Axis I Dissociative Disorder Comorbidity in Borderline Personality Disorder and Reports of Childhood Trauma
Abstract
Objective The purpose of this study was to examine the dissociative disorder comorbidity of borderline personality disorder and its relation to childhood trauma reports in a nonclinical population. Method In April 2003, 1301 college students were screened for borderline personality disorder using the Structured Clinical Interview for DSM-IV Personality Disorders. The Childhood Trauma Questionnaire and Steinberg's dissociation questionnaires were also administered. During May and June 2003, 80 students with a diagnosis of borderline personality disorder and 111 nonborderline students were evaluated using the Structured Clinical Interview for DSM-IV Dissociative Disorders by an interviewer blind to the diagnosis and scores obtained during the first phase. Results The prevalence of borderline personality disorder was 8.5%. A significant majority (72.5%; 58/80) of the borderline personality disorder group had a dissociative disorder, whereas this rate was only 18.0% (20/111) for the comparison group (p Conclusion A significant proportion of subjects with borderline personality disorder have a comorbid dissociative disorder. Lack of interaction between dissociative disorder and borderline personality disorder diagnoses for any type of childhood trauma contradicts the opinion that both disorders together might be a single disorder. Recognizing highly prevalent but usually neglected Axis I dissociative disorder comorbidity in patients with borderline personality disorder may contrib…
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Dissociative comorbidity is more frequently reported by patients with BPD than by other groups.
“dissociative comorbidity is more frequently reported by patients with BPD than other groups”
From A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder (2009) · cites this paper as Sar, Akyuz, Kugu, Ozturk, & Ertem-Vehid, 2006
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“It appears to be a response to increased stress (Stiglmayr et al., 2008), to be associated with emotional neglect (Sar et al., 2006) and to be linked to suicidal ideation (Klonsky, 2008).”
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- Authors
- Sar, V., Akyuz, G., Kugu, N., Ozturk, E., & Ertem-Vehid, H.
- Venue
- The Journal of Clinical Psychiatry
- Publisher
- Physicians Postgraduate Press, Inc
- Published
- 2006-10-15
- Volume
- 67
- Issue
- 10
- Pages
- 1583-1590
- ISSN
- 0160-6689 (ISSN-L)
- OpenAlex
- W2073230377
- Cited by
- 199
- References
- 3
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 4 · 2023: 7 · 2022: 39 · 2021: 6 · 2020: 7 · 2019: 10 · 2018: 8 · 2017: 13 · 2016: 13 · 2015: 7 · 2014: 17 · 2013: 17 · 2012: 8
- FWCI
- 7.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- borderline personality disorder, dissociative disorders, comorbidities, childhood trauma, childhood emotional abuse, child sexual abuse, physical neglect, emotional neglect, university students, non-clinical population
- MeSH terms
- Adolescent, Adult, Borderline Personality Disorder, Child, Child Abuse, Child Abuse, Sexual, Dissociative Disorders, Female, Humans, Life Change Events, Male, Psychiatric Status Rating Scales, Surveys and Questionnaires, Comorbidity, Prevalence, Diagnostic and Statistical Manual of Mental Disorders
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