Features of borderline personality disorder as a mediator of the relation between childhood traumatic experiences and psychosis-like experiences in patients with mood disorder Article Swipe
Ilya Baryshnikov
,
Kari Aaltonen
,
Jaana Suvisaari
,
Maaria Koivisto
,
Martti Heikkinen
,
Grigori Joffe
,
Erkki Isometsä
·
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.1016/j.eurpsy.2017.12.005
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.1016/j.eurpsy.2017.12.005
Background Psychosis-like experiences (PEs) are common in patients with non-psychotic disorders. Several factors predict reporting of PEs in mood disorders, including mood-associated cognitive biases, anxiety and features of borderline personality disorder (BPD). Childhood traumatic experiences (CEs), often reported by patients with BPD, are an important risk factor for mental disorders. We hypothesized that features of BPD may mediate the relationship between CEs and PEs. In this study, we investigated the relationships between self-reported PEs, CEs and features of BPD in patients with mood disorders. Methods As part of the Helsinki University Psychiatric Consortium study, McLean Screening Instrument (MSI), Community Assessment of Psychic Experiences (CAPE-42) and Trauma and Distress Scale (TADS) were filled in by patients with mood disorders (n = 282) in psychiatric care. Correlation coefficients between total scores of scales and their dimensions were estimated, multiple regression and mediation analyses were conducted. Results Total scores of MSI correlated strongly with scores of the CAPE-42 dimension “frequency of positive symptoms” (rho = 0.56; p ≤ 0.001) and moderately with scores of TADS (rho = 0.4; p ≤ 0.001). Total score of MSI and its dimension “cognitive symptoms”, including identity disturbance, distrustfulness and dissociative symptoms, fully mediated the relation between TADS and CAPE-42. Each cognitive symptom showed a partial mediating role (dissociative symptoms 43% (CI = 25–74%); identity disturbance 40% (CI = 30-73%); distrustfulness 18% (CI = 12-50%)). Conclusions Self-reported cognitive-perceptual symptoms of BPD fully mediate, while affective, behavioural and interpersonal symptoms only partially mediate the relationships between CEs and PEs. Recognition of co-morbid features of BPD in patients with mood disorders reporting PEs is essential.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1016/j.eurpsy.2017.12.005
- OA Status
- green
- Cited By
- 5
- References
- 86
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2792614865
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W2792614865Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1016/j.eurpsy.2017.12.005Digital Object Identifier
- Title
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Features of borderline personality disorder as a mediator of the relation between childhood traumatic experiences and psychosis-like experiences in patients with mood disorderWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2018Year of publication
- Publication date
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2018-01-01Full publication date if available
- Authors
-
Ilya Baryshnikov, Kari Aaltonen, Jaana Suvisaari, Maaria Koivisto, Martti Heikkinen, Grigori Joffe, Erkki IsometsäList of authors in order
- Landing page
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https://doi.org/10.1016/j.eurpsy.2017.12.005Publisher landing page
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YesWhether a free full text is available
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greenOpen access status per OpenAlex
- OA URL
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https://hdl.handle.net/10138/300576Direct OA link when available
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Borderline personality disorder, Psychology, Clinical psychology, Mood, Psychosis, Cognition, Psychiatry, Anxiety, Mediation, Distress, Law, Political scienceTop concepts (fields/topics) attached by OpenAlex
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5Total citation count in OpenAlex
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2025: 1, 2024: 1, 2021: 1, 2019: 1, 2018: 1Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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