Beyond the Categorical Distinction Between Borderline Personality Disorder and Bipolar II Disorder Through the Identification of Personality Traits Profiles
BackgroundThe relationship between borderline personality disorder (BPD) and type-II bipolar disorder (BDII) is not clearly understood. Nevertheless, in clinical practice and research, most efforts focus on establishing a categorical distinction between the two. We propose using personality traits a...
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doaj-dc1f4bab3b8b4c9987fa3dba58b55de52020-11-25T03:04:41ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-08-011110.3389/fpsyt.2020.00552528776Beyond the Categorical Distinction Between Borderline Personality Disorder and Bipolar II Disorder Through the Identification of Personality Traits ProfilesJuana Villarroel0Valeria Salinas1Valeria Salinas2Hernán Silva3Luisa Herrera4Cristián Montes5Sonia Jerez6Paul A. Vöhringer7Paul A. Vöhringer8Maria Leonor Bustamante9Maria Leonor Bustamante10University Psychiatric Clinic, Faculty of Medicine, Universidad de Chile, Santiago, ChileNeurogenetics Outpatient Clinic and Laboratory, University Neurology Center and Neurology Section, J.M. Ramos Mejía Hospital, Faculty of Medicine, Universidad de Buenos Aires, Buenos Aires, ArgentinaPrecision Medicine and Clinical Genomics Program, Faculty of Biomedical Sciences, Translational Medicine Research Institute, Universidad Austral-CONICET, Buenos Aires, ArgentinaUniversity Psychiatric Clinic, Faculty of Medicine, Universidad de Chile, Santiago, ChileHuman Genetics Program, Faculty of Medicine, Biomedical Sciences Institute, Universidad de Chile, Santiago, ChileUniversity Psychiatric Clinic, Faculty of Medicine, Universidad de Chile, Santiago, ChileUniversity Psychiatric Clinic, Faculty of Medicine, Universidad de Chile, Santiago, ChileUniversity Psychiatric Clinic, Faculty of Medicine, Universidad de Chile, Santiago, ChileMood Disorders Program, Tufts Medical Center, Tufts University, Boston, MA, United StatesUniversity Psychiatric Clinic, Faculty of Medicine, Universidad de Chile, Santiago, ChileHuman Genetics Program, Faculty of Medicine, Biomedical Sciences Institute, Universidad de Chile, Santiago, ChileBackgroundThe relationship between borderline personality disorder (BPD) and type-II bipolar disorder (BDII) is not clearly understood. Nevertheless, in clinical practice and research, most efforts focus on establishing a categorical distinction between the two. We propose using personality traits as a more informative strategy to describe them.MethodsFive-Factor Model personality traits were measured in 73 individuals with either BPD or BDII. Latent class cluster analysis was applied to the sample.ResultsA three-cluster model resulted the best fit to the data, where all clusters had high neuroticism and low extraversion scores but differed widely on the other traits. The clusters’ boundaries did not match the categorical diagnosis.ConclusionsOur sample showed significant heterogeneity on personality traits, which can have a relevant effect on the outcome of each disorder and that was not captured by the categorical diagnosis. Thus, we advocate for a multivariate approach as a better way to understand the relationship between BPD and BDII.https://www.frontiersin.org/article/10.3389/fpsyt.2020.00552/fullfive-factor modelneuroticismagreeablenessconscientiousnesstransdiagnostic approach |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Juana Villarroel Valeria Salinas Valeria Salinas Hernán Silva Luisa Herrera Cristián Montes Sonia Jerez Paul A. Vöhringer Paul A. Vöhringer Maria Leonor Bustamante Maria Leonor Bustamante |
spellingShingle |
Juana Villarroel Valeria Salinas Valeria Salinas Hernán Silva Luisa Herrera Cristián Montes Sonia Jerez Paul A. Vöhringer Paul A. Vöhringer Maria Leonor Bustamante Maria Leonor Bustamante Beyond the Categorical Distinction Between Borderline Personality Disorder and Bipolar II Disorder Through the Identification of Personality Traits Profiles Frontiers in Psychiatry five-factor model neuroticism agreeableness conscientiousness transdiagnostic approach |
author_facet |
Juana Villarroel Valeria Salinas Valeria Salinas Hernán Silva Luisa Herrera Cristián Montes Sonia Jerez Paul A. Vöhringer Paul A. Vöhringer Maria Leonor Bustamante Maria Leonor Bustamante |
author_sort |
Juana Villarroel |
title |
Beyond the Categorical Distinction Between Borderline Personality Disorder and Bipolar II Disorder Through the Identification of Personality Traits Profiles |
title_short |
Beyond the Categorical Distinction Between Borderline Personality Disorder and Bipolar II Disorder Through the Identification of Personality Traits Profiles |
title_full |
Beyond the Categorical Distinction Between Borderline Personality Disorder and Bipolar II Disorder Through the Identification of Personality Traits Profiles |
title_fullStr |
Beyond the Categorical Distinction Between Borderline Personality Disorder and Bipolar II Disorder Through the Identification of Personality Traits Profiles |
title_full_unstemmed |
Beyond the Categorical Distinction Between Borderline Personality Disorder and Bipolar II Disorder Through the Identification of Personality Traits Profiles |
title_sort |
beyond the categorical distinction between borderline personality disorder and bipolar ii disorder through the identification of personality traits profiles |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Psychiatry |
issn |
1664-0640 |
publishDate |
2020-08-01 |
description |
BackgroundThe relationship between borderline personality disorder (BPD) and type-II bipolar disorder (BDII) is not clearly understood. Nevertheless, in clinical practice and research, most efforts focus on establishing a categorical distinction between the two. We propose using personality traits as a more informative strategy to describe them.MethodsFive-Factor Model personality traits were measured in 73 individuals with either BPD or BDII. Latent class cluster analysis was applied to the sample.ResultsA three-cluster model resulted the best fit to the data, where all clusters had high neuroticism and low extraversion scores but differed widely on the other traits. The clusters’ boundaries did not match the categorical diagnosis.ConclusionsOur sample showed significant heterogeneity on personality traits, which can have a relevant effect on the outcome of each disorder and that was not captured by the categorical diagnosis. Thus, we advocate for a multivariate approach as a better way to understand the relationship between BPD and BDII. |
topic |
five-factor model neuroticism agreeableness conscientiousness transdiagnostic approach |
url |
https://www.frontiersin.org/article/10.3389/fpsyt.2020.00552/full |
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