Body Image in Borderline Personality Disorder: A Systematic Review of the Emerging Empirical Literature

Wayda-Zalewska, Magdalena; Kostecka, Barbara; Kucharska, Katarzyna

doi:10.3390/jcm10184264

Cited by 7 publications

(10 citation statements)

References 41 publications

(107 reference statements)

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“…In the post hoc analysis, within the BPD group, Enmeshment displayed a negative correlation, while within the MD group, Enmeshment exhibited a positive association with general body esteem.The relationship between general body esteem and Enmeshment in BPD suggests that although enmeshment is not typically associated with BPD symptoms (12), patients with a greater inclination toward attachment or enmeshment with another individual exhibit greater levels of dissatisfaction with their bodies, indicating a greater psychological distance from their own bodies. These ndings provide an additional perspective on why patients with BPD may experience a poorer body image (10) and a diminished connection with their bodies, resulting a lower body ownership (52). Greater Entitlement was associated with better body esteem in the MD group, which is partially in line with Schwartz and Tylk's study (53), where a positive relationship between self-assurance factor of Entitlement and body esteem was found among men.…”

Section: Effect Of Emss On Body Esteem Variables In the Bpd MD And Hc...supporting

confidence: 79%

“…As a fundamental component of these disorders, most studies have investigated body image and satisfaction in individuals with eating disorders (14,15) and body dysmorphic disorders (BDD,16). However, lower satisfaction with one's body and general appearance can be observed in individuals with major depression (17) and BPD (10). Most studies concentrated solely on the overarching facets of body image and discontentment without delineating speci c areas of dissatisfaction.…”

Section: Body Esteem In Bpd and MD Patientsmentioning

confidence: 99%

“…Body image, including satisfaction with the body, can be disturbed in individuals with different psychiatric diseases (3,4). Major depression (MD) and borderline personality disorder (BPD) are two complex and demanding psychiatric disorders that affect not only mood, cognition, or even quality of life (5-8) but also body image and satisfaction (9)(10)(11). The presence of cognitive distortions and maladaptive schematic thoughts in BPD (12) and MD (13) patients is well established.…”

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confidence: 99%

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Body esteem and its relationship with early maladaptive schemas in borderline personality disorder and major depression

Szily,

Nagy,

Szabó

et al. 2024

Preprint

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Background: The disruption of body esteem is associated with distress and may be linked to psychiatric disorders such as Borderline Personality Disorder (BPD) and Major Depression (MD). Existing studies have primarily focused on body satisfaction as a unified concept, without delving into specific body areas or functions. Early Maladaptive Schemas (EMSs) are observed in individuals with BPD and MD. So far little is known about their potential influence on body esteem, particularly within the context of MD or BPD. This study aims to investigate the satisfaction levels pertaining to different body areas and the influence of EMSs on body esteem BPD patients and MD patients. Methods: Our study included 31 patients diagnosed with BPD (25 women), 27 diagnosed with MD (17 women) and 25 healthy individuals (HC, 16 women) (Mage was between 29 and 33 for each groups). The SCID-5-PD and MINI was used to assess psychiatric disorders. Body esteem was measured by using an extended version of Body Esteem Scale. EMSs were measured by using Young Schema Questionnaire. Short Form 2. Results: Regarding EMS domains and general body esteem, all groups differed significantly from each other, except in Overvigilance, where BPD differed from MD and HC. Regarding body functions, BPD group differed from MD and HC groups. For the head, BPD patients and HCs differed from each other. Regarding the upper body HCs differed from the psychiatric patients. Following the identification of schema domains and their correlation with body variables, significant findings emerge within the BPD and MD groups. In the BPD group, Enmeshment exhibits a notable inverse association with general body esteem and body functions. Conversely, within the MD group, Entitlement displays a marked positive correlation with general body esteem. Furthermore, Vulnerability to Harm in the BPD group and Failure to Achieve in the MD group potentially contribute to disturbances in body esteem. Conclusions: Our study suggests that both BPD and MD patients experience disturbances in body esteem. Specifically, in patients with BPD, perceptions of body functions are significantly affected. Furthermore, within both disorders, specific EMSs can be identified, which are related to impairments in body esteem.

