scholarly journals Stress reactivity and pain-mediated stress regulation in remitted patients with borderline personality disorder

2018 ◽  
Vol 8 (2) ◽  
pp. e00909 ◽  
Author(s):  
Franziska Willis ◽  
Sarah Kuniss ◽  
Nikolaus Kleindienst ◽  
Stefanie Lis ◽  
Janina Naoum ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Stress Reactivity ◽  
Borderline Personality ◽  
Stress Regulation

scholarly journals How Do Stress Exposure and Stress Regulation Relate to Borderline Personality Disorder?

2017 ◽  
Vol 8 ◽  
Author(s):  
Nadège Bourvis ◽  
Aveline Aouidad ◽  
Clémence Cabelguen ◽  
David Cohen ◽  
Jean Xavier
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Stress Exposure ◽  
Stress Regulation

scholarly journals Borderline personality disorder: stress reactivity or stress generation? A prospective dimensional study

2020 ◽  
pp. 1-8
Author(s):  
Timothy A. Allen ◽  
Alexandre Y. Dombrovski ◽  
Paul H. Soloff ◽  
Michael N. Hallquist
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Negative Affect ◽  
Life Events ◽  
Stressful Life Events ◽  
Stress Reactivity ◽  
Clinical Sample ◽  
Borderline Personality ◽  
Stress Generation ◽  
Stressful Life

Abstract Background Individuals diagnosed with borderline personality disorder (BPD) often describe their lives as stressful and unpredictable. However, it is unclear whether the adversity faced by those with BPD is a product of stress reactivity or stress generation. Here, we examined the dynamic, prospective associations between BPD and stressful life events over 3 years. Given the heterogeneity present in BPD, we sought to understand which empirically derived dimensions of this heterogeneous disorder explain stress reactivity v. stress generation. Methods Participants included 355 individuals diagnosed with BPD and followed longitudinally at three annual assessments. Auto-regressive cross-lagged panel models were used to examine prospective associations between stressful life events and three latent dimensions implicated in BPD: negative affect, disinhibition, and antagonism. Results Antagonism and disinhibition, but not negative affect, prospectively predicted dependent stressful life events (events the individual may have some role in). Evidence for decompensation under stress was more tenuous, with independent stressful life events (those presumably outside the individual's control) predicting increases in negative affect. Conclusions Our longitudinal study of a well-characterized clinical sample found more evidence for stress generation than for stress-induced decompensation in BPD. Stress generation in BPD is driven by externalizing dimensions: antagonism and disinhibition. These results highlight the utility of empirically derived dimensions for parsing heterogeneity present in BPD, leading to improvements in diagnostic evaluation, clinical prediction, and individualized approaches to treatment planning.

Stress Regulation and Incision in Borderline Personality Disorder—A Pilot Study Modeling Cutting Behavior

2012 ◽  
pp. 605-615 ◽  
Author(s):  
Sarah Reitz ◽  
Annegret Krause-Utz ◽  
Esther M. Pogatzki-Zahn ◽  
Ulrich Ebner-Priemer ◽  
Martin Bohus ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Pilot Study ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Stress Regulation ◽  
Cutting Behavior

Oxytocin administration attenuates stress reactivity in borderline personality disorder: A pilot study

2011 ◽  
Vol 36 (9) ◽  
pp. 1418-1421 ◽  
Author(s):  
D. Simeon ◽  
J. Bartz ◽  
H. Hamilton ◽  
S. Crystal ◽  
A. Braun ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Pilot Study ◽  
Personality Disorder ◽  
Stress Reactivity ◽  
Borderline Personality

A momentary assessment study of the reputed emotional phenotype associated with borderline personality disorder

2007 ◽  
Vol 38 (9) ◽  
pp. 1231-1239 ◽  
Author(s):  
J.-P. Glaser ◽  
J. Van Os ◽  
R. Mengelers ◽  
I. Myin-Germeys
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Negative Affect ◽  
Emotional Reactivity ◽  
Stress Reactivity ◽  
Daily Life ◽  
Stress Sensitivity ◽  
Borderline Personality ◽  
Healthy Controls ◽  
Borderline Patients

