The comorbidity of borderline personality disorder and posttraumatic stress disorder: revisiting the prevalence and associations in a general population sample

Scheiderer, Emily M.; Wood, Phillip K.; Trull, Timothy J.

doi:10.1186/s40479-015-0032-y

Cited by 53 publications

(50 citation statements)

References 49 publications

(68 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Patients, especially BPD patients, in both datasets were diagnosed with a variety of comorbid disorders. Given the finding that comorbidity might alter affective dysregulation [ 56 ] no statement can be made on whether our findings are independent of any comorbidity. However, in BPD comorbidity is the rule rather than the exception [ 57 ] and therefore, only BPD patients with comorbid disorders are seen as representative for the BPD population [ 58 ].…”

Section: Discussionmentioning

confidence: 99%

Analyzing subcomponents of affective dysregulation in borderline personality disorder in comparison to other clinical groups using multiple e-diary datasets

Santangelo

Limberger

Stiglmayr³

et al. 2016

bord personal disord emot dysregul

View full text Add to dashboard Cite

BackgroundAffective dysregulation is widely regarded as being the core problem in patients with borderline personality disorder (BPD). Moreover, BPD is the disorder mainly associated with affective dysregulation. However, the empirical confirmation of the specificity of affective dysregulation for BPD is still pending. We used a validated approach from basic affective science that allows for simultaneously analyzing three interdependent components of affective dysregulation that are disturbed in patients with BPD: homebase, variability, and attractor strength (return to baseline).MethodsWe applied two types of multilevel models on two e-diary datasets to investigate group differences regarding three subcomponents between BPD patients (n = 43; n = 51) and patients with posttraumatic stress disorder (PTSD; n = 28) and those with bulimia nervosa (BN; n = 20) as clinical control groups in dataset 1, and patients with panic disorder (PD; n = 26) and those with major depression (MD; n = 25) as clinical control groups in dataset 2. In addition, healthy controls (n = 28; n = 40) were included in the analyses. In both studies, e-diaries were used to repeatedly collect data about affective experiences during participants’ daily lives. In study 1 a high-frequency sampling strategy with assessments in 15 min-intervals over 24 h was applied, whereas the assessments occurred every waking hour over 48 h in study 2. The local ethics committees approved both studies, and all participants provided written informed consent.ResultsIn contradiction to our hypotheses, BPD patients did not consistently show altered affective dysregulation compared to the clinical patient groups. The only differences in affective dynamics in BPD patients emerged with regard to one of three subcomponents, affective homebase. However, these results were not even consistent. Conversely, comparing the patients to healthy controls revealed a pattern of more negative affective homebases, higher levels of affective variability, and (partially) reduced returns to baseline in the patient groups.ConclusionsOur results indicate that affective dysregulation constitutes a transdiagnostic mechanism that manifests in similar ways in several different mental disorders. We point out promising prospects that might help to elucidate the common and distinctive mechanisms that underlie several different disorders and that should be addressed in future studies.

show abstract

Section: Discussionmentioning

confidence: 99%

Analyzing subcomponents of affective dysregulation in borderline personality disorder in comparison to other clinical groups using multiple e-diary datasets

Santangelo

Limberger

Stiglmayr³

et al. 2016

bord personal disord emot dysregul

View full text Add to dashboard Cite

show abstract

“…It has been speculated that CPTSD represents a combination of PTSD and (DSM-IV) BPD symptoms given the high rates of comorbidity between these diagnoses (Cloitre, Garvert, Weiss, Carlson, & Bryant, 2014). In non-clinical samples, BPD/PTSD comorbidity has ranged from 2% to 32%, depending upon the use of current or lifetime diagnostic rates for PTSD (Grant et al, 2008;Pagura et al, 2010;Scheiderer, Wood, & Trull, 2015), while in clinical samples the rate of BPD/PTSD comorbidity is higher, ranging from 25% to 68% (Harned, Rizvi, & Linehan, 2010;Heffernan & Cloitre, 2000;Zanarini et al, 1998;Zlotnick, Franklin, & Zimmerman, 2002). Where attempts have been made to differentiate between CPTSD and BPD evidence suggests that CPTSD and BPD are distinct diagnostic entities.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, childhood sexual assault may constitute a key etiological risk factor for the disorder (for a recent review see de Aquino Ferreira et al, 2018). Yet, trauma may be neither necessary nor sufficient to explain the development of borderline pathology, researchers have also emphasised other key risk factors including emotional maltreatment (childhood emotional abuse, neglect, and poor caregiving) and predisposing temperamental vulnerabilities (Lieb, Zanarini, Schmahl, Linehan, & Bohus, 2004;Scheiderer et al, 2015;Zanarini & Frankenburg, 1997;Zanarini et al, 1997).…”

