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Borderline personality disorder: does its clinical features show specificity to differing developmental risk factors?

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Title: Borderline personality disorder: does its clinical features show specificity to differing developmental risk factors?
Authors: Parker, Gordon, McCraw, Stacey, Bayes, Adam
Source: Australasian Psychiatry. Aug2018, Vol. 26 Issue 4, p410-413. 4p.
Subjects: Borderline personality disorder, Child sexual abuse, Mood (Psychology), Etiology of diseases, Psychiatry
Abstract: Objectives: To determine if differing developmental factors show specificity to differing manifestations of borderline personality disorder (BPD).Methods: A clinical sample of 73 females diagnosed with BPD undertook a psychiatrist interview and completed self-report questionnaires, including the semi-structured Diagnostic Interview for DSM-IV Personality Disorders (DIPD-IV) assessing for BPD status. A set of negative and potentially traumatic developmental factors were included in the assessment.Results: Childhood sexual abuse, affirmed by 49% of the sample, showed specificity in being linked with DIPD-defined affective instability. DIPD-defined identity disturbance also showed specificity in being associated only with reporting significant non-sexual developmental trauma. DIPD-defined anger and paranoia/dissociation showed minimal specificity and were associated with most antecedent developmental factors in adulthood.Conclusions: Differing manifestations of BPD are likely to be shaped by specific and non-specific developmental events. Clarification of such links has the potential to shape more specific therapeutic interventions. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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Abstract:<bold>Objectives: </bold>To determine if differing developmental factors show specificity to differing manifestations of borderline personality disorder (BPD).<bold>Methods: </bold>A clinical sample of 73 females diagnosed with BPD undertook a psychiatrist interview and completed self-report questionnaires, including the semi-structured Diagnostic Interview for DSM-IV Personality Disorders (DIPD-IV) assessing for BPD status. A set of negative and potentially traumatic developmental factors were included in the assessment.<bold>Results: </bold>Childhood sexual abuse, affirmed by 49% of the sample, showed specificity in being linked with DIPD-defined affective instability. DIPD-defined identity disturbance also showed specificity in being associated only with reporting significant non-sexual developmental trauma. DIPD-defined anger and paranoia/dissociation showed minimal specificity and were associated with most antecedent developmental factors in adulthood.<bold>Conclusions: </bold>Differing manifestations of BPD are likely to be shaped by specific and non-specific developmental events. Clarification of such links has the potential to shape more specific therapeutic interventions. [ABSTRACT FROM AUTHOR]
ISSN:10398562
DOI:10.1177/1039856218760732