How Do Stress Exposure and Stress Regulation Relate to Borderline Personality Disorder?
Borderline personality disorder (BPD) is a severe and frequent disorder characterized by a pervasive pattern of instability affecting impulse control, emotional regulation, cognitive processing, self-image and interpersonal relationships. Patients’ personal histories are often marked by stressful or...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2017-11-01
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| Series: | Frontiers in Psychology |
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| Online Access: | http://journal.frontiersin.org/article/10.3389/fpsyg.2017.02054/full |
| _version_ | 1811326653925687296 |
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| author | Nadège Bourvis Nadège Bourvis Nadège Bourvis Aveline Aouidad Clémence Cabelguen David Cohen David Cohen Jean Xavier Jean Xavier |
| author_facet | Nadège Bourvis Nadège Bourvis Nadège Bourvis Aveline Aouidad Clémence Cabelguen David Cohen David Cohen Jean Xavier Jean Xavier |
| author_sort | Nadège Bourvis |
| collection | DOAJ |
| description | Borderline personality disorder (BPD) is a severe and frequent disorder characterized by a pervasive pattern of instability affecting impulse control, emotional regulation, cognitive processing, self-image and interpersonal relationships. Patients’ personal histories are often marked by stressful or traumatic experiences, either unique or repeated. Moreover, while clinical signs of the disorder include both chronic and acute features, acute features are mostly triggered by acute stressful situations. Such features include transient cognitive distortion, intense anger, uncontrollable impulsivity, and self-harm behavior – including suicide – and contribute to the burden of the disease. In this paper, we review the various aspects (epidemiological, clinical, and physiological) contributing to the relationship between BDP and stress. In particular, we explore the statistical association between stress exposure and the emergence of BPD while taking into account other psychopathologies, such as post-traumatic stress disorder. Then, the different aspects of stress responses (namely, the phenomenological, behavioral, hormonal, neuro-vegetative and neural responses) are reviewed in BPD patients. Pathophysiological hypotheses are formulated to explain the differences in responses between BPD patients and healthy subjects and their relation to BPD symptoms. Although the pathogenesis remains uncertain, our conclusions seem to reflect a specific biological and neural pattern of altered stress perception and regulation in BPD. |
| first_indexed | 2024-04-13T14:52:28Z |
| format | Article |
| id | doaj.art-84ea13004ffd4ecb9243003539c974a8 |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-04-13T14:52:28Z |
| publishDate | 2017-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-84ea13004ffd4ecb9243003539c974a82022-12-22T02:42:32ZengFrontiers Media S.A.Frontiers in Psychology1664-10782017-11-01810.3389/fpsyg.2017.02054286657How Do Stress Exposure and Stress Regulation Relate to Borderline Personality Disorder?Nadège Bourvis0Nadège Bourvis1Nadège Bourvis2Aveline Aouidad3Clémence Cabelguen4David Cohen5David Cohen6Jean Xavier7Jean Xavier8Service de Psychiatrie de l’Enfant et de l’Adolescent, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique Hopitaux de Paris, Paris, FranceUMR 7222, Institut des Systèmes Intelligents et Robotiques, Université Paris-Sorbonne, Paris, FrancePôle de Psychiatrie Infanto-Juvénile, Centre Hospitalier Intercommunal Toulon – La Seyne, Toulon, FranceService de Psychiatrie de l’Enfant et de l’Adolescent, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique Hopitaux de Paris, Paris, FranceDepartment de Psychiatrie Infanto Juvénile, Centre Hospitalier Universitaire de Nantes, Nantes, FranceService de Psychiatrie de l’Enfant et de l’Adolescent, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique Hopitaux de Paris, Paris, FranceUMR 7222, Institut des Systèmes Intelligents et Robotiques, Université Paris-Sorbonne, Paris, FranceService de Psychiatrie de l’Enfant et de l’Adolescent, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique Hopitaux de Paris, Paris, FranceUMR 7222, Institut des Systèmes Intelligents et Robotiques, Université Paris-Sorbonne, Paris, FranceBorderline personality disorder (BPD) is a severe and frequent disorder characterized by a pervasive pattern of instability affecting impulse control, emotional regulation, cognitive processing, self-image and interpersonal relationships. Patients’ personal histories are often marked by stressful or traumatic experiences, either unique or repeated. Moreover, while clinical signs of the disorder include both chronic and acute features, acute features are mostly triggered by acute stressful situations. Such features include transient cognitive distortion, intense anger, uncontrollable impulsivity, and self-harm behavior – including suicide – and contribute to the burden of the disease. In this paper, we review the various aspects (epidemiological, clinical, and physiological) contributing to the relationship between BDP and stress. In particular, we explore the statistical association between stress exposure and the emergence of BPD while taking into account other psychopathologies, such as post-traumatic stress disorder. Then, the different aspects of stress responses (namely, the phenomenological, behavioral, hormonal, neuro-vegetative and neural responses) are reviewed in BPD patients. Pathophysiological hypotheses are formulated to explain the differences in responses between BPD patients and healthy subjects and their relation to BPD symptoms. Although the pathogenesis remains uncertain, our conclusions seem to reflect a specific biological and neural pattern of altered stress perception and regulation in BPD.http://journal.frontiersin.org/article/10.3389/fpsyg.2017.02054/fullborderline personality disorderstresspost-traumatic stress disorderneurovegetative activityhypothalamo-hypophyseal system |
| spellingShingle | Nadège Bourvis Nadège Bourvis Nadège Bourvis Aveline Aouidad Clémence Cabelguen David Cohen David Cohen Jean Xavier Jean Xavier How Do Stress Exposure and Stress Regulation Relate to Borderline Personality Disorder? Frontiers in Psychology borderline personality disorder stress post-traumatic stress disorder neurovegetative activity hypothalamo-hypophyseal system |
| title | How Do Stress Exposure and Stress Regulation Relate to Borderline Personality Disorder? |
| title_full | How Do Stress Exposure and Stress Regulation Relate to Borderline Personality Disorder? |
| title_fullStr | How Do Stress Exposure and Stress Regulation Relate to Borderline Personality Disorder? |
| title_full_unstemmed | How Do Stress Exposure and Stress Regulation Relate to Borderline Personality Disorder? |
| title_short | How Do Stress Exposure and Stress Regulation Relate to Borderline Personality Disorder? |
| title_sort | how do stress exposure and stress regulation relate to borderline personality disorder |
| topic | borderline personality disorder stress post-traumatic stress disorder neurovegetative activity hypothalamo-hypophyseal system |
| url | http://journal.frontiersin.org/article/10.3389/fpsyg.2017.02054/full |
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