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Cited by 65Personality Disorders and PsychopathologySchizophrenia research and treatmentBipolar Disorder and Treatment

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Psychotic symptoms in borderline personality disorder: an update

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D’Agostino, Alessandra, Rossi Monti, Mario, Starcevic, Vladan·2019·Current Opinion in Psychiatry
DOI 10.1097/yco.0000000000000462
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Abstract

PURPOSE OF REVIEW: The purpose of this article is to review the most recent literature on psychotic symptoms in borderline personality disorder (BPD). RECENT FINDINGS: Both auditory hallucinations and delusional ideation (especially paranoid delusions) are relatively common in individuals with BPD. It is still difficult to distinguish these and related phenomena in BPD from the corresponding experiences in psychotic disorders and schizophrenia, despite numerous attempts to do so. The terminology introduced to help with this effort has not been particularly useful. The presence of auditory hallucinations may affect the course of BPD negatively. Psychotic symptoms in BPD seem to be significantly related to the context (usually stressful events) and appear or intensify in response to situational crisis. The role of certain co-occurring disorders in increasing the risk of psychotic symptoms in BPD remains uncertain. SUMMARY: Psychotic symptoms in BPD continue to be poorly understood. Further research should try to ascertain the relationships between hallucinations and delusions on one hand and the processing of trauma, emotion regulation, distress tolerance and interpersonal sensitivity on the other. Ultimately, such endeavor will contribute to developing more effective treatments for BPD.

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Cited by

Metadata

Authors
D’Agostino, A., Rossi Monti, M., & Starcevic, V.
Affiliations
University of Urbino (IT)
Corresponding author
D’Agostino, Alessandra
ORCID
D’Agostino, Alessandra
Venue
Current Opinion in Psychiatry
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2019-01
Volume
32
Issue
1
Pages
22-26
ISSN
0951-7367 (ISSN-L)
DOI
10.1097/yco.0000000000000462
OpenAlex
W2889432597
Cited by
65
References
2
Citations by year
2026: 7 · 2025: 10 · 2024: 12 · 2023: 10 · 2022: 10 · 2021: 5 · 2020: 6 · 2019: 5
FWCI
0.67
Type
journal article
Language
en
Open access
Licence
cc-by-nc-nd
Locations
  • Current Opinion in Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • CINECA IRIS Institutional Research information system (University of Urbino) (submittedVersion, cc-by-nc-nd)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
Keywords
borderline personality disorder, psychotic symptoms, auditory hallucinations, delusional ideation, persecutory delusions, psychosis, schizophrenia, trauma processing, emotion regulation, distress tolerance, interpersonal sensitivity, co-occurring disorders
MeSH terms
Adult, Borderline Personality Disorder, Delusions, Female, Hallucinations, Humans, Male, Psychotic Disorders

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