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Borderline personality disorder and dissociation.

Colin A Ross1

  • 1Colin A. Ross Institute for Psychological Trauma, 1701 Gateway, Suite 349, Richardson, TX 75080, USA. rossinst@rossinst.com

Journal of Trauma & Dissociation : the Official Journal of the International Society for the Study of Dissociation (ISSD)
|April 6, 2007
PubMed
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Psychiatric inpatients with borderline personality disorder (BPD) experience significantly more dissociative symptoms and disorders. These findings highlight the commonality of chronic, complex dissociative issues in BPD.

Area of Science:

  • Psychiatry
  • Psychology
  • Clinical Psychology

Background:

  • Borderline personality disorder (BPD) is a complex mental health condition.
  • Dissociative symptoms and disorders are frequently observed in psychiatric populations.
  • The relationship between BPD and dissociative comorbidity requires further investigation.

Purpose of the Study:

  • To examine and compare the prevalence of dissociative comorbidity in psychiatric inpatients with and without borderline personality disorder.
  • To assess the frequency and nature of dissociative symptoms and disorders in individuals diagnosed with BPD.

Main Methods:

  • A cohort of 201 general adult psychiatric inpatients was assessed.
  • Participants completed the Dissociative Disorders Interview Schedule (DDIS) and Dissociative Experiences Scale (DES).

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  • A subset of 110 patients underwent the Structured Clinical Interview for DSM-IV-TR Dissociative Disorders (SCID-D).
  • Patients were categorized into two groups based on BPD criteria: 93 with BPD and 108 without BPD.

    • Main Results:

    • Inpatients with BPD reported significantly higher rates of dissociative symptoms and disorders across all measures compared to non-BPD patients.
    • Using the DDIS, 59% of BPD patients met criteria for a dissociative disorder, versus 22% of non-BPD patients.
    • Chronic and complex dissociative symptoms and disorders are prevalent in individuals with BPD.

    Conclusions:

    • Dissociative comorbidity is significantly more common in psychiatric inpatients with borderline personality disorder.
    • The findings suggest that the ninth DSM-IV-TR criterion for BPD may not fully capture the extent of dissociative comorbidity.
    • Clinical attention to dissociative symptoms is crucial for individuals diagnosed with BPD.