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Published on: March 8, 2018
The association between reflective function and global functionality in patients with borderline personality disorder
Glaydcianne Pinheiro Bezerra1, Pricilla Braga Laskoski1, Luciana Terra1
1Psychiatry and Behavioral Sciences Research Program, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Objective:
To examine the association between reflective function and global functionality in borderline personality disorder (BPD) patients, controlling for symptomatology and defensive style.
Method:
Thirty-nine female inpatients were evaluated employing a sociodemographic questionnaire, the Structured Clinical Interview for Personality Disorders-II (SCID-II), the Self-Reporting Questionnaire (SRQ-20), the Reflective Functioning Questionnaire (RFQ), the Defence Style Questionnaire-40 (DSQ-40) and the Global Assessment of Functioning (GAF).
Results:
Functionality was inversely associated with the reflective function uncertainty score (-.458; p < .01) and neurotic defences (-.335; p < .05). Symptom severity (SRQ-20) was associated with the use of immature defences (-.445; p < .01). The association between functionality and the reflective function uncertainty score remained significant, even when controlled for symptoms and defensive style (p = .002).
Conclusion:
The ability to mentalise seems to play a central and somehow independent role in BPD psychopathology.
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