Estimating the Prevalence of Borderline Personality Disorder in the Community

Swartz, Marvin S.; Blazer, Dan G.; George, Linda K.; Winfield, Idee

doi:10.1521/pedi.1990.4.3.257

Cited by 313 publications

(179 citation statements)

References 3 publications

Supporting

Mentioning

157

Contrasting

Unclassified

Order By: Relevance

“…We found more women in the group of patients diagnosed with this disorder. Community studies offer contradictory data, but other studies, both epidemiological and of clinical sam ples, find that such risk is higher in women than in men 24,25 . A recent study 26 has not found any differences in the use of mental health services between men and women with borderline personality disorder.…”

Section: Discussionmentioning

confidence: 97%

Gender differences in the use of mental health services in a Barcelona area

et al. 2012

View full text Add to dashboard Cite

-Background and Objectives:The exploration of the use of specialised mental health services and the prevalence of mental disorders recorded by these services is important when planning and adapting the various mental health services to real users' needs. The fact of being a woman has repeatedly proved to be a predicting factor for higher service use and this could imply than such needs may vary according to gender. The objectives of our study are: to analyse the attended prevalence in both out-patient and hospital services data as per diagnoses according to gender, and to analyse the use of hospital care services with respect to diagnoses according to gender.Methods: The sample for this observational and retrospective study (n = 65,465) is comprised of everyone who visited any of the Sant Joan de Déu-SSM mental health services between 2002 and 2007. Main measures: total number of consultations, and number and length of hospitalisations.Results: Women presented higher attended prevalence. Men show a higher risk of a first hospitalisation and longer length of admissions. Among the group of admitted patients, the number of women is higher. With regard to diagnosis, gender influences the attended prevalence. Regarding hospitalisation, we find differences in patients with schizophrenia and other mood disorders.Conclusions: The main result is that women have a higher attended prevalence of mental disorders than men. In the total sample, women have a higher number of hospitalisa-GENDER DIFFERENCES IN THE USE OF MENTAL HEALTH SERVICES... 31

show abstract

Section: Discussionmentioning

confidence: 97%

Gender differences in the use of mental health services in a Barcelona area

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Patients with current major depressive disorder were excluded. Patients with past or current PTSD were accepted into the study, as a relatively high rate of PTSD in community samples of BPD has been reported (Swartz et al, 1990). Three (all male) of the 26 BPD patients met criteria for current PTSD and one female patient met criteria for past PTSD.…”

Section: Subjectsmentioning

confidence: 99%

Amygdala–Prefrontal Disconnection in Borderline Personality Disorder

New

Hazlett

Buchsbaum

et al. 2007

Neuropsychopharmacol

259

160

View full text Add to dashboard Cite

Abnormal fronto-amygdala circuitry has been implicated in impulsive aggression, a core symptom of borderline personality disorder (BPD). We examined relative glucose metabolic rate (rGMR) at rest and after m-CPP (meta-chloropiperazine) with 18 fluorodeoxyglucose (FDG) with positron emission tomography (PET) in 26 impulsive aggressive (IED)-BPD patients and 24 controls. Brain edges/amygdala were visually traced on MRI scans co-registered to PET scans; rGMR was obtained for ventral and dorsal regions of the amygdala and Brodmann areas within the prefrontal cortex (PFC). Correlation coefficients were calculated between rGMR for dorsal/ventral amygdala regions and PFC. Additionally, amygdala volumes and rGMR were examined in BPD and controls. Correlations PFC/amygdala Placebo: Controls showed significant positive correlations between right orbitofrontal (OFC) and ventral, but not dorsal, amygdala. Patients showed only weak correlations between amygdala and the anterior PFC, with no distinction between dorsal and ventral amygdala. Correlations PFC/amygdala: m-CPP response: Controls showed positive correlations between OFC and amygdala regions, whereas patients showed positive correlations between dorsolateral PFC and amygdala. Group differences between interregional correlational matrices were highly significant. Amygdala volume/metabolism: No group differences were found for amygdala volume, or metabolism in the placebo condition or in response to meta-chloropiperazine (m-CPP). We demonstrated a tight coupling of metabolic activity between right OFC and ventral amygdala in healthy subjects with dorsoventral differences in amygdala circuitry, not present in IED-BPD. We demonstrated no significant differences in amygdala volumes or metabolism between BPD patients and controls.

