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Borderline Personality Disorder is a complex and multifaceted mental health condition characterized by pervasive instability in interpersonal relationships, self-image, emotions, and impulse control. This instability manifests in extreme emotional reactions, fear of abandonment, and self-destructive behaviors. The disorder significantly impacts daily functioning, often leading to distress in both personal and professional domains.
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Related Experiment Video

Updated: Feb 8, 2026

Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder
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Borderline personality symptoms and work performance: a population-based survey.

Trees T Juurlink1, Margreet Ten Have2, Femke Lamers3

  • 1Department of Psychiatry, VU University Medical Centre, Amsterdam Public Health Research Institute, Oldenaller 1, 1081, HJ, Amsterdam, The Netherlands. t.juurlink@ggzingeest.nl.

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Summary

Borderline personality symptoms uniquely impair work performance, partly by negatively affecting working conditions like job security and support. Addressing these symptoms and improving work environments is crucial for better work outcomes.

Keywords:
Borderline personality symptomsEmploymentOccupational healthPublic healthWork performance

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Area of Science:

  • Occupational Health
  • Psychiatry
  • Workplace Psychology

Background:

  • Borderline personality symptoms can impact an individual's professional life.
  • Understanding the link between personality traits and work outcomes is vital for employee well-being.

Purpose of the Study:

  • To investigate how borderline personality symptoms influence work performance.
  • To explore the role of working conditions as a mediating factor in this relationship.

Main Methods:

  • Utilized cross-sectional data from 3672 workers in the Netherlands Mental Health Survey and Incidence Study-2 (NEMESIS-2).
  • Assessed borderline personality symptoms using the International Personality Disorder Examination (IPDE).
  • Measured working conditions (decision latitude, job demands, security, support) via the Job Content Questionnaire (JCQ) and work performance using the WHO Disability Assessment Schedule (WHO-DAS).

Main Results:

  • A higher number of borderline personality symptoms correlated significantly with impaired work performance.
  • These symptoms were associated with adverse working conditions, including low decision latitude, job insecurity, and reduced co-worker support.
  • The association between personality symptoms and work performance remained significant even after controlling for common mental disorders and working conditions.

Conclusions:

  • Borderline personality symptoms are a distinct factor contributing to impaired work performance.
  • The impact of personality symptoms on work performance is partially mediated by their influence on working conditions.
  • Further research is needed to establish causality and develop interventions targeting both personality symptoms and workplace factors.