SUMMARYBackgroundStress is postulated to play an essential role in the expression of core borderline symptoms. However, the phenomenology of stress reactivity in borderline personality disorder remains unclear. The current study investigated the phenomenology of stress sensitivity in borderline personality disorder in the flow of daily life and compared this with stress sensitivity in patients suffering from psychotic disorders, a group so far known to report the largest reactivity to stress.MethodA total of 44 borderline patients, 42 patients with psychotic disorder and 49 healthy controls were studied with the Experience Sampling Method (a structured diary technique assessing current context and mood in daily life) to assess: (1) appraised subjective stress related to daily events and activities; and (2) emotional reactivity conceptualized as changes in positive and negative affect.ResultsMultilevel regression analysis revealed that subjects with borderline personality disorder experienced significantly more emotional reactivity to daily life stress compared with both patients with psychosis and healthy controls, as evidenced by a larger increase in negative affect and a larger decrease in positive affect following stress.ConclusionThese results are the first to ecologically validate the incorporation of stress reactive symptoms in the diagnosis of borderline personality disorder. Borderline patients continually react stronger than patients with psychosis and healthy controls to small disturbances that continually happen in the natural flow of everyday life. Altered emotional stress reactivity may define borderline personality disorder.

The role of nociceptive input and tissue injury on stress regulation in borderline personality disorder

Pain ◽  
2017 ◽  
Vol 158 (3) ◽  
pp. 479-487 ◽  
Author(s):  
Franziska Willis ◽  
Sarah Kuniss ◽  
Nikolaus Kleindienst ◽  
Janina Naoum ◽  
Sarah Reitz ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Tissue Injury ◽  
Borderline Personality ◽  
Stress Regulation ◽  
Nociceptive Input

scholarly journals Borderline personality disorder: Stress reactivity or stress generation? A prospective dimensional study

2020 ◽  
Author(s):  
Timothy Allen
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Negative Affect ◽  
Life Events ◽  
Stressful Life Events ◽  
Stress Reactivity ◽  
Clinical Sample ◽  
Borderline Personality ◽  
Stress Generation ◽  
Stressful Life

Background: Individuals diagnosed with borderline personality disorder (BPD) often describe their lives as stressful and unpredictable. However, it is unclear whether the adversity faced by those with BPD is a product of stress reactivity or stress generation. Here, we examined the dynamic, prospective associations between BPD and stressful life events over three years. Given the heterogeneity present in BPD, we sought to understand which empirically derived dimensions of this heterogenous disorder explain stress reactivity vs. stress generation.Methods: Participants included 355 individuals diagnosed with BPD and followed longitudinally at three annual assessments. Auto-regressive cross-lagged panel models were used to examine prospective associations between stressful life events and three latent dimensions implicated in BPD: negative affect, disinhibition, and antagonism. Results: Antagonism and disinhibition, but not negative affect, prospectively predicted dependent stressful life events (events the individual may have some role in). Evidence for decompensation under stress was more tenuous, with independent stressful life events (those presumably outside the individual’s control) predicting increases in negative affect.Conclusions: Our longitudinal study of a well-characterized clinical sample found more evidence for stress generation than for stress-induced decompensation in BPD. Stress generation in BPD is driven by externalizing dimensions: antagonism and disinhibition. These results highlight the utility of empirically derived dimensions for parsing heterogeneity present in BPD, leading to improvements in diagnostic evaluation, clinical prediction, and individualized approaches to treatment planning.

Stress Regulation and Incision in Borderline Personality Disorder—A Pilot Study Modeling Cutting Behavior

2012 ◽  
Vol 26 (4) ◽  
pp. 605-615 ◽  
Author(s):  
Sarah Reitz ◽  
Annegret Krause-Utz ◽  
Esther M. Pogatzki-Zahn ◽  
Ulrich Ebner-Priemer ◽  
Martin Bohus ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Pilot Study ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Stress Regulation ◽  
Cutting Behavior

scholarly journals Cortisol Response To Interpersonal Stress in Young Adults With Borderline Personality Disorder: A Pilot Study

2008 ◽  
Vol 23 (3) ◽  
pp. 201-204 ◽  
Author(s):  
Marc Walter ◽  
Jean-François Bureau ◽  
Bjarne M. Holmes ◽  
Eszter A. Bertha ◽  
Michael Hollander ◽  
...  
Keyword(s):  
Young Adults ◽  
Borderline Personality Disorder ◽  
Pilot Study ◽  
Personality Disorder ◽  
Psychosocial Stress ◽  
Stress Reactivity ◽  
Borderline Personality ◽  
Cortisol Response ◽  
Hypothalamic Pituitary Adrenal ◽  
Pituitary Adrenal Axis

AbstractHypothalamic–pituitary–adrenal axis dysregulation after stress was found to be associated with borderline personality disorder (BPD). Nine female BPD young adults and 12 control subjects were investigated for stress reactivity and recovery after an interpersonal conflict discussion with their mothers. BPD subjects showed a delayed cortisol response after psychosocial stress.

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