Journal articles on the topic 'Borderline personality disorder'

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1

Leichsenring, Falk, Nikolas Heim, Frank Leweke, Carsten Spitzer, Christiane Steinert, and Otto F. Kernberg. "Borderline Personality Disorder." JAMA 329, no. 8 (February 28, 2023): 670. http://dx.doi.org/10.1001/jama.2023.0589.

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ImportanceBorderline personality disorder (BPD) affects approximately 0.7% to 2.7% of adults in the US. The disorder is associated with considerable social and vocational impairments and greater use of medical services.ObservationsBorderline personality disorder is characterized by sudden shifts in identity, interpersonal relationships, and affect, as well as by impulsive behavior, periodic intense anger, feelings of emptiness, suicidal behavior, self-mutilation, transient, stress-related paranoid ideation, and severe dissociative symptoms (eg, experience of unreality of one’s self or surroundings). Borderline personality disorder is typically diagnosed by a mental health specialist using semistructured interviews. Most people with BPD have coexisting mental disorders such as mood disorders (ie, major depression or bipolar disorder) (83%), anxiety disorders (85%), or substance use disorders (78%). The etiology of BPD is related to both genetic factors and adverse childhood experiences, such as sexual and physical abuse. Psychotherapy is the treatment of choice for BPD. Psychotherapy such as dialectical behavior therapy and psychodynamic therapy reduce symptom severity more than usual care, with medium effect sizes (standardized mean difference) between −0.60 and −0.65. There is no evidence that any psychoactive medication consistently improves core symptoms of BPD. For discrete and severe comorbid mental disorders, eg, major depression, pharmacotherapy such as the selective serotonin reuptake inhibitors escitalopram, sertraline, or fluoxetine may be prescribed. For short-term treatment of acute crisis in BPD, consisting of suicidal behavior or ideation, extreme anxiety, psychotic episodes, or other extreme behavior likely to endanger a patient or others, crisis management is required, which may include prescription of low-potency antipsychotics (eg, quetiapine) or off-label use of sedative antihistamines (eg, promethazine). These drugs are preferred over benzodiazepines such as diazepam or lorazepam.Conclusions and RelevanceBorderline personality disorder affects approximately 0.7% to 2.7% of adults and is associated with functional impairment and greater use of medical services. Psychotherapy with dialectical behavior therapy and psychodynamic therapy are first-line therapies for BPD, while psychoactive medications do not improve the primary symptoms of BPD.
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2

Petrova, N. N., D. I. Charnaya, and E. M. Chumakov. "Borderline Personality Disorder: Diagnosis." Doctor.Ru 21, no. 8 (2022): 66–71. http://dx.doi.org/10.31550/1727-2378-2022-21-8-66-71.

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Objective of the Review: To collect and analyse the available Russian and foreign literature sources in borderline personality disorder. Key Points. The review is dedicated to the borderline personality disorder, which is partially relevant due to a high rate of self-injurious and psychiatric co-morbidities. The data on morbidity, milestones in the development of the notion of the borderline personality disorder, and diagnostic criteria in ICD-11 and DSM-5 are presented. Clinical signs of a borderline personality disorder are characterised, and approaches to the differential diagnosis of schizophrenic and affective disorders are discussed. Conclusion. A review of literature sources demonstrated a higher theoretical and practical importance of the borderline personality disorder. Keywords: borderline personality disorder, prevalence, clinical profile, diagnosis, differential diagnosis, affective disorders, schizophrenia.
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3

Links, Paul S., M. Janice E. Mitton, and Meir Steiner. "Stability of Borderline Personality Disorder." Canadian Journal of Psychiatry 38, no. 4 (May 1993): 255–59. http://dx.doi.org/10.1177/070674379303800406.

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This study examines the course of illness and stability of borderline personality disorder (BPD) in a group of inpatients seen at a two-year follow-up. The diagnosis of borderline personality disorder, as established by the use of the Diagnostic Interview for Borderlines, did not change in 39 of the 65 subjects (60%) studied. Subjects who continued to show evidence of borderline psychopathology experienced more acute episodes of illness during the follow-up period and tended to be more involved in substance abuse. Impulsiveness and young age when first psychiatric care was received significantly predicted the presence of BPD features at follow-up.
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4

Broadbear, Jillian H., Julian Nesci, Rosemary Thomas, Katherine Thompson, Josephine Beatson, and Sathya Rao. "Evaluation of changes in prescription medication use after a residential treatment programme for borderline personality disorder." Australasian Psychiatry 24, no. 6 (July 10, 2016): 583–88. http://dx.doi.org/10.1177/1039856216654391.

