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A study of psychotic symptoms in borderline personality disorder.
J Nerv Ment Dis. 2014 May; 202(5):368-71.JN

Abstract

Patients with borderline personality disorder (BPD) report psychotic symptoms, but it has been questioned whether they are intrinsic to BPD. Thirty patients meeting Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), criteria for BPD were drawn from a specialist personality disorder service. Exclusion criteria included a preexisting clinical diagnosis of nonaffective psychotic disorder. Participants underwent structured psychiatric interview using the Present State Examination (PSE), lifetime version. Approximately 60% of the patients reported psychotic symptoms unrelated to drugs or affective disorder. Auditory hallucinations were the most common symptom (50%), which were persistent in the majority of cases. A fifth of the patients reported delusions, half of whom (three patients) also met DSM-IV criteria for schizophrenia, who were previously undiagnosed. The form of auditory hallucinations was similar to that in schizophrenia; the content was predominantly negative and critical. Persistent auditory hallucinations are intrinsic symptoms of BPD. This may inform current diagnostic criteria and have implications for approaches to treatment, both pharmacological and psychological. The presence of delusions may indicate a comorbid axis I disorder.

Authors+Show Affiliations

*Dorset Healthcare University NHS Foundation Trust, UK; †Norfolk and Suffolk NHS Foundation Trust, UK; ‡Department of Psychiatry, University of Cambridge, UK; §Cambridgeshire and Peterborough NHS Foundation Trust, UK; and ∥Benito Menni Complejo Asistencial en Salud Mental and FIDMAG Research Foundation, Barcelona, Spain.No affiliation info availableNo 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

24727723

Citation

Pearse, Laura J., et al. "A Study of Psychotic Symptoms in Borderline Personality Disorder." The Journal of Nervous and Mental Disease, vol. 202, no. 5, 2014, pp. 368-71.
Pearse LJ, Dibben C, Ziauddeen H, et al. A study of psychotic symptoms in borderline personality disorder. J Nerv Ment Dis. 2014;202(5):368-71.
Pearse, L. J., Dibben, C., Ziauddeen, H., Denman, C., & McKenna, P. J. (2014). A study of psychotic symptoms in borderline personality disorder. The Journal of Nervous and Mental Disease, 202(5), 368-71. https://doi.org/10.1097/NMD.0000000000000132
Pearse LJ, et al. A Study of Psychotic Symptoms in Borderline Personality Disorder. J Nerv Ment Dis. 2014;202(5):368-71. PubMed PMID: 24727723.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A study of psychotic symptoms in borderline personality disorder. AU - Pearse,Laura J, AU - Dibben,Claire, AU - Ziauddeen,Hisham, AU - Denman,Chess, AU - McKenna,Peter J, PY - 2014/4/15/entrez PY - 2014/4/15/pubmed PY - 2014/6/13/medline SP - 368 EP - 71 JF - The Journal of nervous and mental disease JO - J Nerv Ment Dis VL - 202 IS - 5 N2 - Patients with borderline personality disorder (BPD) report psychotic symptoms, but it has been questioned whether they are intrinsic to BPD. Thirty patients meeting Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), criteria for BPD were drawn from a specialist personality disorder service. Exclusion criteria included a preexisting clinical diagnosis of nonaffective psychotic disorder. Participants underwent structured psychiatric interview using the Present State Examination (PSE), lifetime version. Approximately 60% of the patients reported psychotic symptoms unrelated to drugs or affective disorder. Auditory hallucinations were the most common symptom (50%), which were persistent in the majority of cases. A fifth of the patients reported delusions, half of whom (three patients) also met DSM-IV criteria for schizophrenia, who were previously undiagnosed. The form of auditory hallucinations was similar to that in schizophrenia; the content was predominantly negative and critical. Persistent auditory hallucinations are intrinsic symptoms of BPD. This may inform current diagnostic criteria and have implications for approaches to treatment, both pharmacological and psychological. The presence of delusions may indicate a comorbid axis I disorder. SN - 1539-736X UR - https://www.unboundmedicine.com/medline/citation/24727723/A_study_of_psychotic_symptoms_in_borderline_personality_disorder_ L2 - https://doi.org/10.1097/NMD.0000000000000132 DB - PRIME DP - Unbound Medicine ER -