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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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Published in: | Journal of personality disorders 2011-08, Vol.25 (4), p.421-431 |
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description | 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. |
doi_str_mv | 10.1521/pedi.2011.25.4.421 |
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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. 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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</subject><ispartof>Journal of personality disorders, 2011-08, Vol.25 (4), p.421-431</ispartof><rights>2015 INIST-CNRS</rights><rights>2011 The Guilford Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c458t-17c06fed84f068aa2482d88960eb8ed5129d5b76607c3443735a52a5db680d2f3</citedby><cites>FETCH-LOGICAL-c458t-17c06fed84f068aa2482d88960eb8ed5129d5b76607c3443735a52a5db680d2f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/883111652/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/883111652?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,780,784,885,21378,21394,27924,27925,33611,33612,33877,33878,43733,43880,74221,74397</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24387684$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21838559$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>FRANKENBURG, Frances R</creatorcontrib><creatorcontrib>ZANARINI, Mary</creatorcontrib><title>RELATIONSHIP BETWEEN CUMULATIVE BMI AND SYMPTOMATIC, PSYCHOSOCIAL, AND MEDICAL OUTCOMES IN PATIENTS WITH BORDERLINE PERSONALITY DISORDER</title><title>Journal of personality disorders</title><addtitle>J Pers Disord</addtitle><description>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.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Adult Development</subject><subject>Adults</subject><subject>Attitude to Health</subject><subject>Biological and medical sciences</subject><subject>Body Composition</subject><subject>Body mass index</subject><subject>Body Weight</subject><subject>Borderline Personality Disorder - epidemiology</subject><subject>Borderline Personality Disorder - psychology</subject><subject>Clinical outcomes</subject><subject>Comorbidity</subject><subject>Correlation analysis</subject><subject>Family Income</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health Status</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Informed Consent</subject><subject>Interrater Reliability</subject><subject>Longitudinal Studies</subject><subject>Medical sciences</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Obesity - psychology</subject><subject>Patients</subject><subject>Personality</subject><subject>Personality Assessment</subject><subject>Personality disorders</subject><subject>Personality Problems</subject><subject>Physical Health</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology</subject><subject>Psychopathology. Psychiatry</subject><subject>Quality of Life</subject><subject>Schizophrenia</subject><subject>Scientific Concepts</subject><subject>Self Mutilation - epidemiology</subject><subject>Self Mutilation - psychology</subject><subject>Social Adjustment</subject><subject>Social Behavior</subject><subject>Suicide</subject><subject>Suicide - psychology</subject><subject>Suicide - statistics & numerical data</subject><subject>Women's Health</subject><subject>Young Adult</subject><issn>0885-579X</issn><issn>1943-2763</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>ALSLI</sourceid><sourceid>CJNVE</sourceid><sourceid>M0P</sourceid><sourceid>M2R</sourceid><recordid>eNpdkd2O0zAQhSMEYrsLL8AFspAQN5tgO7bj3CClqaGR8lM1KUuvLDdxIKs0KUm7Em_AY-PsluXnaqQ53xzNzLGsVwg6iGL0_qCrxsEQIQdThzgEoyfWDPnEtbHH3KfWDHJOber5Xy6sy3G8hRAxzthz6wIj7nJK_Zn1cy3ioIiyNF9GKzAXxY0QKQg3yWZqfxZgnkQgSBcg3yarIktMM7wGq3wbLrM8C6Mgvr6XE7GIwiAG2aYIs0TkIErBysAiLXJwExVLMM_WC7GOo1SAlVjnWRrEUbEFiyi_F15Yz2rVjvrluV5Zm4-iCJd2nH2anO2SUH60kVdCVuuKkxoyrhQmHFec-wzqHdcVRdiv6M5jDHqlS4jruVRRrGi1YxxWuHavrA8PvofTbq-rUnfHQbXyMDR7NfyQvWrkv0rXfJNf-zvpYmjcoDF4dzYY-u8nPR7lvhlL3baq0_1plNy8lnACfUO--Y-87U9DZ66bIIQQo9hA-AEqh34cB10_roKgnGKWU8xyilliKok0MZuh138f8TjyO1cDvD0DaixVWw-qK5vxD0dc7jFO3F-Gdqap</recordid><startdate>20110801</startdate><enddate>20110801</enddate><creator>FRANKENBURG, Frances