BPD have shown that clinical relapses or emotional crises tend to be triggered by interpersonal events such as conflicts and quarrels or periods of rapid break-up and reconciliation [44][45][46][47][48][49] . Ultimately, these emotional crises are responsible for a large proportion of psychiatric emergencies and inpatient care, resulting in a direct economic cost of up to EUR 13,000 per year [4,50] .…”

mentioning

confidence: 99%

Romantic Relationships of People with Borderline Personality: A Narrative Review

2017

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Background: Romantic relationships are one of the most interesting areas of interpersonal functioning in people with borderline personality. The aim of this narrative review was to synthesise empirical findings on this issue. Sampling and Methods: The PubMed and PsycINFO databases were searched for pertinent materials published between 1980 and March 2016. Thirty articles met the inclusion criteria. Results: Several longitudinal and cross-sectional studies showed that people with borderline personality disorder (BPD) or BPD traits had more - but less prolonged - romantic relationships than people without BPD. The stable relationships of people with BPD or with BPD traits were also less satisfying and more hostile than those of people without BPD. People with BPD or BPD traits had relationships characterised by insecure attachment and passive-aggressive communications. Personality disorders and anxious attachment were more prevalent among the partners of people with BPD or with BPD traits when compared with partners of people without BPD. Conclusion: Unstable and chaotic romantic relationships are at the core of interpersonal dysfunction in BPD. More longitudinal research is needed to delineate the relationship between BPD symptoms and romantic relationship dysfunction, including the modulating role of the partner's clinical features in such an association.

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Social Consequences of Borderline Personality Disorder Symptoms in a Population-Based Survey: Marital Distress, Marital Violence, and Marital Disruption

Cited by 81 publications

References 2 publications

Impairments of Interpersonal Functioning: Empathy and Intimacy in Borderline Personality Disorder

Impairments of Interpersonal Functioning: Empathy and Intimacy in Borderline Personality Disorder

The Clinical Significance of Single Features of Borderline Personality Disorder: Anger, Affective Instability, Impulsivity, and Chronic Emptiness in Psychiatric Outpatients

Romantic Relationships of People with Borderline Personality: A Narrative Review

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