scholarly journals Subgroups of Adolescent Girls With Borderline Personality Disorder Symptoms

2018 ◽  
Vol 32 (5) ◽  
pp. 636-653 ◽  
Author(s):  
Claire Slavin-Stewart ◽  
Khrista Boylan ◽  
Jeffrey D. Burke
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Adolescent Girls ◽  
Latent Class ◽  
Clinical Sample ◽  
Borderline Personality ◽  
Clinical Samples ◽  
Small Subset ◽  
Teenage Girls ◽  
Severe Impairment

The aim of this study was to determine whether borderline personality disorder (BPD) can be differentiated from other disorders in a clinical sample of adolescent girls. Participants (N = 75) were grouped based on the pattern of BPD symptom endorsement using a latent class analysis. Four latent classes were identified. The most impaired class endorsed seven BPD symptoms and an average of three comorbid disorders. An intermediate class endorsed three BPD symptoms and had the highest prevalence of PTSD (41.7%). A third class reported two BPD symptoms and had a high prevalence of anxiety disorders (62%). The fourth class had no BPD symptoms and, on average, one comorbid disorder. Only a small subset of these teenage girls met criteria for BPD, and they had distinct and severe impairment. The results suggest the modest likelihood of a BPD diagnosis in clinical samples of teenage girls, and to also be vigilant for PTSD.

scholarly journals Investigating the Relationship between Autistic Traits, Ruminative Thinking, and Suicidality in a Clinical Sample of Subjects with Bipolar Disorder and Borderline Personality Disorder

2021 ◽  
Vol 11 (5) ◽  
pp. 621
Author(s):  
Liliana Dell’Osso ◽  
Ivan Mirko Cremone ◽  
Giulia Amatori ◽  
Andrea Cappelli ◽  
Alessandro Cuomo ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Clinical Sample ◽  
Autistic Traits ◽  
Borderline Personality ◽  
Clinical Samples ◽  
Control Group ◽  
Clinical Group ◽  
Group 4

(1) Background: Previous literature reported in both subjects with Borderline personality disorder (BPD) and Bipolar disorder (BD) higher levels of autistic traits, linked to a greater suicidality risk. The aim of this study was to evaluate and compare the presence of autistic traits in a sample of individuals with BD or BPD, with a specific focus on suicidality. (2) Methods: We recruited two clinical samples of subjects (BPD and BD) and a control group without a diagnosis according to DSM-5 (CTL). Subjects were assessed with the AdAS Spectrum, the RRS and, for evaluating suicidality, the MOODS-SR. (3) Results: The CTL group showed significantly lower scores of both BD and BPD on AdAS Spectrum, RRS, and suicidality scores. BPD subjects showed significantly lower scores than BD ones in most of AdAS Spectrum domain scores. Correlation and regression analyses highlighted specific patterns of association among AdAS Spectrum domains, RRS, and suicidality in each clinical group. (4) Conclusions: Both BPD and BD individuals show greater levels of autistic traits, which seem to be distributed in a continuum featuring the highest levels among BD subjects. In both disorders, higher autistic traits were linked to suicidal tendencies, although with different patterns of association between BD and BPD subjects.

scholarly journals Daily shame and hostile irritability in adolescent girls with borderline personality disorder symptoms.

2015 ◽  
Vol 6 (1) ◽  
pp. 53-63 ◽  
Author(s):  
Lori N. Scott ◽  
Stephanie D. Stepp ◽  
Michael N. Hallquist ◽  
Diana J. Whalen ◽  
Aidan G. C. Wright ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Adolescent Girls ◽  
Borderline Personality

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.