show abstract

“…[1][2][3] Studies cite BPD rates of approximately 0.4% to 1.8% among community samples, [4][5][6][7] and 10% to 25% among clinical samples. 8,9 BPD is more often diagnosed in women, with estimates that approximately two thirds to three quarters of those diagnosed with BPD are women.…”

mentioning

confidence: 99%

“…8,9 BPD is more often diagnosed in women, with estimates that approximately two thirds to three quarters of those diagnosed with BPD are women. 6,[9][10][11][12] Consequently, a majority of the literature on BPD focuses on its occurrence in women 13 or does not incorporate gender as a separate variable, therefore not addressing possible gender differences in clinical presentations. 14,15 Thus, little is known regarding potential gender differences in persons with BPD that may impact the manifestation, course, and treatment of BPD in both men and women.…”

mentioning

confidence: 99%

Gender differences in borderline personality disorder: findings from the collaborative longitudinal personality disorders study

Johnson¹,

Shea²,

Yen³

et al. 2003

Comprehensive Psychiatry

192

118

View full text Add to dashboard Cite

A majority of the literature on borderline personality disorder (BPD) focuses on its occurrence in women or does not specifically assess for gender differences in clinical presentations. Some studies report that men with BPD may be more likely to be diagnosed with substance use disorders, as well as paranoid, passiveaggressive, narcissistic, sadistic, and antisocial personality disorders (PDs). Additionally, women with BPD appear to be more likely to report histories of adult physical and sexual abuse and to meet diagnostic criteria for post-traumatic stress disorder (PTSD) and eating disorders. The purpose of the present study was to further examine gender differences in BPD. Using baseline data from the Collaborative Longitudinal Personality Disorders Study (CLPS), men and women who met criteria for BPD were compared on current axis I and II disorders, BPD diagnostic criteria, childhood trauma histories, psychosocial functioning, temperament, and personality traits. Men with BPD were more likely to present with substance use disorders, and with schizotypal, narcissistic, and antisocial PDs, while women with BPD were more likely to present with PTSD, eating disorders, and the BPD criterion of identity disturbance. Generally speaking, women and men with BPD displayed more similarities than differences in clinical presentations. The differences that did emerge are consistent with those found in epidemiological studies of psychopathology and therefore do not appear unique to BPD. Additionally, many gender differences traditionally found in epidemiological samples did not emerge in BPD subjects. For example, no difference was found in rates of major depressive disorder, a condition that is more prevalent in females. Thus, BPD pathology may be a prevailing characterization that can attenuate usual gender-based distinctions. © 2003 Elsevier Inc. All rights reserved. B ORDERLINE personality disorder (BPD) isassociated with significant morbidity and frequent use of mental health resources. 1-3 Studies cite BPD rates of approximately 0.4% to 1.8% among community samples, 4-7 and 10% to 25% among clinical samples. 8,9 BPD is more often diagnosed in women, with estimates that approximately two thirds to three quarters of those diagnosed with BPD are women. 6,9-12 Consequently, a majority of the literature on BPD focuses on its occurrence in women 13 or does not incorporate gender as a separate variable, therefore not addressing possible gender differences in clinical presentations. 14,15 Thus, little is known regarding potential gender differences in persons with BPD that may impact the manifestation, course, and treatment of BPD in both men and women.Although BPD is believed to occur more frequently in women, research findings on the prevalence of BPD in men and women are inconsistent. In some studies, when significant differences in rates of personality disorders (PD) are found, rates are usually higher among men. [16][17][18][19] One of the more methodologically sound community studies 7 found that men had higher rates...

show abstract

Estimating the Prevalence of Borderline Personality Disorder in the Community

Cited by 313 publications

References 3 publications

Gender differences in the use of mental health services in a Barcelona area

Gender differences in the use of mental health services in a Barcelona area

Amygdala–Prefrontal Disconnection in Borderline Personality Disorder

Gender differences in borderline personality disorder: findings from the collaborative longitudinal personality disorders study

Contact Info

Product

Resources

About