S. BELLINO, L. PATRIA, R. DI LORENZO, E. PARADISO, F. BOGETTO - Vol. 9, March 2003, Issue 1
Testo Immagini Bibliografia Summary Indice
Comorbilità di Asse I nel disturbo
borderline di personalità: un’indagine clinica in pazienti con disturbi
depressivi
Axis I comorbidity in borderline personality disorder: a clinical investigation
of patients with depressive disorders
Objectives
Clinical presentation of borderline personality
disorder (BPD) is characterized by high frequency of Axis I comorbidity. The
most common comorbid disorders are depressive disorders. The aim of this study
is to assess demographic and clinical characteristics of a group of patients
with depressive disorders and concomitant BPD, compared with a control group
with depressive disorders and other personality disorders (PDs).
Methods
101 consecutive outpatients receiving a diagnosis of depressive disorder
and a codiagnosis of personality disorder were included. Patients were assessed
using: a semistructured interview for demographic and clinical features; the
Structured Interview for DSM-IV (SCID); Hamilton scales for anxiety and depression;
Zung depression self-rating scale; the Borderline Syndrome Index (BSI); the
Social Functional Assessment Scale (SOFAS); the Revised Childhood Experiences
Questionnaire (CEQ-R) to search for mental, physical and sexual abuse in childhood.
A logistic regression analysis was performed using BSI score as the dependent
variable.
Results
Symptom severity of BPD (BSI score) was related to five factors: Zung
depression self-rating scale score; SOFAS score; presence of self-mutilating
behaviors; mental abuse experienced in childhood; familiarity for mood disorders.
Conclusions
Comorbidity of depressive disorders and BPD can be considered a distinct
clinical condition characterized by specific features.