Differentiating risk for mania and borderline personality disorder: The nature of goal regulation and impulsivity

Abstract Researchers and clinicians have long noted the overlap among features and high comorbidity of bipolar disorder and borderline personality disorder. The shared features of impulsivity and labile mood in both disorders make them challenging to distinguish. We tested the hypothesis that variab...

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Bibliographic Details
Published in:Psychiatry research 2015-06, Vol.227 (2), p.347-352
Main Authors: Fulford, Daniel, Eisner, Lori R, Johnson, Sheri L
Format: Article
Language:English
Subjects:
Affective Symptoms - diagnosis
Affective Symptoms - epidemiology
Affective Symptoms - psychology
Approach/avoidance motivation
Bipolar disorder
Bipolar Disorder - diagnosis
Bipolar Disorder - epidemiology
Bipolar Disorder - psychology
Borderline personality disorder
Borderline Personality Disorder - diagnosis
Borderline Personality Disorder - epidemiology
Borderline Personality Disorder - psychology
Comorbidity
Female
Goal regulation
Goals
Humans
Impulsive Behavior
Impulsivity
Male
Mood Disorders - diagnosis
Mood Disorders - epidemiology
Mood Disorders - psychology
Psychiatric Status Rating Scales
Psychiatry
Reward
Risk
Risk Factors
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Summary:Abstract Researchers and clinicians have long noted the overlap among features and high comorbidity of bipolar disorder and borderline personality disorder. The shared features of impulsivity and labile mood in both disorders make them challenging to distinguish. We tested the hypothesis that variables related to goal dysregulation would be uniquely related to risk for mania, while emotion-relevant impulsivity would be related to risk for both disorders. We administered a broad range of measures related to goal regulation traits and impulsivity to 214 undergraduates. Findings confirmed that risk for mania, but not for borderline personality disorder, was related to higher sensitivity to reward and intense pursuit of goals. In contrast, borderline personality disorder symptoms related more strongly than did mania risk with threat sensitivity and with impulsivity in the context of negative affect. Results highlight potential differences and commonalities in mania risk versus borderline personality disorder risk.
ISSN:0165-1781
1872-7123
DOI:10.1016/j.psychres.2015.02.001