Attitude of Psychiatric Providers towards Patients with Borderline Personality Disorder in Jammu and Kashmir

Borderline Personality Disorder (BPD) is characterised by pervasive emotional instability and self-destructive behaviours, often presenting challenges for healthcare professionals. Negative attitudes among psychiatric service providers may affect care.

This study aimed to assess attitudes of psychiatric providers towards patients with BPD in Jammu and Kashmir, India.

A cross-sectional online survey was conducted between September 2024 and February 2025 using the Attitude to Personality Disorder Questionnaire (APDQ) amongst psychiatrists, psychologists, nurses, trainees, interns and social workers in psychiatry departments. Sociodemographic data and APDQ responses were analysed using SPSS version 25.0.

We had a total of 189 participants, the majority were female (59.78%). Psychology and nursing interns had highest positive transference scores, while psychiatrists scored lowest. A significant correlation (r = -0.14) was found between age and fear towards BPD patients. No significant associations were observed between service duration or gender and APDQ domains. The internal consistency of the APDQ was high (Cronbach's α =0.85).

Attitudes towards BPD patients vary by professional role. Interns and psychologists exhibited more positive engagement, whereas psychiatrists and PG trainees reported greater feelings of helplessness. Targeted training is recommended to create empathy, reduce stigma and enhance patient care for individuals with BPD.