scholarly journals Differential effects of the menstrual cycle on reactive and proactive aggression in borderline personality disorder

2020 ◽  
Vol 46 (2) ◽  
pp. 151-161 ◽  
Author(s):  
Jessica R. Peters ◽  
Sarah A. Owens ◽  
Katja M. Schmalenberger ◽  
Tory A. Eisenlohr‐Moul
Keyword(s):  
Borderline Personality Disorder ◽  
Menstrual Cycle ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Proactive Aggression ◽  
Differential Effects ◽  
Reactive And Proactive Aggression

scholarly journals Differential Effects of the Menstrual Cycle on Reactive and Proactive Aggression in Borderline Personality Disorder

2018 ◽  
Author(s):  
Jessica R. Peters ◽  
Sarah A. Owens ◽  
Katja M. Schmalenberger ◽  
Tory A. Eisenlohr-Moul
Keyword(s):  
Borderline Personality Disorder ◽  
Menstrual Cycle ◽  
Personality Disorder ◽  
Aggressive Behavior ◽  
Reactive Aggression ◽  
Borderline Personality ◽  
Proactive Aggression ◽  
Cycle Phase ◽  
Emotional Symptoms ◽  
Reactive And Proactive Aggression

AbstractBorderline personality disorder (BPD) is characterized by rapidly shifting symptoms, including intense anger and aggressive behavior. Understanding how fluctuations in ovarian hormones across the menstrual cycle may contribute to symptom instability is key for accurate assessment of BPD symptoms and effective interventions. Reactive and proactive aggression, as well as anger in and out, were assessed daily in 15 physically healthy, unmedicated naturally cycling female individuals without dysmenorrhea meeting criteria for BPD across 35 days. Urine LH surge and salivary progesterone were used to confirm ovulation and verify cycle phase. Cyclical worsening of symptoms was evaluated using multilevel models to evaluate symptom differences between cycle phases. Both forms of aggressive behavior demonstrated marked cycle effects, with reactive aggression highest during perimenstrual cycle phases, co-occurring with increases in anger in and out. In contrast, highest levels of proactive aggression were observed during the follicular and ovulatory phases, when emotional symptoms and anger were otherwise at lowest levels. These findings highlight the importance of identifying the function of aggression when considering potential psychological and biological influences. Naturally cycling individuals with BPD may be at elevated risk for perimenstrual worsening of a range of interpersonally reactive symptoms, including reactive aggression, whereas proactive aggression may occur more in phases characterized by less emotional and cognitive vulnerability and greater reward sensitivity. Research on aggression in this population should consider cycle effects. Cycling individuals with BPD attempting to reduce aggressive behavior may benefit from cycle-tracking to increase awareness of these effects and to develop appropriate strategies.

Menstrual Cycle Influences On Mood and Behavior in Women With Borderline Personality Disorder

1995 ◽  
Vol 9 (1) ◽  
pp. 68-75 ◽  
Author(s):  
Barbara Ziv ◽  
Mark J. Russ ◽  
Margaret Moline ◽  
Stephen Hurt ◽  
Steven Zendell
Keyword(s):  
Borderline Personality Disorder ◽  
Menstrual Cycle ◽  
Personality Disorder ◽  
Borderline Personality ◽  
And Behavior

Respiratory Sinus Arrhythmia Mediates Links Between Borderline Personality Disorder Symptoms and Both Aggressive and Violent Behavior

2019 ◽  
Vol 33 (4) ◽  
pp. 544-559 ◽  
Author(s):  
Nicholas D. Thomson ◽  
Theodore P. Beauchaine
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Respiratory Sinus Arrhythmia ◽  
Interpersonal Violence ◽  
Emotion Dysregulation ◽  
Violent Behavior ◽  
Reactive Aggression ◽  
Borderline Personality ◽  
Proactive Aggression ◽  
Sinus Arrhythmia

