1. Self-reported symptoms of schizotypal and borderline personality disorder in patients with mood disorders
- Author
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Erkki Isometsä, Grigori Joffe, Kirsi Suominen, Martti Heikkinen, Boris Karpov, Tarja Melartin, Ilya Baryshnikov, K. Aaltonen, Tiina Paunio, Petri Näätänen, Jaana Suvisaari, Jorma Oksanen, Maaria Koivisto, Department of Psychiatry, Clinicum, and HUS Psychiatry
- Subjects
Male ,Statistics as Topic ,3124 Neurology and psychiatry ,0302 clinical medicine ,Borderline Personality Disorder ,Surveys and Questionnaires ,Borderline personality disorder ,Finland ,Depression (differential diagnoses) ,MAJOR DEPRESSIVE DISORDER ,BIPOLAR DISORDER ,Middle Aged ,McLean Screening Instrument ,MSI-BPD ,DSM-IV CRITERIA ,IMPAIRMENT SCALE OASIS ,PREVALENCE ,Psychiatry and Mental health ,Major depressive disorder ,Anxiety ,Female ,medicine.symptom ,Psychology ,TRAITS ,Clinical psychology ,Adult ,medicine.medical_specialty ,Psychometrics ,Universities ,ANXIETY DISORDERS ,behavioral disciplines and activities ,Diagnosis, Differential ,Schizotypal Personality Disorder ,03 medical and health sciences ,Schizotypal Personality Questionnaire Brief ,QUESTIONNAIRE-BRIEF ,mental disorders ,medicine ,Humans ,Bipolar disorder ,Psychiatry ,Psychiatric Status Rating Scales ,Mood Disorders ,Reproducibility of Results ,medicine.disease ,Schizotypal personality disorder ,Personality disorders ,030227 psychiatry ,Socioeconomic Factors ,Mood disorders ,Self Report ,030217 neurology & neurosurgery - Abstract
BackgroundDistinguishing between symptoms of schizotypal (SPD) and borderline personality disorders (BPD) is often difficult due to their partial overlap and frequent co-occurrence. We investigated correlations in self-reported symptoms of SPD and BPD in questionnaires at the levels of both total scores and individual items, examining overlapping dimensions.MethodsTwo questionnaires, the McLean Screening Instrument (MSI) for BPD and the Schizotypal Personality Questionnaire Brief (SPQ-B) for SPD, were filled in by patients with mood disorders (n = 282) from specialized psychiatric care in a study of the Helsinki University Psychiatric Consortium. Correlation coefficients between total scores and individual items of the MSI and SPQ-B were estimated. Multivariate regression analysis (MRA) was conducted to examine the relationships between SPQ-B and MSI.ResultsThe Spearman's correlation between total scores of the MSI and SPQ-B was strong (rho = 0.616, P < 0.005). Items of MSI reflecting disrupted relatedness and affective dysregulation correlated moderately (rφ varied between 0.2 and 0.4, P < 0.005) with items of SPQ. Items of MSI reflecting behavioural dysregulation correlated only weakly with items of SPQ. In MRA, depressive symptoms, sex and MSI were significant predictors of SPQ-B score, whereas symptoms of anxiety, age and SPQ-B were significant predictors of MSI score.ConclusionsItems reflecting cognitive-perceptual distortions and affective symptoms of BPD appear to overlap with disorganized and cognitive-perceptual symptoms of SPD. Symptoms of depression may aggravate self-reported features of SPQ-B, and symptoms of anxiety features of MSI. Symptoms of behavioural dysregulation of BPD and interpersonal deficits of SPQ appear to be non-overlapping.
- Published
- 2016
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