Instability of the unstable, an observation of borderline personality disorder traits and impulsivity declaration during the pandemic

IF 1 4区医学 Q4 NEUROSCIENCES

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique Pub Date : 2025-02-14 DOI:10.1016/j.encep.2024.10.007

Sylvia Martin

{"title":"Instability of the unstable, an observation of borderline personality disorder traits and impulsivity declaration during the pandemic","authors":"Sylvia Martin","doi":"10.1016/j.encep.2024.10.007","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Borderline personality disorder (BPD) is a complex mental health condition characterized by emotional, relational, and cognitive dysregulations. It is often misdiagnosed or underdiagnosed, contributing to stigmatization and inconsistent treatment. The COVID-19 pandemic, with its unique stressors, offered an opportunity to examine BPD traits in the general population.</div></div><div><h3>Aims</h3><div>This study compares the manifestation of BPD traits during the COVID-19 pandemic across clinical and non-clinical populations in France. It hypothesizes that the general population, despite experiencing similar stress-induced behaviors, will exhibit different levels of BPD traits.</div></div><div><h3>Methods</h3><div>We administered the Borderline Personality Questionnaire (BPQ), Impulsive Behavior Scale (UPPS), and Beck Hopelessness Scale (BHS) to a sample of 563 respondents via an online questionnaire.</div></div><div><h3>Results</h3><div>The findings reveal that while all groups exhibited elevated impulsivity and anxiety, BPD patients exhibited significantly higher levels of hopelessness, suicidal tendencies, anxiety and depression. This indicates the chronic and pervasive nature of BPD compared with stress-induced behaviors in the general population or other clinical samples.</div></div><div><h3>Discussion</h3><div>The results highlight the distinct nature of BPD traits and the necessity of refined diagnostic and treatment approaches. We specifically note that the “Emptiness” trait affects the overall severity of BPD. The analysis allows for the nuanced understanding that BPD, rather than being a unified pathological entity, is a disorder in which predominant traits can affect the overall severity.</div></div><div><h3>Conclusion</h3><div>BPD is a prevalent yet underdiagnosed disorder, with traits such as chronic emptiness remaining stable despite external stressors such as the COVID-19 pandemic. Focusing on understudied traits such as emptiness could enhance therapeutic approaches, and further research is needed to refine diagnostic methods and better understand BPD's diverse symptom profiles.</div></div>","PeriodicalId":51042,"journal":{"name":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","volume":"51 5","pages":"Pages 498-508"},"PeriodicalIF":1.0000,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S001370062500003X","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NEUROSCIENCES","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Borderline personality disorder (BPD) is a complex mental health condition characterized by emotional, relational, and cognitive dysregulations. It is often misdiagnosed or underdiagnosed, contributing to stigmatization and inconsistent treatment. The COVID-19 pandemic, with its unique stressors, offered an opportunity to examine BPD traits in the general population.

Aims

This study compares the manifestation of BPD traits during the COVID-19 pandemic across clinical and non-clinical populations in France. It hypothesizes that the general population, despite experiencing similar stress-induced behaviors, will exhibit different levels of BPD traits.

Methods

We administered the Borderline Personality Questionnaire (BPQ), Impulsive Behavior Scale (UPPS), and Beck Hopelessness Scale (BHS) to a sample of 563 respondents via an online questionnaire.

Results

The findings reveal that while all groups exhibited elevated impulsivity and anxiety, BPD patients exhibited significantly higher levels of hopelessness, suicidal tendencies, anxiety and depression. This indicates the chronic and pervasive nature of BPD compared with stress-induced behaviors in the general population or other clinical samples.

Discussion

The results highlight the distinct nature of BPD traits and the necessity of refined diagnostic and treatment approaches. We specifically note that the “Emptiness” trait affects the overall severity of BPD. The analysis allows for the nuanced understanding that BPD, rather than being a unified pathological entity, is a disorder in which predominant traits can affect the overall severity.

Conclusion

BPD is a prevalent yet underdiagnosed disorder, with traits such as chronic emptiness remaining stable despite external stressors such as the COVID-19 pandemic. Focusing on understudied traits such as emptiness could enhance therapeutic approaches, and further research is needed to refine diagnostic methods and better understand BPD's diverse symptom profiles.

查看原文本刊更多论文

不稳定的不稳定，观察边缘性人格障碍特征和大流行期间的冲动宣言。

背景：边缘型人格障碍（BPD）是一种以情感、关系和认知失调为特征的复杂心理健康状况。它经常被误诊或漏诊，导致污名化和治疗不一致。COVID-19大流行具有独特的压力源，为研究普通人群的BPD特征提供了机会。目的：本研究比较了法国临床和非临床人群在COVID-19大流行期间BPD特征的表现。它假设，尽管经历了类似的压力诱发行为，但一般人群会表现出不同程度的BPD特征。方法：对563名被试进行边缘性人格问卷（BPQ）、冲动行为量表（UPPS）和贝克绝望量表（BHS）的在线问卷调查。结果：研究结果显示，虽然所有组均表现出较高的冲动和焦虑，但BPD患者表现出更高的绝望、自杀倾向、焦虑和抑郁水平。这表明，与一般人群或其他临床样本中的应激性行为相比，BPD具有慢性和普遍性。讨论：结果强调了BPD特征的独特性质以及改进诊断和治疗方法的必要性。我们特别指出，“空虚”特征影响BPD的整体严重程度。分析允许细致入微的理解BPD，而不是一个统一的病理实体，是一种主要特征可以影响整体严重程度的疾病。结论：BPD是一种普遍存在但诊断不足的疾病，其慢性空虚等特征在COVID-19大流行等外部压力下仍保持稳定。关注未被充分研究的特征，如空虚感，可以提高治疗方法，需要进一步的研究来完善诊断方法，更好地了解BPD的各种症状特征。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique 医学-精神病学

CiteScore

4.60

自引率

7.40%

发文量

162

审稿时长

6-12 weeks

期刊介绍： Une revue française de renommée internationale. - Un comite de rédaction représentant tous les aspects de la prise en charge psychiatrique du patient. - Une sélection rigoureuse d''articles faisant l''objet de plusieurs expertises. - Des travaux d''auteurs et de chercheurs de renommée internationale. - Des indexations dans les grandes bases de données (Current Contents, Excerpta Medica, etc.). - Un facteur d''impact qui témoigne de la grande notoriété de la revue. La tribune des publications originales de haut niveau. - Une très grande diversité des sujets traités, rigoureusement sélectionnés à travers des sommaires dynamiques : - des éditoriaux de médecins référents, - une revue de presse sur les actualités internationales, - des articles originaux pour approfondir vos connaissances, - des mises au point et des cas cliniques pour engager votre réflexion sur les indications et choix possibles au travers de mises en situation clinique, - des dossiers thématiques pour faire le tour d''une question. - L''actualité de l''AFPB : L''Encéphale publie régulièrement des comptes rendus de l''Association française de psychiatrie clinique.