R</creator><creator>ZANARINI, Mary</creator><general>Guilford</general><general>Guilford Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>88J</scope><scope>8A4</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0P</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>M2R</scope><scope>NAPCQ</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20110801</creationdate><title>RELATIONSHIP BETWEEN CUMULATIVE BMI AND SYMPTOMATIC, PSYCHOSOCIAL, AND MEDICAL OUTCOMES IN PATIENTS WITH BORDERLINE PERSONALITY DISORDER</title><author>FRANKENBURG, Frances R ; ZANARINI, Mary</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c458t-17c06fed84f068aa2482d88960eb8ed5129d5b76607c3443735a52a5db680d2f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Adult Development</topic><topic>Adults</topic><topic>Attitude to Health</topic><topic>Biological and medical sciences</topic><topic>Body Composition</topic><topic>Body mass index</topic><topic>Body Weight</topic><topic>Borderline Personality Disorder - epidemiology</topic><topic>Borderline Personality Disorder - psychology</topic><topic>Clinical outcomes</topic><topic>Comorbidity</topic><topic>Correlation analysis</topic><topic>Family Income</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health Status</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Informed Consent</topic><topic>Interrater Reliability</topic><topic>Longitudinal Studies</topic><topic>Medical sciences</topic><topic>Obesity</topic><topic>Obesity - epidemiology</topic><topic>Obesity - psychology</topic><topic>Patients</topic><topic>Personality</topic><topic>Personality Assessment</topic><topic>Personality disorders</topic><topic>Personality Problems</topic><topic>Physical Health</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology</topic><topic>Psychopathology. Psychiatry</topic><topic>Quality of Life</topic><topic>Schizophrenia</topic><topic>Scientific Concepts</topic><topic>Self Mutilation - epidemiology</topic><topic>Self Mutilation - psychology</topic><topic>Social Adjustment</topic><topic>Social Behavior</topic><topic>Suicide</topic><topic>Suicide - psychology</topic><topic>Suicide - statistics & numerical data</topic><topic>Women's Health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FRANKENBURG, Frances R</creatorcontrib><creatorcontrib>ZANARINI, Mary</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Education Periodicals</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Education Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database (ProQuest)</collection><collection>Science Database</collection><collection>Social Science Database (ProQuest)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of personality disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>FRANKENBURG, Frances R</au><au>ZANARINI, Mary</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>RELATIONSHIP BETWEEN CUMULATIVE BMI AND SYMPTOMATIC, PSYCHOSOCIAL, AND MEDICAL OUTCOMES IN PATIENTS WITH BORDERLINE PERSONALITY DISORDER</atitle><jtitle>Journal of personality disorders</jtitle><addtitle>J Pers Disord</addtitle><date>2011-08-01</date><risdate>2011</risdate><volume>25</volume><issue>4</issue><spage>421</spage><epage>431</epage><pages>421-431</pages><issn>0885-579X</issn><eissn>1943-2763</eissn><coden>JPDIEB</coden><abstract>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.</abstract><cop>New York, NY</cop><pub>Guilford</pub><pmid>21838559</pmid><doi>10.1521/pedi.2011.25.4.421</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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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 |
title | RELATIONSHIP BETWEEN CUMULATIVE BMI AND SYMPTOMATIC, PSYCHOSOCIAL, AND MEDICAL OUTCOMES IN PATIENTS WITH BORDERLINE PERSONALITY DISORDER |
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