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Related Experiment Videos

Borderline personality disorder in primary care.

Raz Gross1, Mark Olfson, Marc Gameroff

  • 1Department of Epidemiology, Mailman School of Public Health, Columbia University, 600 W 168 St, PH-18, Room 303, New York, NY 10032, USA. rg547@columbia.edu

Archives of Internal Medicine
|February 5, 2002
PubMed
Summary

Borderline personality disorder (BPD) is prevalent in primary care, affecting 6.4% of patients. This serious mental health condition is often unrecognized and untreated, despite its association with suicidal ideation and other disorders.

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Area of Science:

  • Psychiatry
  • Primary Care Medicine
  • Mental Health Services Research

Background:

  • Borderline personality disorder (BPD) is a severe, chronic mental health condition.
  • BPD is characterized by impulsivity, emotional instability, and relationship difficulties.
  • Limited data exist on BPD prevalence and presentation outside specialized mental health settings.

Purpose of the Study:

  • To determine the prevalence of BPD in an urban primary care setting.
  • To investigate the clinical features, comorbidities, functional impairment, and treatment rates of BPD in primary care.
  • To assess the recognition of BPD by primary care physicians.

Main Methods:

  • A survey of a systematic sample of 218 patients from an urban primary care practice.

Related Experiment Videos

  • Structured clinical interviews conducted by mental health professionals for psychiatric assessments.
  • Analysis of BPD prevalence, clinical features, comorbidity, impairment, and treatment.

    • Main Results:

    • Lifetime prevalence of BPD was 6.4% in the primary care sample.
    • BPD patients exhibited high rates of suicidal ideation, bipolar disorder, major depressive disorder, and anxiety disorders.
    • Half of BPD patients were untreated, and many were unrecognized by their primary care physicians.

    Conclusions:

    • BPD is significantly more prevalent in primary care than in general community studies.
    • Despite effective treatments, BPD remains largely unrecognized and untreated in primary care settings.
    • Unrecognized BPD can complicate medical care and patient-physician relationships.