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Comorbidity and associated severity of borderline personality disorder and physical health conditions in a nationally representative sample.
Psychosom Med. 2010 Sep; 72(7):641-7.PM

Abstract

OBJECTIVE

To investigate the comorbidity and severity of borderline personality disorder and physical health conditions in a nationally representative sample. Despite the recent trend of examining the relationship between physical and mental health, there has been limited research examining the association of physical health conditions and personality disorders, in particular, borderline personality disorder.

METHODS

The National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) Wave 2 (n = 34,653; cumulative response rate, 70.2%; age, ≥20 years) was used in the current study. The Alcohol Use Disorder and Associated Disabilities Interview Schedule-Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition was used to assess mental disorders, and self-reports were used to assess physical health conditions. Multiple logistic regression models examined the comorbidity of physical health conditions with borderline personality disorder and associated suicide attempts.

RESULTS

After adjusting for sociodemographic variables, common Axis I mental disorders, and Axis II personality disorders, the presence of borderline personality disorder was significantly associated with arteriosclerosis or hypertension, hepatic disease, cardiovascular disease, gastrointestinal disease, arthritis, venereal disease, and "any assessed medical condition" (adjusted odds ratios, range 1.46-2.80). In the most stringent adjusted model, diabetes, stroke, and obesity were not associated with borderline personality disorder. Furthermore, a greater likelihood of suicide attempts was associated with cardiovascular disease, venereal disease, and "any assessed medical condition" with comorbid borderline personality disorder than borderline personality disorder alone.

CONCLUSION

Careful screening and treatment of physical health conditions among people with borderline personality disorder are warranted.

Authors+Show Affiliations

Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada.No affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

20508177

Citation

El-Gabalawy, Renée, et al. "Comorbidity and Associated Severity of Borderline Personality Disorder and Physical Health Conditions in a Nationally Representative Sample." Psychosomatic Medicine, vol. 72, no. 7, 2010, pp. 641-7.
El-Gabalawy R, Katz LY, Sareen J. Comorbidity and associated severity of borderline personality disorder and physical health conditions in a nationally representative sample. Psychosom Med. 2010;72(7):641-7.
El-Gabalawy, R., Katz, L. Y., & Sareen, J. (2010). Comorbidity and associated severity of borderline personality disorder and physical health conditions in a nationally representative sample. Psychosomatic Medicine, 72(7), 641-7. https://doi.org/10.1097/PSY.0b013e3181e10c7b
El-Gabalawy R, Katz LY, Sareen J. Comorbidity and Associated Severity of Borderline Personality Disorder and Physical Health Conditions in a Nationally Representative Sample. Psychosom Med. 2010;72(7):641-7. PubMed PMID: 20508177.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comorbidity and associated severity of borderline personality disorder and physical health conditions in a nationally representative sample. AU - El-Gabalawy,Renée, AU - Katz,Laurence Y, AU - Sareen,Jitender, Y1 - 2010/05/27/ PY - 2010/5/29/entrez PY - 2010/5/29/pubmed PY - 2010/10/22/medline SP - 641 EP - 7 JF - Psychosomatic medicine JO - Psychosom Med VL - 72 IS - 7 N2 - OBJECTIVE: To investigate the comorbidity and severity of borderline personality disorder and physical health conditions in a nationally representative sample. Despite the recent trend of examining the relationship between physical and mental health, there has been limited research examining the association of physical health conditions and personality disorders, in particular, borderline personality disorder. METHODS: The National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) Wave 2 (n = 34,653; cumulative response rate, 70.2%; age, ≥20 years) was used in the current study. The Alcohol Use Disorder and Associated Disabilities Interview Schedule-Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition was used to assess mental disorders, and self-reports were used to assess physical health conditions. Multiple logistic regression models examined the comorbidity of physical health conditions with borderline personality disorder and associated suicide attempts. RESULTS: After adjusting for sociodemographic variables, common Axis I mental disorders, and Axis II personality disorders, the presence of borderline personality disorder was significantly associated with arteriosclerosis or hypertension, hepatic disease, cardiovascular disease, gastrointestinal disease, arthritis, venereal disease, and "any assessed medical condition" (adjusted odds ratios, range 1.46-2.80). In the most stringent adjusted model, diabetes, stroke, and obesity were not associated with borderline personality disorder. Furthermore, a greater likelihood of suicide attempts was associated with cardiovascular disease, venereal disease, and "any assessed medical condition" with comorbid borderline personality disorder than borderline personality disorder alone. CONCLUSION: Careful screening and treatment of physical health conditions among people with borderline personality disorder are warranted. SN - 1534-7796 UR - https://www.unboundmedicine.com/medline/citation/20508177/Comorbidity_and_associated_severity_of_borderline_personality_disorder_and_physical_health_conditions_in_a_nationally_representative_sample_ L2 - https://doi.org/10.1097/PSY.0b013e3181e10c7b DB - PRIME DP - Unbound Medicine ER -