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Objective: Residential patients diagnosed with borderline personality disorder were evaluated to determine whether borderline personality disorder-focused psychotherapy reduced prescribing, personality disorder and co-morbid symptom severity. Method: Psychotropic prescriptions were measured at admission, discharge and 1 year later in 74 female participants with one or more personality disorder diagnosis and co-morbid mood disorders. Changes in pharmacotherapy were examined in the context of improvements in borderline personality disorder and/or co-morbid disorder symptom severity. Residential treatment included individual and group psychotherapy for borderline personality disorder. The Structured Clinical Interview for DSM-IV was used to confirm the borderline personality disorder diagnosis and associated co-morbid conditions. The Beck Depression Inventory was completed at each time point. Results: A significant reduction in the incidence and severity of self-rated depression as well as clinician assessed personality disorder, including borderline personality disorder, was accompanied by a reduction in prescription of psychoactive medications. Conclusions: Three to six months of intensive borderline personality disorder-specific psychotherapy showed lasting benefit with regard to symptom severity of personality disorders (borderline personality disorder in particular) as well as depressive symptoms. This improvement corresponded with a reduction in prescriptions for psychoactive medications, which is consistent with current thinking regarding treatment for borderline personality disorder.
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5

Fox, Nicola. "Borderline personality disorder." Nursing Standard 21, no. 18 (January 10, 2007): 59–60. http://dx.doi.org/10.7748/ns.21.18.59.s51.

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6

Smoyak, Shirley A. "Borderline Personality Disorder." Journal of Psychosocial Nursing and Mental Health Services 23, no. 4 (April 1985): 5. http://dx.doi.org/10.3928/0279-3695-19850401-03.

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7

Bohus, Martin, Jutta Stoffers-Winterling, Carla Sharp, Annegret Krause-Utz, Christian Schmahl, and Klaus Lieb. "Borderline personality disorder." Lancet 398, no. 10310 (October 2021): 1528–40. http://dx.doi.org/10.1016/s0140-6736(21)00476-1.

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8

Peele, Roger, and Hind Benjelloun. "Borderline Personality Disorder." Journal of Clinical Psychiatry 71, no. 01 (January 15, 2010): 95. http://dx.doi.org/10.4088/jcp.09bk05380.

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9

Moss, Jay H. "Borderline personality disorder." Postgraduate Medicine 85, no. 5 (April 1989): 151–58. http://dx.doi.org/10.1080/00325481.1989.11700662.

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10

Fleming, Jonathan A. E. "Borderline Personality Disorder." Canadian Journal of Psychiatry 32, no. 5 (June 1987): 414. http://dx.doi.org/10.1177/070674378703200527.

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11

Regan, William M. "Borderline Personality Disorder." Journal of Clinical Psychiatry 75, no. 07 (July 15, 2014): e711. http://dx.doi.org/10.4088/jcp.14bk09136.

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12

Gunderson, John G. "Borderline Personality Disorder." New England Journal of Medicine 364, no. 21 (May 26, 2011): 2037–42. http://dx.doi.org/10.1056/nejmcp1007358.

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13

Meares, Russell, and Janine Stevenson. "Borderline Personality Disorder." Australian & New Zealand Journal of Psychiatry 34, no. 5 (October 2000): 869–71. http://dx.doi.org/10.1080/j.1440-1614.2000.0822b.x.

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14

Ashman, D., and R. Haigh. "Borderline personality disorder." British Journal of Psychiatry 188, no. 6 (June 2006): 585. http://dx.doi.org/10.1192/bjp.188.6.585.

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15

Kernberg, Otto F., and Robert Michels. "Borderline Personality Disorder." American Journal of Psychiatry 166, no. 5 (May 2009): 505–8. http://dx.doi.org/10.1176/appi.ajp.2009.09020263.

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16

Gunderson, John G., Igor Weinberg, and Lois Choi-Kain. "Borderline Personality Disorder." FOCUS 11, no. 2 (January 2013): 129–45. http://dx.doi.org/10.1176/appi.focus.11.2.129.

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17

Leichsenring, Falk, Eric Leibing, Johannes Kruse, Antonia S. New, and Frank Leweke. "Borderline Personality Disorder." FOCUS 11, no. 2 (January 2013): 249–60. http://dx.doi.org/10.1176/appi.focus.11.2.249.

