Diminished Impulsivity in Older Patients With Borderline Personality Disorder

OBJECTIVE: The aim of this study was to test, in terms of impulsivity, the hypothesis that borderline personality disorder "burns out" with age. METHOD: Linear regression analyses, with age as a predictor variable, were conducted on subsection scores of the Revised Diagnostic Interview for...

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Bibliographic Details
Published in:The American journal of psychiatry 2003-01, Vol.160 (1), p.165-166
Main Authors: Stevenson, Janine, Meares, Russell, Comerford, Anne
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adolescent
Adult
Adult and adolescent clinical studies
Age
Age Factors
Ageing
Ambulatory Care
Behavior disorders
Biological and medical sciences
Borderline personality disorder
Borderline Personality Disorder - diagnosis
Borderline Personality Disorder - psychology
Borderline Personality Disorder - therapy
Female
Humans
Impulsive Behavior - diagnosis
Impulsive Behavior - psychology
Impulsive Behavior - therapy
Impulsivity
Linear Models
Male
Medical sciences
Middle Aged
Older people
Personality disorders
Psychiatric Status Rating Scales - statistics & numerical data
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychometrics
Psychopathology. Psychiatry
Psychotherapy
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Summary:OBJECTIVE: The aim of this study was to test, in terms of impulsivity, the hypothesis that borderline personality disorder "burns out" with age. METHOD: Linear regression analyses, with age as a predictor variable, were conducted on subsection scores of the Revised Diagnostic Interview for Borderlines (DIB-R) for 123 individuals with a diagnosis of borderline personality disorder who were accepted into an outpatient-based psychotherapy program. The subsection scores of the DIB-R allow quantification of the core features of the disorder: affective disturbance, relationship disturbance, cognitive disturbance, and impulsive behavior. RESULTS: Older patients with borderline personality disorder showed less impulsivity than younger patients, but there was no difference in terms of affect disturbance, identity disturbance, and interpersonal problems. CONCLUSIONS: The view that borderline personality disorder burns out with age is supported in terms of impulsivity.
ISSN:0002-953X
1535-7228
DOI:10.1176/appi.ajp.160.1.165