Is ‘subthreshold’ bipolar II disorder more difficult to differentiate from borderline personality disorder than formal bipolar II disorder?
| Autor: | Rebecca Graham, Adam Bayes, Gordon Parker, Stacey McCraw |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Bipolar Disorder media_common.quotation_subject Emotions Suicide Attempted behavioral disciplines and activities Diagnosis Differential 03 medical and health sciences Bipolar II disorder 0302 clinical medicine Borderline Personality Disorder mental disorders Humans Medicine Personality Bipolar disorder Family history Borderline personality disorder Biological Psychiatry Depression (differential diagnoses) media_common business.industry Cognition Middle Aged medicine.disease Cyclothymic Disorder 030227 psychiatry Diagnostic and Statistical Manual of Mental Disorders Affect Psychiatry and Mental health Mood Female Self Report business Self-Injurious Behavior 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Psychiatry Research. 264:416-420 |
| ISSN: | 0165-1781 |
| DOI: | 10.1016/j.psychres.2018.04.018 |
| Popis: | Recent research indicates that borderline personality disorder (BPD) can be diagnostically differentiated from the bipolar disorders. However, no studies have attempted to differentiate participants with sub-threshold bipolar disorder or SubT BP (where hypomanic episodes last less than 4 days) from those with a BPD. In this study, participants were assigned a SubT BP, bipolar II disorder (BP II) or BPD diagnosis based on clinical assessment and DSM-IV criteria. Participants completed self-report measures and undertook a clinical interview which collected socio-demographic information, a mood history, family history, developmental history, treatment information, and assessed cognitive, emotional and behavioural functioning. Both bipolar groups, whether SubT BP or BP II, differed to the BPD group on a number of key variables (i.e. developmental trauma, depression correlates, borderline personality scores, self-harm and suicide attempts), and compared to each other, returned similar scores on nearly all key variables. Borderline risk scores resulted in comparable classification rates of 0.74 (for BPD vs BP II) and 0.82 (for BPD vs sub-threshold BP II). Study findings indicate that both SubT BP and BP II disorder can be differentiated from BPD on a set of refined clinical variables with comparable accuracy. |
| Databáze: | OpenAIRE |
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