Showing posts with label
borderline personality disorder.
Show all posts
Showing posts with label
borderline personality disorder.
Show all posts
INTRODUCTION:
Borderline
personality disorder (BPD) is a severely disabling condition, associated with
substantially increased risk of deliberate self-harm and, particularly in men,
also with interpersonal violence and other criminal behavior. Although BPD
might be common among prison inmates, little is known about prevalence and
psychiatric comorbidity in probationers and parolees.
RESULTS:
We
ascertained a final DSM-5 BPD prevalence rate of 19.8%.
The most common current comorbid disorders among subjects with BPD were
antisocial personality disorder (91%), major depressive disorder (82%),
substance dependence (73%), attention deficit hyperactivity disorder (ADHD)
(70%), and alcohol dependence (64%). Individuals diagnosed with BPD had
significantly more current psychiatric comorbidity than
interviewed participants not fulfilling BPD criteria. Participants with
BPD also reported substantially more symptoms of ADHD, anxiety and depression
compared to all subjects without BPD.
CONCLUSIONS:
BPD
affected one fifth of probationers and was related to serious mental ill-health
known to affect recidivism risk. The findings suggest further study of possible
benefits of improved identification and treatment of BPD in offender
populations.
- 1Department of Clinical Neuroscience, Karolinska Institutet, 171 77 Stockholm, Sweden. Electronic address: dan.wetterborg@ki.se.
- 2Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, 171 77 Stockholm, Sweden; Swedish Prison and Probation Services R&D Unit, 601 80 Norrköping, Sweden. Electronic address: niklas.langstrom@ki.se.
- 3Department of Clinical Neuroscience, Karolinska Institutet, 171 77 Stockholm, Sweden; Department of Behavioural Sciences and Learning, Linköping University, 581 83 Linköping, Sweden. Electronic address: gerhard.andersson@liu.se.
- 4Department of Clinical Neuroscience, Karolinska Institutet, 171 77 Stockholm, Sweden. Electronic address: pia.enebrink@ki.se.
BACKGROUND:
Emotional instability and dyscontrolled behaviours are central features in borderline personality disorder (BPD). Recently, some cognitive dysfunctional mechanisms, such as anger rumination, have been found to increase negative emotions and promote dyscontrolled behaviours. Even though rumination has consistently been linked to BPD traits in non-clinical samples, its relationship with problematic behaviour has yet to be established in a clinical population.
METHODS:
Enrolled patients with personality disorders (93 with BPD) completed a comprehensive assessment for personality disorder symptoms, anger rumination, emotional dysregulation and aggression proneness.
RESULTS:
Anger rumination was found to significantly predict aggression proneness, over and above emotional dysregulation. Furthermore, both BPD diagnosis and anger rumination were significant predictors of aggression proneness.
CONCLUSION:
Future research should examine whether clinical techniques aimed at reducing rumination are helpful for reducing aggressive and other dyscontrolled behaviours in treating patients with BPD.
More at: http://twitter.com/Prison_Health
