Unblending Borderline Personality and Bipolar Disorders

Autor: Ester di Giacomo, Flora Aspesi, Maria Fotiadou, Arnoud Arntz, Eugenio Aguglia, Lavinia Barone, Silvio Bellino, Bernardo Carpiniello, Fabrizia Colmegna, Marina Lazzari, Liliana Lorettu, Federica Pinna, Aldo Sicaro, Maria Salvina Signorelli, Massimo Clerici, Paola Bozzatello, Elena Brignolo, Alice Ghiani, Maria Catena Battiato, Roberta Bon, Luana Contiero, Antonella Denti, Lucia Franco, Anna Maria Ginanneschi, Alice Lai, Giuseppe Laneri, Monica Marchini, Elena Miragliotta, Laura Ostaldo, Elisabetta Paggi, Sara Ravasi, Filippo Roletto, Sara Ruta, Dario Zaccheroni
Přispěvatelé: di GIACOMO, E, Aspesi, F, Fotiadou, M, Arntz, A, Aguglia, E, Barone, L, Bellino, S, Carpiniello, B, Colmegna, F, Lazzari, M, Lorettu, L, Pinna, F, Sicaro, A, Signorelli, M, di Giacomo, E, Clerici, M, Bozzatello, P, Brignolo, E, Ghiani, A, Battiato, M, Bon, R, Contiero, L, Denti, A, Franco, L, Ginanneschi, A, Lai, A, Laneri, G, Marchini, M, Miragliotta, E, Ostaldo, L, Paggi, E, Ravasi, S, Roletto, F, Ruta, S, Zaccheroni, D, Klinische Psychologie (Psychologie, FMG)
Rok vydání: 2017
Předmět:
Male
medicine.medical_specialty
Bipolar Disorder
Hamilton Anxiety Rating Scale
Clinical aspect
Epidemiology
media_common.quotation_subject
Impulsivity
Young Mania Rating Scale
Symptom severity
Structural equation models
Psychosocial functioning
03 medical and health sciences
0302 clinical medicine
Arts and Humanities (miscellaneous)
Borderline Personality Disorder
Diagnosis
mental disorders
medicine
Humans
Personality
Bipolar disorder
Psychiatry
Borderline personality disorder
Biological Psychiatry
media_common
Psychiatric Status Rating Scales
Analysis of Variance
Clinical aspects
medicine.disease
Borderline Personality Disorder
Bipolar Disorder
Clinical aspects
Diagnosis
Epidemiology
030227 psychiatry
Psychiatry and Mental health
Schizophrenia
Personal resources
Female
medicine.symptom
VALIDITY
RELIABILITY
SCALE
MANIA
Psychology
Mania
030217 neurology & neurosurgery
Diagnosi
Clinical psychology
Zdroj: Journal of Psychiatric Research, 91, 90-97. Elsevier
ISSN: 0022-3956
DOI: 10.1016/j.jpsychires.2017.03.006
Popis: Borderline Personality (BPD) and Bipolar (BP) disorders stimulate an academic debate between their distinction and the inclusion of Borderline in the Bipolar spectrum. Opponents to this inclusion attribute the important differences and possible diagnostic incomprehension to overlapping symptoms. We tested 248 Borderline and 113 Bipolar patients, consecutively admitted to the Psychiatric Unit, through DSM-IV Axis I and II Disorders (SCID-I/II), Hamilton Depression Rating Scale (HAM-D), Hamilton Anxiety Rating Scale (HAM-A), Young Mania Rating Scale (YMRS) and Borderline Personality Disorder Severity Index-IV (BPDSI-IV). All the tests statistically discriminated the disorders (p < 0.0001). Overlapping symptoms resulted significantly different (impulsivity = 5.32 in BPD vs 1.55 in BP, p < 0.0001; emotional instability = 7.11 in BPD vs 0.55 in BP, p < 0.0001) and the range of their scores gives the opportunity for an even more precise discrimination. Distinctive traits (e.g. irritability or sexual arousal) are also discussed in order to try to qualify the core of these disorders to a higher degree. Comorbidity proves to be extremely small (3.6%). However, Borderline patients with manic features offer a privileged point of view for a deeper analysis. This allows for the possibility of a more precise examination of the nature and load of each symptom. Borderline Personality and Bipolar Disorders can be distinguished with high precision using common and time-sparing tests. The importance of discriminating these clinical features may benefit from this evidence.
Databáze: OpenAIRE
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