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18

Paris, J. "Borderline personality disorder." Canadian Medical Association Journal 172, no. 12 (June 7, 2005): 1579–83. http://dx.doi.org/10.1503/cmaj.045281.

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19

Cary, Gene L. "Borderline Personality Disorder." American Journal of Psychotherapy 51, no. 3 (July 1997): 461–62. http://dx.doi.org/10.1176/appi.psychotherapy.1997.51.3.461.

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20

Gunderson, John G., and Maria E. Ridolfi. "Borderline Personality Disorder." Annals of the New York Academy of Sciences 932, no. 1 (January 25, 2006): 61–77. http://dx.doi.org/10.1111/j.1749-6632.2001.tb05798.x.

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21

Gunderson, John. "Borderline Personality Disorder." Social Work in Mental Health 6, no. 1-2 (January 23, 2008): 5–12. http://dx.doi.org/10.1300/j200v06n01_02.

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22

Sansone, Randy A., and Lori A. Sansone. "Borderline personality disorder." Postgraduate Medicine 97, no. 6 (June 1995): 169–79. http://dx.doi.org/10.1080/00325481.1995.11946012.

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23

Brüne, Martin. "Borderline Personality Disorder." Evolution, Medicine, and Public Health 2016, no. 1 (2016): 52–66. http://dx.doi.org/10.1093/emph/eow002.

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24

BRODSKY, MICHAEL. "Borderline Personality Disorder." Clinical Psychiatry News 40, no. 7 (July 2012): 6. http://dx.doi.org/10.1016/s0270-6644(12)70181-9.

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25

Oldham, John. "Borderline Personality Disorder." Journal of Psychiatric Practice 15, no. 3 (May 2009): 159. http://dx.doi.org/10.1097/01.pra.0000351875.43474.a6.

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26

Burkle, Frederick M., Ronald Rae, and Matthew M. Rice. "Borderline personality disorder." Annals of Emergency Medicine 14, no. 10 (October 1985): 996–1001. http://dx.doi.org/10.1016/s0196-0644(85)80248-1.

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27

Yeomans, Frank E., and Kenneth N. Levy. "Borderline Personality Disorder." Psychiatric Clinics of North America 41, no. 4 (December 2018): i. http://dx.doi.org/10.1016/s0193-953x(18)31159-6.

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28

Lieb, Klaus, Mary C. Zanarini, Christian Schmahl, Marsha M. Linehan, and Martin Bohus. "Borderline personality disorder." Lancet 364, no. 9432 (July 2004): 453–61. http://dx.doi.org/10.1016/s0140-6736(04)16770-6.

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29

KHOURI, PHILIPPE J. "Borderline Personality Disorder." American Journal of Psychiatry 143, no. 4 (April 1986): 545–46. http://dx.doi.org/10.1176/ajp.143.4.545.

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30

Tusiani-Eng, Paula, and Frank Yeomans. "Borderline Personality Disorder." Psychiatric Clinics of North America 41, no. 4 (December 2018): 695–709. http://dx.doi.org/10.1016/j.psc.2018.07.006.

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31

Yeomans, Frank E., and Kenneth N. Levy. "Borderline Personality Disorder." Psychiatric Clinics of North America 41, no. 4 (December 2018): xiii—xv. http://dx.doi.org/10.1016/j.psc.2018.09.001.

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32

Leichsenring, Falk, Eric Leibing, Johannes Kruse, Antonia S. New, and Frank Leweke. "Borderline personality disorder." Lancet 377, no. 9759 (January 2011): 74–84. http://dx.doi.org/10.1016/s0140-6736(10)61422-5.

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33

Sheppard, Kate, and Cameron Duncan. "Borderline personality disorder." Nurse Practitioner 43, no. 6 (June 2018): 14–17. http://dx.doi.org/10.1097/01.npr.0000531923.24420.6e.

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34

Zimmerman, Mark. "Borderline Personality Disorder." Journal of Nervous and Mental Disease 203, no. 1 (January 2015): 8–12. http://dx.doi.org/10.1097/nmd.0000000000000226.

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35

Talbott, John A. "Borderline Personality Disorder." Journal of Nervous and Mental Disease 201, no. 2 (February 2013): 83. http://dx.doi.org/10.1097/nmd.0b013e31827f626b.

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36

Bhome, Rohan, and Pavel Fridrich. "Borderline personality disorder." British Journal of Hospital Medicine 76, no. 1 (January 2, 2015): C14—C16. http://dx.doi.org/10.12968/hmed.2015.76.1.c14.

