The Natural History of a Residentially Treated Borderline Sample: Gender Differences

Bardenstein, Karen K.; McGlashan, Thomas H.

doi:10.1521/pedi.1988.2.1.69

Cited by 14 publications

(6 citation statements)

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“…Across the female lifespan, BPD features are greatest during adolescence and perimenopause, developmental transitions characterized by greater within-person variability in hormones (Bardenstein & McGlashen, 1988; Stone, 1992). These same developmental transitions are characterized by differential prevalence of BPD in men and women, suggesting that changing hormonal environments may be associated with risk for BPD feature expression (Bardenstein & McGlashen, 1988). In the one study specifically examining natural fluctuations in E2 and BPD features, 52 nonclinical women provided four weekly saliva samples for E2 along with a weekly measure of BPD features.…”

Section: Ovarian Hormones and Borderline Personality Disorder Featurementioning

confidence: 99%

Ovarian hormones and borderline personality disorder features: Preliminary evidence for interactive effects of estradiol and progesterone

Eisenlohr‐Moul

DeWall

Girdler

et al. 2015

Biological Psychology

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Cyclical fluctuations in the ovarian hormones 17β-estradiol (E2; estrogen) and progesterone (P4) predict emotions, cognitive processes, and behaviors relevant to Borderline Personality Disorder (BPD); however, there are individual differences in sensitivity to normal hormone shifts. This study examined associations of naturally occurring hormonal changes with concurrent BPD feature expression. Forty women sampled for a flat distribution of the PAI-BOR (n=10 where T<50, n=10 where 5070) provided 4 weekly saliva samples and psychological assessments. Across most outcomes (e.g., BPD features, felt rejection, anger rumination, negative urgency) P4 deviation (from one’s person mean) moderated the effect of current E2 deviation (from one’s person mean) among women high (+1 SD) in trait BPD features such that E2 deviation was negatively associated with symptoms only when P4 was higher-than-usual. Cyclical hormone changes (e.g., higher P4 in the luteal phase; E2 fluctuations at ovulation and in the luteal phase) may impact BPD feature expression among at-risk women.

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Section: Ovarian Hormones and Borderline Personality Disorder Featurementioning

confidence: 99%

Ovarian hormones and borderline personality disorder features: Preliminary evidence for interactive effects of estradiol and progesterone

Eisenlohr‐Moul

DeWall

Girdler

et al. 2015

Biological Psychology

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“…Second, borderline symptoms in couples are rarely studied and when they are, patients with the full syndrome of BPD form only a marginal part of the sample (e.g., Dailey, Burge, & Hammen, 2000). Third, when samples are specifically composed of patients with BPD and relational outcomes are examined, couple relationships are not distinguished from other types of relationships with close friends or parents (e.g., Bardenstein & McGlashan, 1989; Hoffman, Buteau, Hooley, Fruzetti, & Bruce, 2003; Widiger & Frances, 1989). Fourth, to the best of our knowledge, no studies investigating the correlates of marital satisfaction in couples including a partner suffering from BPD also scrutinized the personality and psychological characteristics of the non‐BPD spouse or romantic partner.…”

mentioning

confidence: 99%

Relationship Quality and Stability in Couples When One Partner Suffers From Borderline Personality Disorder

Bouchard

Sabourin

Lussier

et al. 2009

J Marital Family Therapy

111

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The main goal of the present study was to examine and compare the psychosocial functioning of 35 couples including a woman diagnosed with borderline personality disorder (BPD) to that of a nonclinical control sample of 35 couples. The BPD status of women from the clinical group and the prevalence of personality disorder in their partner were ascertained through the SCID-II. Participants completed self-report measures of couple functioning. A majority of couples in which the woman suffered from BPD (68.7%) evidenced frequent episodes of breakups and reconciliations and, over an 18-month period, nearly 30% of these couples dissolved their relationship. Nearly half of the men involved in a romantic relationship with a woman suffering from BPD met criteria for one personality disorder or more. As compared with nonclinical couples, clinical couples showed lower marital satisfaction, higher attachment insecurity, more demand/withdraw communication problems, and higher levels of violence.

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“…On average, patients frequently were rehospitalized, with studies suggesting upward of 50% or more [29,30]. Although some studies suggested modest gains in social improvements for some patients [31,32], the impairment appeared largely stable. In sum, symptomatic behaviors tended to remain stable or improve only slightly, and the diagnosis remained stable.…”

Section: The Borderline Diagnosismentioning

confidence: 99%

Long-Term Outcomes in Borderline Psychopathology: Old Assumptions, Current Findings, and New Directions

Sanislow

Marcus

Reagan

2011

Curr Psychiatry Rep

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Borderline personality disorder (BPD) and historical variants of the diagnosis were long held to represent an intractable syndrome of psychopathology consisting of interpersonal, intrapsychic, and affective disturbances. For years, patients labeled "borderline" were regarded pejoratively due at least in part to the lack of effective treatments. Prospective data from recent naturalistic follow-along studies along with the development of treatments with empirically demonstrated efficacy have changed how BPD is viewed. It is now less common to hide the diagnosis from the patient, and BPD has become a useful label to guide the treatment process and help the patient make sense of his or her suffering. Although it is now accepted that BPD is a treatment-responsive disorder and that remission is the norm, more work is needed to help patients achieve a higher level of functioning, and targeting persistent trait-like features suggests new directions for future efforts in treatment development.

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The Natural History of a Residentially Treated Borderline Sample: Gender Differences

Cited by 14 publications

References 0 publications

Ovarian hormones and borderline personality disorder features: Preliminary evidence for interactive effects of estradiol and progesterone

Ovarian hormones and borderline personality disorder features: Preliminary evidence for interactive effects of estradiol and progesterone

Relationship Quality and Stability in Couples When One Partner Suffers From Borderline Personality Disorder

Long-Term Outcomes in Borderline Psychopathology: Old Assumptions, Current Findings, and New Directions

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