Self-reported symptoms of schizotypal and borderline personality disorder in patients with mood disorders
Permalink
Citation
Baryshnikov , I , Suvisaari , J , Aaltonen , K , Koivisto , M , Naatanen , P , Karpov , B , Melartin , T , Oksanen , J , Suominen , K , Heikkinen , M , Paunio , T , Joffe , G & Isometsa , E 2016 , ' Self-reported symptoms of schizotypal and borderline personality disorder in patients with mood disorders ' , European Psychiatry , vol. 33 , pp. 37-44 . https://doi.org/10.1016/j.eurpsy.2015.12.006
| Title: | Self-reported symptoms of schizotypal and borderline personality disorder in patients with mood disorders |
| Author: | Baryshnikov, I.; Suvisaari, J.; Aaltonen, K.; Koivisto, Maaria; Naatanen, P.; Karpov, Boris; Melartin, T.; Oksanen, J.; Suominen, K.; Heikkinen, Martti; Paunio, T.; Joffe, G.; Isometsa, E. |
| Contributor organization: | Department of Psychiatry Clinicum HUS Psychiatry |
| Date: | 2016-03 |
| Language: | eng |
| Number of pages: | 8 |
| Belongs to series: | European Psychiatry |
| ISSN: | 0924-9338 |
| DOI: | https://doi.org/10.1016/j.eurpsy.2015.12.006 |
| URI: | http://hdl.handle.net/10138/223888 |
| Abstract: | Background: Distinguishing between symptoms of schizotypal (SPD) and borderline personality disorders (BPD) is often difficult due to their partial overlap and frequent co-occurrence. We investigated correlations in self-reported symptoms of SPD and BPD in questionnaires at the levels of both total scores and individual items, examining overlapping dimensions. Methods: Two questionnaires, the McLean Screening Instrument (MSI) for BPD and the Schizotypal Personality Questionnaire Brief (SPQ-B) for SPD, were filled in by patients with mood disorders (n = 282) from specialized psychiatric care in a study of the Helsinki University Psychiatric Consortium. Correlation coefficients between total scores and individual items of the MSI and SPQ-B were estimated. Multivariate regression analysis (MRA) was conducted to examine the relationships between SPQ-B and MSI. Results: The Spearman's correlation between total scores of the MSI and SPQ-B was strong (rho = 0.616, P <0.005). Items of MSI reflecting disrupted relatedness and affective dysregulation correlated moderately (r(phi) varied between 0.2 and 0.4, P <0.005) with items of SPQ. Items of MSI reflecting behavioural dysregulation correlated only weakly with items of SPQ. In MRA, depressive symptoms, sex and MSI were significant predictors of SPQ-B score, whereas symptoms of anxiety, age and SPQ-B were significant predictors of MSI score. Conclusions: Items reflecting cognitive-perceptual distortions and affective symptoms of BPD appear to overlap with disorganized and cognitive-perceptual symptoms of SPD. Symptoms of depression may aggravate self-reported features of SPQ-B, and symptoms of anxiety features of MSI. Symptoms of behavioural dysregulation of BPD and interpersonal deficits of SPQ appear to be non-overlapping. (C) 2016 Elsevier Masson SAS. All rights reserved. |
| Subject: |
Borderline Personality Disorder
Schizotypal Personality Disorder McLean Screening Instrument Schizotypal Personality Questionnaire Brief MCLEAN SCREENING INSTRUMENT MAJOR DEPRESSIVE DISORDER IMPAIRMENT SCALE OASIS DSM-IV CRITERIA QUESTIONNAIRE-BRIEF ANXIETY DISORDERS BIPOLAR DISORDER MSI-BPD PREVALENCE TRAITS 3124 Neurology and psychiatry |
| Peer reviewed: | Yes |
| Usage restriction: | openAccess |
| Self-archived version: | publishedVersion |
Files in this item
Total number of downloads: Loading...
| Files | Size | Format | View |
|---|---|---|---|
| Self_reported_symptoms_of_schizotypal.pdf | 511.9Kb |
View/ |
This item appears in the following Collection(s)
-
Articles from TUHAT CRIS [45008]
Related items
Showing items related by title, author, creator and subject.
-
(2019)Muistisairauden neuropsykiatrisille oireille altistavat ja niitä laukaisevat tekijät, kuten tyydyttämättömät tarpeet ja stressitekijät, on tärkeää tunnistaa ja huomioida yksilöllisesti. Oireiden taustalla voi myös olla akuutti sekavuustila, somaattinen syy tai huonosti sopiva lääkitys. Yksilöllisesti räätälöidyt lääkkeettömät hoidot ovat tuloksellisia. Eniten näyttöä on hoitavalle henkilölle annetun ohjauksen ja tuen vaikutuksesta. Muistisairaan kohtaamisessa tavoitteena on arvostava ja luottamuksellinen suhde.
-
(2020)Preterm birth research is poised to explore the mental health of adults born very preterm(VP;1970) included VP/VLBW individuals with controls born at term(≥37+0 weeks) or with normal birth weight(NBW; ≥2500g). Thirteen studies were included. Studies consistently showed an increased risk for psychotropic medication use for VP/VLBW adults in comparison to NBW/term controls, but whether VP/VLBW adults have an increased risk for mental health disorders or symptoms appearing in adulthood remains uncertain. The quality of the evidence was moderate (65.8%) to high (34.2%). Further research in larger samples is needed.
-
(2016)Background: Substantial literature exists on risk factors for suicidal behaviour. However, their comparative strength, independence and specificity for either suicidal ideation or suicide attempt(s) remain unclear. Methods: The Helsinki University Psychiatric Consortium (HUPC) Study surveyed 287 psychiatric care patients with ICD-10-DCR depressive or bipolar disorders about lifetime suicidal behaviour, developmental history and attachment style, personality and psychological traits, current and lifetime symptom profiles, and life events. Psychiatric records were used to confirm diagnosis and complement information on suicide attempts. Multinomial regression models predicting lifetime suicidal ideation and single or repeated suicide attempts were generated. Results: Overall, 21.6% patients had no lifetime suicidal behaviour, 33.8% had lifetime suicide ideation without attempts, and 17.1% had a single and 27.5% repeated suicide attempts. In univariate analyses, lifetime suicidal behaviour was associated with numerous factors. In multivariate models, suicidal ideation was independently predicted by younger age, severe depressive disorder, bipolar disorder type II/nos, hopelessness, and childhood physical abuse. Repeated suicide attempts were independently predicted by younger age, female sex, severe depressive disorder with or without psychotic symptoms, bipolar disorder type II/nos, alcohol use disorder, borderline personality disorder traits, and childhood physical abuse. Limitations: Cross-sectional and retrospective study design, utilization of clinical diagnoses, and relatively low response rate. Conclusions: Risk factors for suicidal ideation and attempts may diverge both qualitatively and in terms of dose response. When effects of risk factors from multiple domains are concurrently examined, proximal clinical characteristics remain the most robust. All risk factors cluster into the group of repeated attempters. (C) 2015 Elsevier B.V. All rights reserved.