Borderline Personality Pathology in an At Risk Mental State Sample
Introduction: Transient psychotic symptoms in patients with borderline personality disorder seem to be similar to those in patients with psychotic disorders. Especially in the field of early detection of psychosis, this might lead to individuals with borderline personality disorder being wrongly cla...
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doaj-4c8ba0ded0814c6384e8c1eb8e34a55f2020-11-24T21:47:26ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402019-11-011010.3389/fpsyt.2019.00838458858Borderline Personality Pathology in an At Risk Mental State SampleTobias Paust0Tobias Paust1Anastasia Theodoridou2Anastasia Theodoridou3Mario Müller4Mario Müller5Christine Wyss6Christine Wyss7Caitriona Obermann8Wulf Rössler9Wulf Rössler10Wulf Rössler11Karsten Heekeren12Karsten Heekeren13Karsten Heekeren14The Zurich Program for Sustainable Development of Mental Health Services (ZInEP), University of Zurich, Zurich, SwitzerlandDepartment of Psychiatry, Psychotherapy and Psychosomatics, University of Zurich, Zurich, SwitzerlandThe Zurich Program for Sustainable Development of Mental Health Services (ZInEP), University of Zurich, Zurich, SwitzerlandDepartment of Psychiatry, Psychotherapy and Psychosomatics, University of Zurich, Zurich, SwitzerlandThe Zurich Program for Sustainable Development of Mental Health Services (ZInEP), University of Zurich, Zurich, SwitzerlandDepartment of Psychiatry, Psychotherapy and Psychosomatics, University of Zurich, Zurich, SwitzerlandThe Zurich Program for Sustainable Development of Mental Health Services (ZInEP), University of Zurich, Zurich, SwitzerlandDepartment of Psychiatry, Psychotherapy and Psychosomatics, University of Zurich, Zurich, SwitzerlandDepartment of Psychiatry, Psychotherapy and Psychosomatics, University of Zurich, Zurich, SwitzerlandThe Zurich Program for Sustainable Development of Mental Health Services (ZInEP), University of Zurich, Zurich, SwitzerlandLaboratory of Neuroscience (LIM 27), Institute of Psychiatry, University of São Paulo, São Paulo, BrazilDepartment of Psychiatry and Psychotherapy, Charité University Medicine, Berlin, GermanyThe Zurich Program for Sustainable Development of Mental Health Services (ZInEP), University of Zurich, Zurich, SwitzerlandDepartment of Psychiatry, Psychotherapy and Psychosomatics, University of Zurich, Zurich, SwitzerlandDepartment of Psychiatry and Psychotherapy I, LVR-Hospital Cologne, Cologne, GermanyIntroduction: Transient psychotic symptoms in patients with borderline personality disorder seem to be similar to those in patients with psychotic disorders. Especially in the field of early detection of psychosis, this might lead to individuals with borderline personality disorder being wrongly classified as subjects at risk for developing a manifest psychosis. The aim of the present study was to investigate the occurrence of borderline symptoms in a sample of subjects at risk for psychosis as well as possible effects on the transition rate.Methods: Seventy help-seeking individuals of an early psychosis recognition center were additionally examined for borderline symptoms by the borderline symptom checklist.Results: We found a significant correlation between borderline symptomatology and positive symptoms assessed by the structured interview for prodromal symptoms. There were no associations between basic symptoms for psychosis and borderline symptoms. In addition, there was no influence of borderline symptomatology on the rate of transition into a manifest schizophrenic disease.Summary: In conclusion, borderline personality disorder should not be an exclusion criterion for the screening for psychosis or for an early intervention treatment. On the other hand, not every patient with borderline personality disorder, (especially those not suffering from hallucinations, unusual thought content, or persecutory ideas) should automatically be screened for the risk of developing a psychotic disorder.https://www.frontiersin.org/article/10.3389/fpsyt.2019.00838/fullborderline personality disorderpsychosisat-risktransitionbasic symptomspositive symptoms |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tobias Paust Tobias Paust Anastasia Theodoridou Anastasia Theodoridou Mario Müller Mario Müller Christine Wyss Christine Wyss Caitriona Obermann Wulf Rössler Wulf Rössler Wulf Rössler Karsten Heekeren Karsten Heekeren Karsten Heekeren |
spellingShingle |
Tobias Paust Tobias Paust Anastasia Theodoridou Anastasia Theodoridou Mario Müller Mario Müller Christine Wyss Christine Wyss Caitriona Obermann Wulf Rössler Wulf Rössler Wulf Rössler Karsten Heekeren Karsten Heekeren Karsten Heekeren Borderline Personality Pathology in an At Risk Mental State Sample Frontiers in Psychiatry borderline personality disorder psychosis at-risk transition basic symptoms positive symptoms |
author_facet |
Tobias Paust Tobias Paust Anastasia Theodoridou Anastasia Theodoridou Mario Müller Mario Müller Christine Wyss Christine Wyss Caitriona Obermann Wulf Rössler Wulf Rössler Wulf Rössler Karsten Heekeren Karsten Heekeren Karsten Heekeren |
author_sort |
Tobias Paust |
title |
Borderline Personality Pathology in an At Risk Mental State Sample |
title_short |
Borderline Personality Pathology in an At Risk Mental State Sample |
title_full |
Borderline Personality Pathology in an At Risk Mental State Sample |
title_fullStr |
Borderline Personality Pathology in an At Risk Mental State Sample |
title_full_unstemmed |
Borderline Personality Pathology in an At Risk Mental State Sample |
title_sort |
borderline personality pathology in an at risk mental state sample |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Psychiatry |
issn |
1664-0640 |
publishDate |
2019-11-01 |
description |
Introduction: Transient psychotic symptoms in patients with borderline personality disorder seem to be similar to those in patients with psychotic disorders. Especially in the field of early detection of psychosis, this might lead to individuals with borderline personality disorder being wrongly classified as subjects at risk for developing a manifest psychosis. The aim of the present study was to investigate the occurrence of borderline symptoms in a sample of subjects at risk for psychosis as well as possible effects on the transition rate.Methods: Seventy help-seeking individuals of an early psychosis recognition center were additionally examined for borderline symptoms by the borderline symptom checklist.Results: We found a significant correlation between borderline symptomatology and positive symptoms assessed by the structured interview for prodromal symptoms. There were no associations between basic symptoms for psychosis and borderline symptoms. In addition, there was no influence of borderline symptomatology on the rate of transition into a manifest schizophrenic disease.Summary: In conclusion, borderline personality disorder should not be an exclusion criterion for the screening for psychosis or for an early intervention treatment. On the other hand, not every patient with borderline personality disorder, (especially those not suffering from hallucinations, unusual thought content, or persecutory ideas) should automatically be screened for the risk of developing a psychotic disorder. |
topic |
borderline personality disorder psychosis at-risk transition basic symptoms positive symptoms |
url |
https://www.frontiersin.org/article/10.3389/fpsyt.2019.00838/full |
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