Aggression in Borderline Personality Disorder: Evidence for Increased Risk and Clinical Predictors

Allen, Albert J.; Links, Paul S.

doi:10.1007/s11920-011-0244-9

Cited by 32 publications

(20 citation statements)

References 45 publications

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“…In contrast to the Angry Child mode, the Enraged Child mode reflects unrestrained and sometimes violent expressions of anger [29]. Moreover, criterion 8 was also strongly related to modes of Angry Child, Impulsive Child, and Bully and Attack, in that order, which is consistent with research showing that antisocial features predict aggression in BPD [51]. …”

Section: Discussionsupporting

confidence: 81%

Elucidating DSM-5 and ICD-11 Diagnostic Features of Borderline Personality Disorder Using Schemas and Modes

Bach

Lobbestael

2018

Psychopathology

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Background: Borderline personality disorder (BPD) comprises a heterogeneous constellation of problems operationalized in the DSM-5 and the forthcoming ICD-11. In schema therapy, schemas and modes are employed to conceptualize and treat these problems. Aim: The current study investigated whether the 9 diagnostic BPD features are associated with schemas and modes. Method: Psychiatric outpatients with predominant BPD features (n = 142; 68% females) were administered the Structured Clinical Interview for DSM-IV Axis II (SCID-II) and self-report inventories for schemas and modes. Associations were investigated by means of bivariate point-biserial correlations and multiple logistic regression analysis. Results: BPD features were largely associated with conceptually related schemas and modes. Consistent with the schema therapy literature and previous research, we found schemas of Abandonment/Instability and Mistrust/Abuse along with modes of Angry/Enraged Child, (internalized) Punitive Parent, and Impulsive Child to uniquely predict thematically related BPD features including fear of abandonment, self-destructiveness, feelings of emptiness, stress-related paranoid ideation, inappropriate anger, and impulsivity. Conclusion: Most of the 9 BPD features were related to conceptually meaningful schemas/modes, suggesting that BPD is composed of dormant themes along with salient affective-behavioral responses. Consequently, individual BPD features may be differentially conceptualized and targeted in therapy by means of schemas and modes.

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Section: Discussionsupporting

confidence: 81%

Elucidating DSM-5 and ICD-11 Diagnostic Features of Borderline Personality Disorder Using Schemas and Modes

Bach

Lobbestael

2018

Psychopathology

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“…The presence of confounding factors related to borderline personality disorder suggests caution in the interpretation of the literature concerning the connection between this condition and violence. A history of maltreatment during childhood, previous violence or criminality, comorbid psychopathy or antisocial personality seemed to be predictors of violence in patients with borderline personality disorder [29]. In our cohort six male patients had a comorbid antisocial personality disorder which may explain the association between personality disorders and used adult violence in men.…”

Section: Discussionmentioning

confidence: 86%

Risk factors for adult interpersonal violence in suicide attempters

et al. 2014

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BackgroundSuicidal and violent behaviours are interlinked and share common biological underpinnings. In the present study we analysed the association between violent behaviour as a child, childhood trauma, adult psychiatric illness, and substance abuse in relation to interpersonal violence as an adult in suicide attempters with mood disorders.MethodsA total of 161 suicide attempters were diagnosed with Structured Clinical Interviews and assessed with the Karolinska Interpersonal Violence Scale (KIVS) measuring exposure to violence and expressed violent behaviour in childhood (between 6-14 years of age) and during adult life (15 years or older). Ninety five healthy volunteers were used as a comparison group. A logistic regression analysis was conducted with the two KIVS subscales, expressed violent behaviour as a child and exposure to violence in childhood together with substance abuse, personality disorder diagnoses and age as possible predictors of adult interpersonal violence in suicide attempters.ResultsViolent behaviour as a child, age and substance abuse were significant predictors of adult interpersonal violence. ROC analysis for the prediction model for adult violence with the KIVS subscale expressed violence as a child gave an AUC of 0.79. Using two predictors: violent behaviour as a child and substance abuse diagnosis gave an AUC of 0.84. The optimal cut-off for the KIVS subscale expressed violence as a child was higher for male suicide attempters.ConclusionsViolent behaviour in childhood and substance abuse are important risk factors for adult interpersonal violent behaviour in suicide attempters.

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“…Further, a substantial proportion of those with BPD and without comorbid ASPD were found to engage in aggressive behavior directed toward others (Newhill, Eack, & Mulvey, 2009. Nevertheless, aggressive behavior in those with BPD may be attributable to comorbid ASPD features (Allen & Links, 2012). Evidence suggests that the associations between BPD and violence diminish after controlling for ASPD, and this attenuation can be explained by the common features shared by these disorders that increase the risk for reactive aggression, such as proneness to impulsivity, irritability, and anger (Newhill et al, 2009).…”

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confidence: 99%

Borderline Personality Disorder and Violence Toward Self and Others: A National Study

Harford

Chen

Kerridge

et al. 2019

Journal of Personality Disorders

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Borderline personality disorder (BPD) is associated with violence toward self and others. This study aims to further identify which DSM-5 BPD criteria are independently related to violence, using data from National Epidemiologic Survey on Alcohol and Related Conditions-III, which included a total of 36,309 U.S. respondents ages 18 and older (n = 4,301 for BPD; n = 19,404 for subthreshold BPD). Multinomial logistic regression examined the associations between BPD criteria and violence categories, including suicide attempt (self-directed), violence toward others (other-directed), combined (self-/other-directed) violence, and no violence. In the total population, identity disturbance, impulsivity, and intense anger significantly characterized violence toward others, while avoidance of abandonment, self-mutilating behavior, feelings of emptiness, and intense anger significantly characterized violence toward self. These criteria (except identity disturbance) also significantly characterized combined self-and other-directed violence. Differential associations of the BPD criteria with violence among BPD and subthreshold BPD populations also are discussed.

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Aggression in Borderline Personality Disorder: Evidence for Increased Risk and Clinical Predictors

Cited by 32 publications

References 45 publications

Elucidating DSM-5 and ICD-11 Diagnostic Features of Borderline Personality Disorder Using Schemas and Modes

Elucidating DSM-5 and ICD-11 Diagnostic Features of Borderline Personality Disorder Using Schemas and Modes

Risk factors for adult interpersonal violence in suicide attempters

Borderline Personality Disorder and Violence Toward Self and Others: A National Study

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