Comparing impulsiveness, hostility, and depression in borderline personality disorder and bipolar II disorder.

Comparing impulsiveness, hostility, and depression in borderline personality disorder and bipolar II disorder. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Comparing impulsiveness, hostility, and depression in borderline personality disorder and bipolar II disorder. Abstract Text:

Scott T Wilson,Barbara Stanley,Maria A Oquendo,Pablo Goldberg,Gil Zalsman,J John Mann,

OBJECTIVE: To determine whether borderline personality disorder (BPD) and bipolar II disorder can be differentiated from each other and from major depressive disorder (MDD) by comparing depression severity, impulsiveness, and hostility in mood disorder patients with and without BPD. METHOD: One hundred seventy-three patients with either MDD or bipolar II disorder were enrolled from a larger sample admitted to a multisite project on mood disorders and suicidal behavior conducted from June 1996 through June 2006. Patients were divided into 4 groups: MDD with BPD, MDD without an Axis II diagnosis, bipolar II disorder with BPD, and bipolar II disorder without an Axis II diagnosis. All diagnoses were based on DSM-IV criteria. Depression was assessed using the 17-item Hamilton Rating Scale for Depression (HAM-D) and the self-rated Beck Depression Inventory (BDI). Impulsiveness was assessed using the Barratt Impulsiveness Scale, and hostility was assessed using the Buss-Durkee Hostility Inventory. RESULTS: Patients with BPD reported higher levels of impulsiveness (p = .004) and hostility (p = .001), independent of Axis I diagnosis. Bipolar II patients reported greater attentional impulsiveness (p = .008) than MDD patients, independent of BPD status, while BPD patients reported greater nonplanning impulsiveness than patients without BPD, independent of Axis I diagnosis (p = .02). For motor impulsiveness, there was a main effect for Axis I diagnosis (p = .05) and Axis II diagnosis (p = .002). The bipolar II + BPD group scored the highest, suggesting a compound effect of comorbidity. There were no differences in depression severity when measured with the HAM-D, although the BPD groups reported more severe depression on the BDI, independent of their Axis I diagnosis (p = .05). The BPD groups scored higher on the cognitive factor (p = .01) and anxiety factor (p = .03) of the HAM-D. CONCLUSION: Results suggest that there is a unique symptom and trait profile associated with BPD that distinguishes the diagnosis from bipolar II disorder. Results also suggest that impulsiveness is an important aspect of both disorders and that there is a compounding effect associated with a diagnosis of bipolar II disorder with comorbid BPD.

Comparing impulsiveness, hostility, and depression in borderline personality disorder and bipolar II disorder. Publishing Authors By Initials

ST Wilson,B Stanley,MA Oquendo,P Goldberg,G Zalsman,JJ Mann,

For similar investigative techniques: epidemiologic methods: data collection: health surveys: health status indicators: severity of illness index research abstracts see: investigative techniques: epidemiologic methods: data collection: health surveys: health status indicators: severity of illness index research

PUBMED ID PMID:

MEDLINE DATE:

Comparing impulsiveness, hostility, and depression in borderline personality disorder and bipolar II disorder. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: The Journal of clinical psychiatry

VOLUME: 68

Page Numbers: 1533-9

Journal Abbreviation:

ISSN: 1555-2101

DAY: 19

MONTH: Oct

YEAR: 2007

Comparing impulsiveness, hostility, and depression in borderline personality disorder and bipolar II disorder. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 7801243

Comparing impulsiveness, hostility, and depression in borderline personality disorder and bipolar II disorder. Keywords Mesh Terms:

KEYWORDS: Severity of Illness Index

MESH TERMS: psychology

Chemical & Substance for Abstract: Comparing impulsiveness, hostility, and depression in borderline personality disorder and bipolar II disorder. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Comparing impulsiveness, hostility, and depression in borderline personality disorder and bipolar II disorder.

AFFILIATION: Department of Neuroscience, New York State Psychiatric Institute, NY 10032, USA. stw16@columbia.edu

Country: United States

AGENCY: United States NIMH

GRANT: MH62185

ACRONYM: MH

MEDLINETA: J Clin Psychiatry

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Comparing impulsiveness, hostility, and depression in borderline personality disorder and bipolar II disorder Related Publications

• Anticipated uptake of genetic testing for familial melanoma in an Australian sample: An exploratory study.
• Antithrombotic properties of aspirin and resistance to aspirin: beyond strictly antiplatelet actions.
• Better the devil you know? High-risk individuals' anticipated psychological responses to genetic testing for melanoma susceptibility.
• CSF monoamine metabolites and lethality of suicide attempts in depressed patients with alcohol dependence.
• Deriving and propagating mouse embryonic stem cell lines for studying genomic imprinting.
• Dorsolateral prefrontal cortex N-acetylaspartate/total creatine (NAA/tCr) loss in male recreational cannabis users.
• Effects of rapid weight gain to puberty on reproduction, mammary development and lactation in ewe lambs.
• Elevated cerebrospinal fluid 5-hydroxyindoleacetic acid levels in women with comorbid depression and panic disorder.
• Fatigue debonding of the roughened stem-cement interface: effects of surface roughness and stem heating conditions.
• Health information processed under limited attention: is it better to be "hot" or "cool?".
• Hox control of morphogen mobility and organ development through regulation of glypican expression.
• Immunologic quantitation of tissue factors.
• In vitro and in vivo evaluation of [11C]MPEPy as a potential PET ligand for mGlu5 receptors.
• Influences on medical student career choice: gender or generation?
• Intraoperative monitoring of motor cranial nerves in skull base surgery.
• Nubbin and Teashirt mark barriers to clonal growth along the proximal-distal axis of the Drosophila wing.
• Peptidomimetic inhibitors for activated protein C: implications for hemophilia management.
• Petrous apex lesions.
• Prospective studies of suicidal behavior in major depressive and bipolar disorders: what is the evidence for predictive risk factors?
• Sadness and loss: toward a neurobiopsychosocial model.
• Sex differences in clinical predictors of suicidal acts after major depression: a prospective study.
• Sex differences in the familial transmission of mood disorders.
• The histone chaperone Asf1 at the crossroads of chromatin and DNA checkpoint pathways.
• The relationship between antidepressant prescription rates and rate of early adolescent suicide.
• The resuscitative fluid you choose may potentiate bleeding.
• Toll-like receptor 2 modulates left ventricular function following ischemia-reperfusion injury.
• When do ego threats lead to self-regulation failure? Negative consequences of defensive high self-esteem.
• [Cardiovascular effects of oral hypoglycemie drugs]
• [Flavonols from Fruits of Vitex agnus castus.]
• [Pharmacological relapse prevention in alcohol and tobacco dependence]