Prevalence rates of borderline personality disorder symptoms: a study based on the Netherlands Mental Health Survey and Incidence Study-2

Autor: Ad Kaasenbrood, Marloes Kleinjan, Saskia van Dorsselaer, Roel Verheul, Marlous Tuithof, Ron de Graaf, Margreet ten Have
Rok vydání: 2016
Předmět:
Adult
Male
medicine.medical_specialty
Health service use
Borderline personality disorder symptoms
Population
Population survey
Comorbidity
behavioral disciplines and activities
Disability Evaluation
Young Adult
03 medical and health sciences
0302 clinical medicine
Prevalence of mental disorders
Borderline Personality Disorder
mental disorders
Prevalence
medicine
Humans
Disabled Persons
Psychiatry
education
Borderline personality disorder
Aged
Netherlands
School Health Services
education.field_of_study
Disability
Mental Disorders
Middle Aged
Patient Acceptance of Health Care
medicine.disease
Health Surveys
Mental health
030227 psychiatry
Diagnostic and Statistical Manual of Mental Disorders
Substance abuse
Psychiatry and Mental health
National Comorbidity Survey
Anxiety
Female
medicine.symptom
Psychology
030217 neurology & neurosurgery
Research Article
Clinical psychology
Zdroj: BMC Psychiatry
ISSN: 1471-244X
DOI: 10.1186/s12888-016-0939-x
Popis: Background Despite increasing knowledge of the prevalence of borderline personality disorder (BPD) in the general population, and rising awareness of mental disorders both as a categorical and a dimensional construct, research is still lacking on the prevalence of the number of BPD symptoms and their associated consequences, such as comorbidity, disability, and the use of mental health services) in the general population. Methods Data were obtained from the second wave of the Netherlands Mental Health Survey and Incidence Study-2 (N = 5303), a nationally representative face-to-face survey of the general population. BPD symptoms were measured by means of questions from the International Personality Disorder Examination. Comorbidity of common mental disorders was assessed with the Composite International Diagnostic Interview version 3.0. Results Of the total population studied, 69.9 % reported no BPD symptoms, while 25.2 % had 1–2 symptoms, 3.8 % had 3–4 symptoms, and 1.1 % had ≥ 5 BPD symptoms. The number of BPD symptoms reported was found to be positively associated with not living with a partner, having no paid job, and/or having a comorbid mood, anxiety or substance use disorder. Even after adjustment for sociodemographic characteristics and comorbidity, the number of BPD symptoms turned out to be uniquely associated with disability. It also showed a positive relationship with using services for dealing with mental health problems, although this relationship was strongly affected by the presence of comorbid disorders. Conclusions Because even a relatively low number of BPD symptoms appears to be associated with psychiatric comorbidity and functional disability, not only full-blown BPD but also subthreshold levels of BPD symptoms need to be identified in clinical practice and research.
Databáze: OpenAIRE