Section: Introductionmentioning

confidence: 99%

Distinguishing Complex PTSD from Borderline Personality Disorder among individuals with a history of sexual trauma: A latent class analysis

Frost

Hyland

Shevlin

et al. 2020

European Journal of Trauma & Dissociation

View full text Add to dashboard Cite

Introduction; There has been debate regarding whether Complex PTSD (CPTSD) is conceptually distinct from Borderline Personality Disorder (BPD). Objective: To assess whether ICD-11 CPTSD was distinguishable from BPD in a sample of sexual assault survivors. Method: A subsample of individuals (n = 956), that selected sexual assault as an index trauma, were selected from a U.S. general population survey dataset. The distribution of PTSD, CPTSD and BPD symptomology was evaluated using latent class analysis (LCA). Multinomial logistic regression analyses were performed to evaluate whether various forms of child maltreatment and cumulative child maltreatment could discriminate between classes. Results: CPTSD emerged as a distinct symptom profile within the sample. Conversely, BPD symptomology was evident in two classes but was accompanied by PTSD/CPTSD symptomology in each. Overall, five classes were identified that differed both quantitatively and qualitatively. Cumulative childhood maltreatment and physical neglect predicted CPTSD class membership. Conclusion: The findings suggest that CPTSD is distinct from BPD among a sample of individuals who have been shown to be at significant risk for both diagnoses. Further research is required to identify factors that distinguish CPTSD from BPD.

show abstract

“…Apart from the internal structure, another well-documented weakness of the PTSD definition is PTSD's comorbidity with major depressive disorder (MDD) [20], generalized anxiety disorder [21] and personality disorders [22], in particular borderline personality disorder (BPD; [23]). Taking all the controversies about PTSD's definition into consideration [24], the ICD-11 proposal divides stress reaction into two different diagnostic units: PTSD and complex PTSD (CPTSD).…”

Section: B2 and B3 A1 And A2 E3 And E4)mentioning

confidence: 99%

The structure of PTSD symptoms according to DSM-5 and IDC-11 proposal: A multi-sample analysis

et al. 2017

View full text Add to dashboard Cite

Posttraumatic stress disorder (PTSD) symptoms structure is a subject of ongoing debate since its inclusion in DSM-III classification in 1980. Different research on PTSD symptoms structure proved the better fit of four-factor and five-factor models comparing to the one proposed by DSM-IV. With the publication of DSM-5 classification, which introduced significant changes to PTSD diagnosis, the question arises about the adequacy of the proposed criteria to the real structure of disorder symptoms. Recent analyses suggest that seven-factor hybrid model is the best reflection of symptoms structure proposed to date. At the same time, some researchers and ICD-11 classification postulate a simplification of PTSD diagnosis restricting it to only three core criteria and adding additional diagnostic unit of complex-PTSD. This research aimed at checking symptoms' structure according to well-known and supported four-, five-, six- and seven-factor models based on DSM-5 symptoms and the conceptualization proposed by the ICD-11 as well as examining the relation between PTSD symptoms categories with borderline personality disorder. Four different trauma populations were examined with self-reported Posttraumatic Diagnostic Scale for DSM-5 (PDS-5) measure. The results suggest that six- and seven-factor hybrid model as well as three-factor ICD-11 concept fits the data better than other models. The core PTSD symptoms were less related to borderline personality disorder than other, broader, symptoms categories only in one sample. Combination of ICD-11 simplified PTSD diagnosis with the more complex approach (e.g. basing on a seven-factor model) may be an attractive proposal for both scientists and practitioners, however does not necessarily lower its comorbidity with borderline personality disorder.

show abstract

The comorbidity of borderline personality disorder and posttraumatic stress disorder: revisiting the prevalence and associations in a general population sample

Cited by 53 publications

References 49 publications

Analyzing subcomponents of affective dysregulation in borderline personality disorder in comparison to other clinical groups using multiple e-diary datasets

Analyzing subcomponents of affective dysregulation in borderline personality disorder in comparison to other clinical groups using multiple e-diary datasets

Distinguishing Complex PTSD from Borderline Personality Disorder among individuals with a history of sexual trauma: A latent class analysis

The structure of PTSD symptoms according to DSM-5 and IDC-11 proposal: A multi-sample analysis

Contact Info

Product

Resources

About