Gender Differences in a Clinical Sample of Patients with Borderline Personality Disorder

2012 ◽  
Vol 26 (3) ◽  
pp. 368-380 ◽  
Author(s):  
Anke Banzhaf ◽  
Kathrin Ritter ◽  
Angela Merkl ◽  
Olaf Schulte-Herbrüggen ◽  
Claas-Hinrich Lammers ◽  
...  
Keyword(s):  
Gender Differences ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Clinical Sample ◽  
Borderline Personality

scholarly journals Heterogeneity of Borderline Personality Disorder Symptoms in Help-seeking Adolescents

2020 ◽  
Author(s):  
Marialuisa Cavelti ◽  
Stefan Lerch ◽  
Denisa Ghinea ◽  
Gloria Fischer-Waldschmidt ◽  
Franz Resch ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Help Seeking ◽  
Emotion Dysregulation ◽  
Latent Class ◽  
Borderline Personality ◽  
Minority Class ◽  
Scientific Debate ◽  
Treatment Indications ◽  
One Year

Abstract Background The heterogeneous presentation of borderline personality disorder (BPD) represents a clinical challenge. There is an ongoing scientific debate whether the heterogeneity can best be understood in terms of qualitative (categorical) or quantitative (dimensional) differences between individuals. The present study examined the latent structure of BPD in adolescents. Methods Five-hundred and six outpatients aged 12 to 17 years with risk-taking and/or self-harming behavior were assessed at baseline and one-year follow-up. Latent class analysis (corresponding with the categorical approach), factor analysis (corresponding with the dimensional approach), and factor mixture models (allowing for both categorical and dimensional aspects) were applied to the DSM-IV BPD criteria. Results The best fitting model distinguished between a majority class with high probabilities for all BPD criteria (“borderline group”) and a minority class with high probabilities for the impulsivity and anger criteria only (“impulsive group”). Sex significantly affected latent class membership, and both a latent factor and age explained within-class variability. The borderline group primarily consisted of females, frequently reported adverse childhood experiences, scored high on the emotion dysregulation and inhibitedness personality traits, and was associated with internalizing psychopathology. In contrast, the impulsive group primarily consisted of males, scored high on the dissocial behavior personality trait, and was associated with externalizing psychopathology. After one year, the two groups showed similar clinical improvement. Conclusions The study provides evidence for two distinct subgroups of adolescents with BPD features that resemble the subtypes of the ICD-10 emotionally instable personality disorder. More research is needed to further investigate the diagnostic stability of the two groups over time and potential differential treatment indications.

scholarly journals Reciprocal effects of parenting and borderline personality disorder symptoms in adolescent girls

2014 ◽  
Vol 26 (2) ◽  
pp. 361-378 ◽  
Author(s):  
Stephanie D. Stepp ◽  
Diana J. Whalen ◽  
Lori N. Scott ◽  
Maureen Zalewski ◽  
Rolf Loeber ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Adolescent Girls ◽  
Repeated Measures ◽  
Borderline Personality ◽  
Reciprocal Relationship ◽  
Reciprocal Effects ◽  
Harsh Punishment ◽  
Time Specific ◽  
The Impact

AbstractTheories of borderline personality disorder (BPD) postulate that high-risk transactions between caregiver and child are important for the development and maintenance of the disorder. Little empirical evidence exists regarding the reciprocal effects of parenting on the development of BPD symptoms in adolescence. The impact of child and caregiver characteristics on this reciprocal relationship is also unknown. Thus, the current study examines bidirectional effects of parenting, specifically harsh punishment practices and caregiver low warmth, and BPD symptoms in girls aged 14–17 years based on annual, longitudinal data from the Pittsburgh Girls Study (N = 2,451) in the context of child and caregiver characteristics. We examined these associations through the use of autoregressive latent trajectory models to differentiate time-specific variations in BPD symptoms and parenting from the stable processes that steadily influence repeated measures within an individual. The developmental trajectories of BPD symptoms and parenting were moderately associated, suggesting a reciprocal relationship. There was some support for time-specific elevations in BPD symptoms predicting subsequent increases in harsh punishment and caregiver low warmth. There was little support for increases in harsh punishment and caregiver low warmth predicting subsequent elevations in BPD symptoms. Child impulsivity and negative affectivity, and caregiver psychopathology were related to parenting trajectories, while only child characteristics predicted BPD trajectories. The results highlight the stability of the reciprocal associations between parenting and BPD trajectories in adolescent girls and add to our understanding of the longitudinal course of BPD in youth.

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