RELATIONSHIP BETWEEN CUMULATIVE BMI AND SYMPTOMATIC, PSYCHOSOCIAL, AND MEDICAL OUTCOMES IN PATIENTS WITH BORDERLINE PERSONALITY DISORDER

We examined the relationship between cumulative body mass index (BMI) and symptomatic, psychosocial, and medical outcomes in patients with borderline personality disorder (BPD). Two hundred female borderline patients were weighed and measured during their index admission. They were subsequently inte...

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Bibliographic Details
Published in:Journal of personality disorders 2011-08, Vol.25 (4), p.421-431
Main Authors: FRANKENBURG, Frances R, ZANARINI, Mary
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Adult Development
Adults
Attitude to Health
Biological and medical sciences
Body Composition
Body mass index
Body Weight
Borderline Personality Disorder - epidemiology
Borderline Personality Disorder - psychology
Clinical outcomes
Comorbidity
Correlation analysis
Family Income
Female
Follow-Up Studies
Health Status
Hospitals
Humans
Informed Consent
Interrater Reliability
Longitudinal Studies
Medical sciences
Obesity
Obesity - epidemiology
Obesity - psychology
Patients
Personality
Personality Assessment
Personality disorders
Personality Problems
Physical Health
Psychology. Psychoanalysis. Psychiatry
Psychopathology
Psychopathology. Psychiatry
Quality of Life
Schizophrenia
Scientific Concepts
Self Mutilation - epidemiology
Self Mutilation - psychology
Social Adjustment
Social Behavior
Suicide
Suicide - psychology
Suicide - statistics & numerical data
Women's Health
Young Adult
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Summary:We examined the relationship between cumulative body mass index (BMI) and symptomatic, psychosocial, and medical outcomes in patients with borderline personality disorder (BPD). Two hundred female borderline patients were weighed and measured during their index admission. They were subsequently interviewed at six-, eight-, and 10-year intervals. Over 10 years of prospective follow-up, increases in cumulative BMI were significantly associated with self-mutilation and dissociation (but not suicide attempts). Increases in cumulative BMI were also significantly associated with having no life partner, a poor work or school history, being on disability, being rated with a GAF score in the fair or poor range, and having a low income. In addition, increases in BMI were related to having two or more other medical conditions and using costly forms of health care. Increases in cumulative BMI may be a marker for adverse symptomatic, functional, and medical outcomes in patients with BPD.
ISSN:0885-579X
1943-2763
DOI:10.1521/pedi.2011.25.4.421