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Section: Effect Of Emss On Body Esteem Variables In the Bpd MD And Hc...supporting

confidence: 79%

Section: Body Esteem In Bpd and MD Patientsmentioning

confidence: 99%

mentioning

confidence: 99%

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Body esteem and its relationship with early maladaptive schemas in borderline personality disorder and major depression

Szily,

Nagy,

Szabó

et al. 2024

Preprint

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“…Patients with BPD have high rates of developing comorbid depression, anxiety spectrum disorder, substance use, and an eating disorder. [ 6 7 ] Our patient also had intense emotional fluctuations, multiple self-harm attempts, substance use, and feelings of loneliness. Anti-social personality traits and alcohol use in the father increased her vulnerability to developing a personality disorder.…”

Section: Discussionmentioning

confidence: 94%

A rare case of acrogeria, Gottron type with borderline personality disorder

Sawant¹,

Mehta²,

Chaturvedi³

2022

Journal of Family Medicine and Primary Care

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Acrogeria is a rare disorder that is characterized by premature aging of the distal extremities. It was first described by Gottron in 1941. Only about 50 cases have yet been reported worldwide. It is diagnosed clinically, and patients have a normal life expectancy. The disorder is seen from birth and could have an autosomal dominant or recessive inheritance. The classic features include a characteristic pinched face, thin lips, fine hair, skeletal defects, and thin, taut parchment-like skin of the extremities. We describe a case of Acrogeria, Gottron type, who also had a borderline personality disorder. However, there is very little information on the prevalence of psychopathology in patients having syndromes of premature aging.

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“…Specific BPD symptoms are also strongly associated with dissatisfaction with one's body. Both identity disruption and identity distress can predict appearance evaluation and body satisfaction ( 10 , 11 ). Patients with BPD often have negative attitudes, lower self-esteem, and a higher level of discomfort related to their bodies ( 12 ).…”

Section: Introductionmentioning

confidence: 99%

Disturbed body schema, perceptual body image, and attitudinal body image in patients with borderline personality disorder

Szily,

Kelemen,

Nagy

et al. 2023

Front. Psychiatry

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BackgroundBorderline personality disorder (BPD) is a severe mental disorder that affects attitudes toward the body. However, whether this condition also affects body schema and perceptual body image remains unclear. Previous questionnaire-based studies found dissatisfaction with one's body in patients with BPD. In addition to attitudinal body image, our study investigates whether body schema and perceptual body image are disturbed in patients with BPD.MethodOur study included 31 patients diagnosed with BPD (25 women) and 30 healthy individuals (19 women) (Mage = 29 for both groups). The SCID-5-PD interview was used to determine personality disorder. Attitudinal body image was measured using the Body Attitude Test (BAT) factors. Body schema and perceptual body image were measured by two conditions of a body representation task, the body portraying method (BPM).ResultsBPD patients achieved higher scores in all three BAT factors and were more susceptible to misinformation in both conditions of BPM. Based on the results, BPD patients appear to have more negative attitudes toward their bodies and worse perceptual body image and body schema.ConclusionThe novel finding of our study is that, besides the previously found attitudinal dissatisfaction with the body, individuals with BPD also show disturbances at the levels of body schema and perceptual body image. Our findings concerning disturbances in body schema and perceptual body need further research into their etiological factors and provide new therapeutic targets for the treatment of BPD.

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Body Image in Borderline Personality Disorder: A Systematic Review of the Emerging Empirical Literature

Cited by 7 publications

References 41 publications

Body esteem and its relationship with early maladaptive schemas in borderline personality disorder and major depression

Body esteem and its relationship with early maladaptive schemas in borderline personality disorder and major depression

A rare case of acrogeria, Gottron type with borderline personality disorder

Disturbed body schema, perceptual body image, and attitudinal body image in patients with borderline personality disorder

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