Disease Burden Of Co-Occurring Borderline Personality Disorder In Patients With Bipolar Disorder
Introduction In recent years, advances in the areas of both bipolar disorder (BD) and borderline personality disorder (BPD) have generated considerable interest in the relationship between these two conditions, since that they are commonly comorbid. Objectives We aimed to investigate the impact of...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S092493382201166X/type/journal_article |
| _version_ | 1797617467538800640 |
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| author | M. Turki M. Abdellatif N. Gargouri S. Ellouze S. Blanji A. Daoud N. Halouani J. Aloulou |
| author_facet | M. Turki M. Abdellatif N. Gargouri S. Ellouze S. Blanji A. Daoud N. Halouani J. Aloulou |
| author_sort | M. Turki |
| collection | DOAJ |
| description |
Introduction
In recent years, advances in the areas of both bipolar disorder (BD) and borderline personality disorder (BPD) have generated considerable interest in the relationship between these two conditions, since that they are commonly comorbid.
Objectives
We aimed to investigate the impact of BPD on course of illness in patients with BP.
Methods
We conducted a cross-sectional, descriptive and analytical study among 30 psychiatric outpatients diagnosed with BD in the Psychiatry « B » department, Hedi Chaker Hospital (Sfax, Tunisia). The McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) was used to screen for BPD. Clinical outcomes (hospital stays, comorbidities, suicidality…) were compared between BD- patients with or without BPD comorbidity.
Results
The mean age was 41.63 years, with a sex ratio of ½. Among the patients, 2/3 were diagnosed with BD-I, while 1/3 presented a BD-II. Physical comorbidities, comorbid anxious and eating disorders were noted respectively in 36.7%; 16.7% and 43.3% of patients. Suicidal attempts were reported in 46.7% of cases. According to MSI-BPD, a comorbid BPD was noted in 30% of our sample. Patients with BD-II were significantly more likely to present BDP traits (50%) than those with BD-I (20%) (p<0.001). Patients with BPD were significantly more likely to attempt suicide (p=0.033), and to present physical comorbidities (p<0.001) and comorbid eating disorders (p<0.001).
Conclusions
Our study showed that BPD darkens the prognosis of BD, because of worse outcomes related to suicide, physical and psychiatric comorbidities. Thus, its co-occurrence complicates the management of BD.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:56:30Z |
| format | Article |
| id | doaj.art-24bc3f5b32b549a7816f43eea922e9cc |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:56:30Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-24bc3f5b32b549a7816f43eea922e9cc2023-11-17T05:05:34ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S459S46010.1192/j.eurpsy.2022.1166Disease Burden Of Co-Occurring Borderline Personality Disorder In Patients With Bipolar DisorderM. Turki0M. Abdellatif1N. Gargouri2S. Ellouze3S. Blanji4A. Daoud5N. Halouani6J. Aloulou7Hedi Chaker University Hospital, Psychiatry “b” Department, Sfax, TunisiaHedi Chaker University Hospital, Psychiatry “b” Department, Sfax, TunisiaHedi Chaker University Hospital, Psychiatry “b” Department, Sfax, TunisiaHedi Chaker University Hospital, Psychiatry “b” Department, Sfax, TunisiaHedi Chaker University Hospital, Psychiatry “b” Department, Sfax, TunisiaHedi Chaker University Hospital, Psychiatry “b” Department, Sfax, TunisiaHedi Chaker University Hospital, Psychiatry “b” Department, Sfax, TunisiaHedi Chaker University Hospital, Psychiatry “b” Department, Sfax, Tunisia Introduction In recent years, advances in the areas of both bipolar disorder (BD) and borderline personality disorder (BPD) have generated considerable interest in the relationship between these two conditions, since that they are commonly comorbid. Objectives We aimed to investigate the impact of BPD on course of illness in patients with BP. Methods We conducted a cross-sectional, descriptive and analytical study among 30 psychiatric outpatients diagnosed with BD in the Psychiatry « B » department, Hedi Chaker Hospital (Sfax, Tunisia). The McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) was used to screen for BPD. Clinical outcomes (hospital stays, comorbidities, suicidality…) were compared between BD- patients with or without BPD comorbidity. Results The mean age was 41.63 years, with a sex ratio of ½. Among the patients, 2/3 were diagnosed with BD-I, while 1/3 presented a BD-II. Physical comorbidities, comorbid anxious and eating disorders were noted respectively in 36.7%; 16.7% and 43.3% of patients. Suicidal attempts were reported in 46.7% of cases. According to MSI-BPD, a comorbid BPD was noted in 30% of our sample. Patients with BD-II were significantly more likely to present BDP traits (50%) than those with BD-I (20%) (p<0.001). Patients with BPD were significantly more likely to attempt suicide (p=0.033), and to present physical comorbidities (p<0.001) and comorbid eating disorders (p<0.001). Conclusions Our study showed that BPD darkens the prognosis of BD, because of worse outcomes related to suicide, physical and psychiatric comorbidities. Thus, its co-occurrence complicates the management of BD. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S092493382201166X/type/journal_articlecomorbiditybipolar disorderborderline personality disorder |
| spellingShingle | M. Turki M. Abdellatif N. Gargouri S. Ellouze S. Blanji A. Daoud N. Halouani J. Aloulou Disease Burden Of Co-Occurring Borderline Personality Disorder In Patients With Bipolar Disorder European Psychiatry comorbidity bipolar disorder borderline personality disorder |
| title | Disease Burden Of Co-Occurring Borderline Personality Disorder In Patients With Bipolar Disorder |
| title_full | Disease Burden Of Co-Occurring Borderline Personality Disorder In Patients With Bipolar Disorder |
| title_fullStr | Disease Burden Of Co-Occurring Borderline Personality Disorder In Patients With Bipolar Disorder |
| title_full_unstemmed | Disease Burden Of Co-Occurring Borderline Personality Disorder In Patients With Bipolar Disorder |
| title_short | Disease Burden Of Co-Occurring Borderline Personality Disorder In Patients With Bipolar Disorder |
| title_sort | disease burden of co occurring borderline personality disorder in patients with bipolar disorder |
| topic | comorbidity bipolar disorder borderline personality disorder |
| url | https://www.cambridge.org/core/product/identifier/S092493382201166X/type/journal_article |
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