Associations between borderline personality disorder features and the risk of first onset major depressive disorder: Findings from a 2-year longitudinal study in a sample of first-year university students in China
| Autor: | Fengcheng Hao, JianLi Wang, Yan Liu, Min Chen, Bin Wang, Jinguo Zhai, Debiao Liu, Jin Zhu, Baohua Li |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Longitudinal study China Adolescent Universities behavioral disciplines and activities Young Adult Borderline Personality Disorder mental disorders medicine Humans Longitudinal Studies Young adult Students Borderline personality disorder Depression (differential diagnoses) Response rate (survey) Depressive Disorder Major business.industry Identity disturbance medicine.disease Psychiatry and Mental health Clinical Psychology Major depressive disorder Anxiety medicine.symptom business Clinical psychology |
| Zdroj: | Journal of affective disorders. 295 |
| ISSN: | 1573-2517 |
| Popis: | Background : The objective of this study was to estimate the associations between specific BPD features on the risk of first onset MDD over 2 years and to investigate the roles of sex, baseline depression and anxiety in the associations. Methods : A longitudinal study of Chinese first-year university students aged between 15 and 24 years and who did not have a lifetime MDD (n = 7,627). Random effect logistic regression modeling was used to estimate the associations between specific BPD features, the number of BPD features, and the risk of MDD. Results : The feeling of emptiness (OR = 2.14, 95% CI: 1.57, 2.92), paranoid/ dissociation (OR = 2.01, 95% CI: 1.43, 2.82), affective instability (OR = 1.71, 95% CI: 1.22, 2.39) conferred significant risk of MDD. Baseline depression and anxiety interacted with unstable relationship, identity disturbance and paranoid/disassociation in relation to the risk of MDD. A higher number of BPD features is associated with an increased risk of MDD. Limitations : Data collection relied on self-report. Thus, recall and reporting biases are possible. Due to the pandemic public health restrictions, we had to change the method of data collection at second annual assessment, which resulted in a lower response rate (66.5%). Conclusions : Mental health professionals should pay attention to the presence of BPD features in youth and young adults, as they are at high risk of developing a MDD in a short time period, and the risk increases with the number of BDP features. |
| Databáze: | OpenAIRE |
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