Although emotion dysregulation (ED) is a core symptom of borderline personality disorder (BPD), tests of associations between ED and aggression and violence—which are common to BPD—are sparse. The authors evaluated mediating effects of an autonomic vulnerability to ED on links between BPD symptoms and (a) reactive aggression, (b) proactive aggression, and (c) histories of interpersonal violence in a sample of young adults (N = 104), ages 18–22 years. Low baseline respiratory sinus arrhythmia (RSA) mediated the association between BPD symptoms and reactive aggression. In contrast, although BPD symptoms were correlated with proactive aggression, no mediational effect was found. In addition, low RSA mediated the association between BPD symptoms and histories of interpersonal violence. Collectively, these findings add evidence that neurobiological vulnerability to ED contributes to aggressive and violent behavior among those with BPD.

scholarly journals Attachment and Borderline Personality Disorder: Differential Effects on Situational Socio-Affective Processes

2020 ◽  
Vol 1 (3) ◽  
pp. 117-127 ◽  
Author(s):  
Aleksandra Kaurin ◽  
Joseph E. Beeney ◽  
Stephanie D. Stepp ◽  
Lori N. Scott ◽  
William C. Woods ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Differential Effects ◽  
Affective Processes

Emotion-Oriented Coping Style Predicts Self-Harm in Response to Acute Psychiatric Hospitalization

Crisis ◽  
2020 ◽  
pp. 1-7
Author(s):  
Jacqueline M. Frei ◽  
Vladimir Sazhin ◽  
Melissa Fick ◽  
Keong Yap
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychiatric Hospitalization ◽  
Coping Styles ◽  
Psychiatric Inpatients ◽  
Borderline Personality ◽  
Self Report ◽  
Therapeutic Interventions ◽  
Coping Behaviors ◽  
Self Harm

Abstract. Psychiatric hospitalization can cause significant distress for patients. Research has shown that to cope with the stress, patients sometimes resort to self-harm. Given the paucity of research on self-harm among psychiatric inpatients, a better understanding of transdiagnostic processes as predictors of self-harm during psychiatric hospitalization is needed. The current study examined whether coping styles predicted self-harm after controlling for commonly associated factors, such as age, gender, and borderline personality disorder. Participants were 72 patients (mean age = 39.32 years, SD = 12.29, 64% male) admitted for inpatient treatment at a public psychiatric hospital in Sydney, Australia. Participants completed self-report measures of coping styles and ward-specific coping behaviors, including self-harm, in relation to coping with the stress of acute hospitalization. Results showed that younger age, diagnosis of borderline personality disorder, and higher emotion-oriented coping were associated with self-harm. After controlling for age and borderline personality disorder, higher levels of emotion-oriented coping were found to be a significant predictor of self-harm. Findings were partially consistent with hypotheses; emotion-oriented but not avoidance-oriented coping significantly predicted self-harm. This finding may help to identify and provide psychiatric inpatients who are at risk of self-harm with appropriate therapeutic interventions.

Comparison of Three Questionnaires to Screen for Borderline Personality Disorder in Adolescents and Young Adults

2017 ◽  
Vol 33 (2) ◽  
pp. 123-128 ◽  
Author(s):  
Anne van Alebeek ◽  
Paul T. van der Heijden ◽  
Christel Hessels ◽  
Melissa S.Y. Thong ◽  
Marcel van Aken
Keyword(s):  
Young Adults ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Adolescents And Young Adults ◽  
Patient Questionnaire ◽  
Statistical Manual ◽  
Axis Ii ◽  
Diagnostic And Statistical Manual ◽  
Dsm Iv

Abstract. One of the most common personality disorders among adolescents and young adults is the Borderline Personality Disorder (BPD). The objective of current study was to assess three questionnaires that can reliably screen for BPD in adolescents and young adults (N = 53): the McLean Screening Instrument for BPD (MSI-BPD; Zanarini et al., 2003 ), the Personality Diagnostic Questionnaire 4th edition – BPD scale (PDQ-4 BPD; Hyler, 1994 ), and the SCID-II Patient Questionnaire – BPD scale (SCID-II-PQ BPD). The nine criteria of BPD according to the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV; APA, 1994 ) were measured with the Structural Clinical Interview for DSM-IV Axis II disorders – BPD scale (SCID-II; First, Spitzer, Gibbon, Williams, & Benjamin, 1995 ). Correlations between the questionnaires and the SCID-II were calculated. In addition, the sensitivity and specificity of the questionnaires were tested. All instruments predicted the BPD diagnosis equally well.

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