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Related Experiment Videos

Characterizing affective instability in borderline personality disorder.

Harold W Koenigsberg1, Philip D Harvey, Vivian Mitropoulou

  • 1Department of Psychiatry, Mount Sinai School of Medicine, New York, NY, USA.

The American Journal of Psychiatry
|May 3, 2002
PubMed
Summary

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Patients with borderline personality disorder exhibit distinct affective instability patterns, particularly with anger and anxiety fluctuations. Subjective mood intensity was similar across personality disorder groups in this study.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Affective Science

Background:

  • Borderline personality disorder (BPD) is characterized by emotional dysregulation.
  • Previous research has broadly defined affective instability in BPD.
  • A detailed understanding of specific affective instability patterns in BPD is needed.

Purpose of the Study:

  • To investigate affective instability in six domains among patients with BPD.
  • To assess the subjective intensity of mood experiences.
  • To explore the relationship between affective instability and intensity in BPD.

Main Methods:

  • 152 patients with personality disorders were assessed.
  • Measures included subjective affective intensity and six dimensions of affective instability.

Related Experiment Videos

  • Analyses compared BPD patients with other personality disorder groups, controlling for covariates.

    • Main Results:

    • BPD patients showed greater lability in anger and anxiety.
    • Oscillation between depression and anxiety was more common in BPD.
    • No significant difference in subjective affective intensity was found between BPD and other personality disorders.

    Conclusions:

    • This study provides a nuanced view of affective instability in BPD.
    • Specific patterns of affective lability and oscillation characterize BPD.
    • Findings differentiate BPD from other personality disorders based on affective experience.