PDQ-R personality disorders in bipolar patients

The bipolar-borderline personality disorders connection in major depressive patients

“…Consequently, many bipolar patients can be described as dramatic, erratic, unstable, impulsive, histrionic, narcissistic, or borderline, as if the mood disorder had little to contribute to our understanding of these features. The role of structured interviews conducted by non‐clinicians in misclassification of patients with affective disorders has been well described . Perugi et al.…”

Demystifying borderline personality: critique of the concept and unorthodox reflections on its natural kinship with the bipolar spectrum

“…Given that affective temperaments are absent in the DSM‐IV‐TR axis II framework (1), clinicians faced with affectively ill patients are forced to make a choice between the dramatic and anxious clusters. Furthermore, structured interviewing tends to misclassify subthreshold affective disturbances in bipolar probands as dramatic cluster (32). No wonder that such subthreshold symptoms dominate the course of major affective disorders (14, 15).…”

Significance of borderline personality-spectrum symptoms among adolescents with bipolar disorder

“…Rates of comorbid BPD in adult BP range from 12% to 30% (Barbato and Hafner, 1998;Benazzi, 2000;Rossi et al, 2001;Vieta et al, 1999), with BPD occurring in approximately 10% of BP-I and 23% of BP-II patients (Zimmerman and Morgan, 2013). Some studies report BPD as the most common personality disorder among adult BP patients (O'Connell et al, 1991;Peselow et al, 1995;Vieta et al, 1999). Adult BP patients with comorbid personality disorders have less favorable outcomes including longer and more frequent hospitalizations (Barbato and Hafner, 1998;Dunayevich et al, 2000), increased suicidal ideation and attempts (Carpiniello et al, 2011;Vieta et al, 1999), greater symptom severity and functional impairment (Barbato and Hafner, 1998;Carpenter et al, 1995;George et al, 2003), earlier age of mood symptom onset (Vieta et al, 1999), greater unemployment (Kay et al, 2002), higher rates of axis I comorbidity (Kay et al, 2002;Preston et al, 2004), and worsened long-term outcomes of symptomatic and functional recovery (Bieling et al, 2003;Dunayevich et al, 2000) compared to those without personality disorders.…”