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Risk stratification for the early diagnosis of borderline personality disorder using psychiatric co-morbidities.

Authors :
Shen CC
Hu LY
Tsai SJ
Yang AC
Chen PM
Hu YH
Source :
Early intervention in psychiatry [Early Interv Psychiatry] 2018 Aug; Vol. 12 (4), pp. 605-612. Date of Electronic Publication: 2016 Sep 01.
Publication Year :
2018

Abstract

Aim: To develop a risk stratification model for the early diagnosis of borderline personality disorder (BPD) using Taiwan National Health Insurance Research Database.<br />Methods: We conducted a retrospective case-control study of 6132 patients (292 BPD patients and 5840 control subjects) who were selected from the National Health Insurance Research Database. Psychiatric co-morbidities including depressive disorder, bipolar disorder, anxiety disorder, substance-use disorder, personality disorders other than BPD, sleep disorder, eating disorder, autistic spectrum disorder, mental retardation and attention-deficit hyperactivity disorder, which were diagnosed within 3 years before enrolment, were collected. A logistic regression was used to calculate the odds ratio of psychiatric co-morbidities between subjects with and without BPD. The classification and regression tree method was used to generate a risk stratification model.<br />Results: The odds ratios for depressive disorder, bipolar disorder, anxiety disorder, substance-use disorder, personality disorders other than BPD, sleep disorder, eating disorder, mental retardation and attention-deficit hyperactivity disorder were greater for BPD patients than for the control subjects. Furthermore, the risk of BPD can be reliably estimated using age and psychiatric co-morbidities including bipolar disorder, substance-use disorder and depressive disorder.<br />Conclusions: Most psychiatric disorders were more common in BPD patients than in the control subjects. Using psychiatric co-morbidities, we identified four variables as significant risk predictors of BPD and permitted identification of subjects with low, intermediate or high risk for BPD. The accuracy of the risk stratification model is high and can be easily applied in clinical practice.<br /> (© 2016 John Wiley & Sons Australia, Ltd.)

Details

Language :
English
ISSN :
1751-7893
Volume :
12
Issue :
4
Database :
MEDLINE
Journal :
Early intervention in psychiatry
Publication Type :
Academic Journal
Accession number :
27587229
Full Text :
https://doi.org/10.1111/eip.12364