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37

Chanen, Andrew M. "Borderline personality disorder." Personality and Mental Health 3, no. 2 (April 14, 2009): 116–19. http://dx.doi.org/10.1002/pmh.71.

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38

Restek-Petrovic, Branka, Majda Grah, Ena Ivezic, Hrvoje Handl, Zeljko Milovac, Ivana Bahun, Nina Mayer, and Petra Vrbek. "Borderline Personality Disorder." Journal of Nervous & Mental Disease 211, no. 1 (January 2023): 11–16. http://dx.doi.org/10.1097/nmd.0000000000001546.

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39

Jin, Jill. "Borderline Personality Disorder." JAMA 329, no. 8 (February 28, 2023): 692. http://dx.doi.org/10.1001/jama.2023.1012.

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40

Androus, Michael, Hyun Ah “Esther” Oh, and Bridget Parsh. "Borderline personality disorder." Nursing 53, no. 8 (August 2023): 10–12. http://dx.doi.org/10.1097/01.nurse.0000942812.63800.e3.

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41

Philipsen, Alexandra, Matthias F. Limberger, Klaus Lieb, Bernd Feige, Nikolaus Kleindienst, Ulrich Ebner-Priemer, Johanna Barth, Christian Schmahl, and Martin Bohus. "Attention-deficit hyperactivity disorder as a potentially aggravating factor in borderline personality disorder." British Journal of Psychiatry 192, no. 2 (February 2008): 118–23. http://dx.doi.org/10.1192/bjp.bp.107.035782.

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BackgroundClinical experience suggests that people with borderline personality disorder often meet criteria for attention-deficit hyperactivity disorder (ADHD). However, empirical data are sparse.AimsTo establish the prevalence of childhood and adult ADHD in a group of women with borderline personality disorder and to investigate the psychopathology and childhood experiences of those with and without ADHD.MethodWe assessed women seeking treatment for borderline personality disorder (n=118) for childhood and adult ADHD, co-occurring Axis I and Axis II disorders, severity of borderline symptomatology and traumatic childhood experiences.ResultsChildhood (41.5%) and adult (16.1%) ADHD prevalence was high. Childhood ADHD was associated with emotional abuse in childhood and greater severity of adult borderline symptoms. Adult ADHD was associated with greater risk for co-occurring Axis I and II disorders.ConclusionsAdults with severe borderline personality disorder frequently show a history of childhood ADHD symptomatology. Persisting ADHD correlates with frequency of co-occurring Axis I and II disorders. Severity of borderline symptomatology in adulthood is associated with emotional abuse in childhood. Further studies are needed to differentiate any potential causal relationship between ADHD and borderline personality disorder.
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42

KIRSTEN, MARKHAM. "Multiple Personality Disorder and Borderline Personality Disorder." American Journal of Psychiatry 147, no. 10 (October 1990): 1386—b—1387. http://dx.doi.org/10.1176/ajp.147.10.1386-b.

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43

Tyrer, Peter. "Why borderline personality disorder is neither borderline nor a personality disorder." Personality and Mental Health 3, no. 2 (April 14, 2009): 86–95. http://dx.doi.org/10.1002/pmh.78.

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44

SET, Zeynep. "Development of Borderline Personality Disorder." Turkiye Klinikleri Journal of Health Sciences 5, no. 2 (2020): 323–37. http://dx.doi.org/10.5336/healthsci.2019-71741.

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45

Vaknin, Sam. "Title: The Covert Borderline." Psychology & Psychological Research International Journal 9, no. 1 (2024): 1–5. http://dx.doi.org/10.23880/pprij-16000400.

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I propose a new clinical entity, a hybrid between narcissistic and borderline personality disorders. It is not the comorbidity which it quite common in clinical settings. It is a personality disorder that seamlessly integrates features of both NPD and BPD.
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46

Luty, Jason. "Bordering on the bipolar: a review of criteria for ICD-11 and DSM-5 persistent mood disorders." BJPsych Advances 26, no. 1 (October 10, 2019): 50–57. http://dx.doi.org/10.1192/bja.2019.54.

