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Cited by 91Personality Disorders and PsychopathologyPsychopathy, Forensic Psychiatry, Sexual OffendingPersonality Traits and Psychology

Borderline personality disorder and violence in the UK population: categorical and dimensional trait assessment

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González, Rafael A., Igoumenou, Artemis, Kallis, Constantinos, Coid, Jeremy W.·2016·BMC Psychiatry
DOI 10.1186/s12888-016-0885-7PMC PMC4891918
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Abstract

BACKGROUND: Borderline personality disorder (BPD) is characterised by difficulties with impulse control and affective dysregulation. It is unclear whether BPD contributes to the perpetration of violence or whether this is explained by comorbidity. We explored independent associations between categorical and dimensional representations of BPD and violence in the general population, and differential associations from individual BPD criteria. METHODS: We used a representative combined sample of 14,753 men and women from two British national surveys of adults (≥16 years). BPD was assessed using the Structured Clinical Interview II- Questionnaire. We measured self-reported violent behaviour in the past 5 years, including severity, victims and locations of incidents. Associations for binary, dimensional and trait-level exposures were performed using weighted logistic regression, adjusted for demography and comorbid psychopathology. RESULTS: Categorical diagnosis of BPD was associated only with intimate partner violence (IPV). Associations with serious violence leading to injuries and repetitive violence were better explained by comorbid substance misuse, anxiety and antisocial personality disorder (ASPD). However, anger and impulsivity BPD items were independently associated with most violent outcomes including severity, repetition and injury; suicidal behaviours and affective instability were not associated with violence. Both trait-level and severity-dimensional analyses showed that BPD symptoms might impact males and females differently in terms of violence. CONCLUSIONS: For individuals diagnosed BPD, violence is better explained by comorbidity. However, BPD individual traits show different pathways to violence at the population level. Gender differences in BPD traits and their severity indicate distinct, underlying mechanisms towards violence. BPD and traits should be evaluated in perpetrators of IPV.

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  • In adults with BPD, emotion dysregulation, particularly involving anger in a context of perceived rejection, is associated with both prior victimization by child maltreatment and subsequent violence perpetration toward self and others.

    “In adults with BPD, emotion dysregulation, particularly involving anger [56] in a context of perceived rejection [4, 48, 132], also has been shown to be associated with both prior victimization by child maltreatment and subsequent violence perpetration toward self and others (primarily intimate partners) [73, 79, 96, 98, 107, 126].”

    From Complex PTSD and borderline personality disorder (2021) · cites this paper as [56]

    The Results (Individual BPD criteria and violence; page unavailable) link anger and avoidance of abandonment to violence, including violence toward intimate partners. The Discussion (Implications; page unavailable) reports that BPD traits have been shown to mediate between childhood maltreatment and intimate partner violence. It does not establish the claimed association specifically for emotion dysregulation, or link it to subsequent violence toward the self; the Discussion instead distinguishes self-directed from interpersonal violence. (LLM, conf=0.86)

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Research works printed but not linked: 2

  1. [11]Monahan J Steadman H Silver E The MacArthur study of mental disorder and violence 2001 New York Oxford University Press
  2. [52]Coid JW, Ullrich S, Kallis C, Freestone M, Gonzalez R, Bui L, Constantinou A, Fenton N, Marsh W, De Stavola B et al.: Improving Risk Management in Mental Health Services. Programme Grant for Applied Research (NIHR) in press. 27929618

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Authors
González, R. A., Igoumenou, A., Kallis, C., & Coid, J. W.
Affiliations
  • University of Puerto Rico System (PR)
  • Queen Mary University of London (GB)
Corresponding author
Igoumenou, Artemis
ORCID
Venue
BMC Psychiatry
Publisher
Springer Science and Business Media LLC
Published
2016-06-03
Volume
16
Issue
1
Pages
180-180
ISSN
1471-244X (ISSN-L)
DOI
10.1186/s12888-016-0885-7
PMC
PMC4891918
OpenAlex
W2410269968
Cited by
87
References
52
Citations by year
2026: 2 · 2025: 4 · 2024: 14 · 2023: 9 · 2022: 6 · 2021: 15 · 2020: 10 · 2019: 10 · 2018: 9 · 2017: 8
FWCI
12.05
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • BMC Psychiatry (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
  • Queen Mary Research Online (Queen Mary University of London) (submittedVersion, cc-by)
  • Spiral (Imperial College London) (submittedVersion, cc-by)
Funders
NIHR (RP-PG-0407-10500)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
  • Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
Keywords
borderline personality disorder, violence, intimate partner violence, comorbidities, substance abuse, antisocial personality disorder, impulsivity, anger, neuroticism, suicidal behavior, gender differences, general population
MeSH terms
Adult, Antisocial Personality Disorder, Borderline Personality Disorder, Female, Humans, Impulsive Behavior, Male, Middle Aged, Surveys and Questionnaires, Risk Factors, Sex Factors, Spouse Abuse, Violence, Comorbidity, Young Adult

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