Parental Reports of Physically Self-Destructive Behavior in the Offspring of Patients With Borderline Personality Disorder and Other Personality Disorders.

The main aim of this article is to compare the prevalence of four forms of physically self-destructive behavior in the offspring of parents with borderline personality disorder (BPD) and compare them to the offspring of parents with other personality disorders (OPD). At the 4- and 6-year waves in a prospective study of the long-term course of BPD, participants were asked to report on the self-destructive behaviors of their children using the Childhood Self-Destructiveness Scale. A total of 68 parents were interviewed regarding 131 children, 104 of whom were offspring of parents with BPD (n = 55) and 27 were offspring of parents with OPD (n = 13). BPD parents reported significantly more self-injury and substance abuse in their children than OPD parents. The results from this study suggest that both direct and indirect forms of self-destructive behavior are both more common and quite specific for the children of parents with BPD.

Description and prediction of social isolation in borderline patients over 20 years of prospective follow-up.

Past social network analysis studies have indicated that patients with borderline personality disorder (BPD) are significantly more socially isolated than comparison subjects. The present study aimed to build on the findings of these cross-sectional social network analysis studies. The first purpose of this study was to assess and compare the prevalence of social isolation in borderline patients and personality-disordered comparison subjects over 20 years of follow-up. The second was to determine the best baseline predictors of social isolation in these borderline patients. A total of 290 adult inpatients meeting rigorous criteria for BPD and 72 personality-disordered comparison subjects were recruited during inpatient admission at the participating institution. At baseline, interviews assessing psychiatric diagnoses, psychosocial functioning, and childhood history, and a self-report questionnaire assessing temperament were administered to all subjects. The diagnostic and psychosocial measures were readministered every 2 years over the course of 20 years. It was found that borderline patients were significantly more likely to be socially isolated than personality-disordered comparison subjects over time. Additionally, among borderline subjects, three variables were found to be significant multivariate predictors of social isolation: lower childhood competence, lower trait extraversion, and lower trait agreeableness. Taken together, these results suggest that social isolation remains an unfortunate outcome in a sizable minority of borderline patients over time. These results also indicate that isolation is strongly associated with enduring aspects of competence and temperament in patients with BPD. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

The relationship between religion and health-related behaviours in patients with borderline personality disorder.

With addictive disorders frequently co-occurring among patients with borderline personality disorder (BPD), exploring factors that may influence health-related behaviours, like religious involvement, is important. This study assesses whether religious involvement is associated with smoking and alcohol use disorders (AUDs) in BPD subjects. This study used data from Wave 2 of the National Epidemiological Survey on Alcohol and Related Conditions (NESARC), which used the Alcohol Use Disorder and Associated Disabilities Interview Schedule--DSM-IV (AUDADIS-IV) as its assessment instrument. The AUDADIS-IV assessed personality disorders, tobacco usage, the presence of AUDs, and religious involvement. Attending a place of worship and weekly or more frequent worship attendance were significantly associated with reduced likelihood of current smoking and AUDs among BPD subjects. AUDs were also significantly less common in those reporting higher subjective religiousness. In conclusion, people with BPD who are religiously inclined are less likely to engage in addictive behaviours, specifically smoking and AUDs.

Facets of identity disturbance reported by patients with borderline personality disorder and personality-disordered comparison subjects over 20 years of prospective follow-up.

This study had two objectives. The first was to determine the levels of identity disturbance reported by 290 patients with borderline personality disorder (BPD) and 72 personality-disordered comparison subjects over 20 years of prospective follow-up. The second aim was to describe the levels of identity disturbance reported by 152 ever recovered vs. 138 never recovered borderline patients over 20 years of prospective follow-up. Participants were followed and re-assessed every two years for a total of 20 years of follow-up. Borderline patients reported levels of these states that were more than three times higher than personality-disordered comparison subjects, with both groups demonstrating significant declines in these states over time. For three of these inner states ("I feel like I am worthless," "I feel like a complete failure," and "I feel like I am evil"), recovered borderline patients had lower baseline scores and significantly different patterns of decline than non-recovered patients. For the fourth state, "I feel like I am a bad person," recovered patients had lower scores over time, but the groups declined at the same rate. These results suggest that borderline patients report experiencing inner states related to having a negative identity less often over time. Additionally, recovery status is significantly associated with decreased time experiencing these states.