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SUMMARYThe principal manuals for psychiatric diagnosis have recently been updated (ICD-11 was released in June 2018 and DSM-5 was published in 2013). A common diagnostic quandary is the classification of people with chronic low mood, especially those with repeated self-harm (‘emotionally unstable’ or ‘borderline’ personality disorder). There has been a great interest in use of type II bipolar affective disorder (‘bipolar II disorder’) as a less pejorative diagnostic alternative to ‘personality disorder’, despite the radically different treatment options for these disorders. DSM-5 (but not ICD-11) clearly distinguishes between borderline personality disorder and bipolar II disorder, indicating that intense emotional experiences (such as anger, panic or despair; irritability; anxiety) should persist for only a few hours in people with a personality disorder. Both manuals now use the term ‘borderline personality disorder’ rather than ‘emotionally unstable personality disorder’. The diagnostic criteria for cyclothymic disorder remain confusing.LEARNING OBJECTIVESAfter reading this article you will be able to: •appreciate the key differences in diagnostic classification between persistent mood disorders: bipolar II disorder, borderline personality disorder and dysthymia•be aware of the modest differences between ICD-10, ICD-11 and DSM-5 in diagnostic criteria for these disorders•appreciate that intense emotional experiences need persist for only a few hours to meet criteria for DSM-5 borderline personality disorder and that persistent emotional dysregulation (e.g. irritability, impulsiveness, disinhibition) for a few days meets criteria for DSM-5 bipolar II disorder.
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47

Parker, Gordon, Adam Bayes, Georgia McClure, Yolanda Romàn Ruiz del Moral, and Janine Stevenson. "Clinical status of comorbid bipolar disorder and borderline personality disorder." British Journal of Psychiatry 209, no. 3 (September 2016): 209–15. http://dx.doi.org/10.1192/bjp.bp.115.177998.

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BackgroundThe status and differentiation of comorbid borderline personality disorder and bipolar disorder is worthy of clarification.AimsTo determine whether comorbid borderline personality disorder and bipolar disorder are interdependent or independent conditions.MethodWe interviewed patients diagnosed with either a borderline personality disorder and/or a bipolar condition.ResultsAnalyses of participants grouped by DSM diagnoses established that those with comorbid conditions scored similarly to those with a borderline personality disorder alone on all key variables (i.e. gender, severity of borderline personality scores, developmental stressors, illness correlates, self-injurious behaviour rates) and differed from those with a bipolar disorder alone on nearly all non-bipolar item variables. Similar findings were returned for groups defined by clinical diagnoses.ConclusionsComorbid bipolar disorder and borderline personality disorder is consistent with the formal definition of comorbidity in that, while coterminous, individuals meeting such criteria have features of two independent conditions.
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48

Zimmerman, Mark, William Ellison, Theresa A. Morgan, Diane Young, Iwona Chelminski, and Kristy Dalrymple. "Psychosocial morbidity associated with bipolar disorder and borderline personality disorder in psychiatric out-patients: Comparative study." British Journal of Psychiatry 207, no. 4 (October 2015): 334–38. http://dx.doi.org/10.1192/bjp.bp.114.153569.

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BackgroundThe morbidity associated with bipolar disorder is, in part, responsible for repeated calls for improved detection and recognition. No such commentary exists for the improved detection of borderline personality disorder. Clinical experience suggests that it is as disabling as bipolar disorder, but no study has directly compared the two disorders.AimsTo compare the levels of psychosocial morbidity in patients with bipolar disorder and borderline personality disorder.MethodPatients were assessed with semi-structured interviews. We compared 307 patients with DSM-IV borderline personality disorder but without bipolar disorder and 236 patients with bipolar disorder but without borderline personality disorder.ResultsThe patients with borderline personality disorder less frequently were college graduates, were diagnosed with more comorbid disorders, more frequently had a history of substance use disorder, reported more suicidal ideation at the time of the evaluation, more frequently had attempted suicide, reported poorer social functioning and were rated lower on the Global Assessment of Functioning. There was no difference between the two patient groups in history of admission to psychiatric hospital or time missed from work during the past 5 years.ConclusionsThe level of psychosocial morbidity associated with borderline personality disorder was as great as (or greater than) that experienced by patients with bipolar disorder. From a public health perspective, efforts to improve the detection and treatment of borderline personality disorder might be as important as efforts to improve the recognition and treatment of bipolar disorder.
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49

Links, Paul S. "Symposium: Borderline Personality Disorder." Canadian Journal of Psychiatry 33, no. 5 (June 1988): 335. http://dx.doi.org/10.1177/070674378803300503.

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50

Clark-Coller, David, and Carise E. Charles Johnson. "Treating Borderline Personality Disorder." Nurse Practitioner 13, no. 11 (November 1988): 4. http://dx.doi.org/10.1097/00006205-198811000-00001.

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