A comparison of borderline personality disorder with and without eating disorders

PSYCHIATRY RESEARCH

卷:170

Article

Chen, Eunice Yu¹  Brown, Milton Z.²  Harned, Melanie S.^3,4  Linehan, Marsha Marie^3,4 

[1] Univ Chicago, Dept Psychiat & Behav Neurosci, Chicago, IL 60637 USA

[2] Alliant Int Univ, Calif Sch Profess Psychol, Dept Psychol, San Diego, CA 92131 USA

[3] Univ Washington, Dept Psychol, Behav Res Clin, Seattle, WA 98915 USA

[4] Univ Washington, Dept Psychol, Therapy Clin, Seattle, WA 98915 USA

关键词: Suicide;    Self-injury;    Comorbidity;    Bulimia Nervosa;    Anorexia Nervosa;   

DOI  :  10.1016/j.psychres.2009.03.006

来源: Elsevier

【 摘 要 】

This study examines the degree to which an eating disorder (ED) is associated with the recurrence and severity of suicide attempts, non-suicidal self-injury, rates of co-occurring Axis I and II disorders, and psychosocial functioning among Borderline Personality Disorder (BPD) outpatients. A group of 135 treatment-seeking women with BPD were assessed using structured clinical interviews. BPD was assessed using the International Personality Disorders Examination, confirmed by the Structured Clinical Interview for DSM-IV (SCID)-II, and Axis I disorders were assessed with the SCID I. A total of 17.8% of the sample met criteria fora current ED, with 6.7% meeting criteria for Anorexia Nervosa (AN), 5.9% for Bulimia Nervosa (BN), and 5.2% for Binge-Eating Disorder (BED). In this BPD sample, in the last year, current BN was associated with a significantly greater risk of recurrent suicide attempts while current AN was associated with increased risk of recurrent non-suicidal self-injury. BPD with current AN or BED was associated with a greater number of non-ED current Axis I disorders. Further replication of these results is needed. Women with BPD must be assessed for AN and BN as these diagnoses may confer greater risk for suicidal and self-injurious behavior and may have to be prioritized in treatment. (c) 2009 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

Free