Depressive experiences in inpatients with borderline personality disorder

We investigate the quality of dependent and self-critical depressive experiences in a hospitalized sample of depressed (n = 17), depressed borderline (n = 29), and borderline non-depressed inpatients (n = 10). Subjects were administered structured diagnostic interviews for axis I and axis II along w...

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Bibliographic Details
Published in:Psychiatric quarterly 2007-06, Vol.78 (2), p.129-143
Main Authors: LEVY, Kenneth N, EDELL, William S, MCGLASHAN, Thomas H
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Biological and medical sciences
Borderline personality disorder
Borderline Personality Disorder - diagnosis
Borderline Personality Disorder - epidemiology
Borderline Personality Disorder - psychology
Comorbidity
Depression
Depressive Disorder - diagnosis
Depressive Disorder - epidemiology
Depressive Disorder - psychology
Depressive experiences
Diagnostic and Statistical Manual of Mental Disorders
Factor Analysis, Statistical
Female
Hospitalization
Humans
Male
Medical sciences
Mood disorders
Personality disorders
Personality Inventory
Psychiatric Status Rating Scales - statistics & numerical data
Psychology. Psychoanalysis. Psychiatry
Psychometrics
Psychopathology. Psychiatry
Reproducibility of Results
Severity of Illness Index
Surveys and Questionnaires
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Summary:We investigate the quality of dependent and self-critical depressive experiences in a hospitalized sample of depressed (n = 17), depressed borderline (n = 29), and borderline non-depressed inpatients (n = 10). Subjects were administered structured diagnostic interviews for axis I and axis II along with the Symptom Checklist-90-Revised Depression Scale (SCL-90-R-DS) and the Depressive Experiences Questionnaire (DEQ). As predicted, there were no differences between the three groups in overall level of impairment or severity of depression. Phenomenologically, however, depressive experiences were quite different. Subjects with borderline personality disorder, with and without a diagnosed depressive disorder, scored higher than subjects with depression only on the measure of anaclitic neediness. Further analyses revealed that anaclitic neediness was significantly associated with interpersonal distress, self-destructive behaviors, and impulsivity. Findings suggest the importance of considering phenomenological aspects of depression in borderline pathology.
ISSN:0033-2720
1573-6709
DOI:10.1007/s11126-006-9033-8