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Psychotic reactivity in borderline personality disorder.
Acta Psychiatr Scand. 2010 Feb; 121(2):125-34.AP

Abstract

OBJECTIVE

To investigate the stress relatedness and paranoia specificity of psychosis in borderline personality disorder (BPD).

METHOD

Fifty-six borderline patients, 38 patients with cluster C personality disorder, 81 patients with psychotic disorder and 49 healthy controls were studied with the experience sampling method (a structured diary technique) to assess: i) appraised subjective stress and ii) intensity of psychotic experiences.

RESULTS

All patient groups experienced significantly more increases in psychotic experiences in relation to daily life stress than healthy controls, borderline patients displaying the strongest reactivity. Borderline patients, moreover, reported significantly more hallucinatory reactivity than healthy controls and subjects with cluster C personality disorder. Paranoid reactivity to daily life stress did not differ between the patient groups.

CONCLUSION

These results are the first to ecologically validate stress-related psychosis in BPD. However, psychotic reactivity was not limited to expression of paranoia but involved a broader range of psychotic experiences including hallucinations.

Authors+Show Affiliations

Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University Medical Center, 6200 MD Maastricht, the Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19555465

Citation

Glaser, J-P, et al. "Psychotic Reactivity in Borderline Personality Disorder." Acta Psychiatrica Scandinavica, vol. 121, no. 2, 2010, pp. 125-34.
Glaser JP, Van Os J, Thewissen V, et al. Psychotic reactivity in borderline personality disorder. Acta Psychiatr Scand. 2010;121(2):125-34.
Glaser, J. P., Van Os, J., Thewissen, V., & Myin-Germeys, I. (2010). Psychotic reactivity in borderline personality disorder. Acta Psychiatrica Scandinavica, 121(2), 125-34. https://doi.org/10.1111/j.1600-0447.2009.01427.x
Glaser JP, et al. Psychotic Reactivity in Borderline Personality Disorder. Acta Psychiatr Scand. 2010;121(2):125-34. PubMed PMID: 19555465.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychotic reactivity in borderline personality disorder. AU - Glaser,J-P, AU - Van Os,J, AU - Thewissen,V, AU - Myin-Germeys,I, Y1 - 2009/06/25/ PY - 2009/6/27/entrez PY - 2009/6/27/pubmed PY - 2010/3/20/medline SP - 125 EP - 34 JF - Acta psychiatrica Scandinavica JO - Acta Psychiatr Scand VL - 121 IS - 2 N2 - OBJECTIVE: To investigate the stress relatedness and paranoia specificity of psychosis in borderline personality disorder (BPD). METHOD: Fifty-six borderline patients, 38 patients with cluster C personality disorder, 81 patients with psychotic disorder and 49 healthy controls were studied with the experience sampling method (a structured diary technique) to assess: i) appraised subjective stress and ii) intensity of psychotic experiences. RESULTS: All patient groups experienced significantly more increases in psychotic experiences in relation to daily life stress than healthy controls, borderline patients displaying the strongest reactivity. Borderline patients, moreover, reported significantly more hallucinatory reactivity than healthy controls and subjects with cluster C personality disorder. Paranoid reactivity to daily life stress did not differ between the patient groups. CONCLUSION: These results are the first to ecologically validate stress-related psychosis in BPD. However, psychotic reactivity was not limited to expression of paranoia but involved a broader range of psychotic experiences including hallucinations. SN - 1600-0447 UR - https://www.unboundmedicine.com/medline/citation/19555465/Psychotic_reactivity_in_borderline_personality_disorder_ L2 - https://doi.org/10.1111/j.1600-0447.2009.01427.x DB - PRIME DP - Unbound Medicine ER -