Distribution of borderline personality disorder related impulsivity types in psychiatric clinical populations.

IF 3.4 2区医学 Q2 PSYCHIATRY

BMC Psychiatry Pub Date : 2025-10-01 DOI:10.1186/s12888-025-07385-z

ZiLei Guo, Na Li, YanYan Wei, LiHua Xu, XiaoChen Tang, Qiang Hu, LingYun Zeng, Jin Gao, JiJun Wang, MingLiang Ju, TianHong Zhang

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引用次数: 0

Abstract

Background: Impulsivity is a core feature of Borderline Personality Disorder (BPD), yet its prevalence and variations across demographics and diagnoses in clinical populations are underexplored. This study aims to investigate the frequency and distribution of impulsive behaviors related to BPD among a large clinical sample, considering gender, age, and diagnostic categories.

Methods: A total of 2862 participants were consecutively sampled from psychiatric and psycho-counseling clinics. BPD traits and symptoms were assessed using the Personality Diagnostic Questionnaire 4th Edition Plus (PDQ-4plus), a concise and well-structured self-report questionnaire. Impulsive behaviors, including overspending, casual sex, excessive drinking, drug use, overeating, and reckless behavior, were evaluated based on item 106 of the PDQ-4plus.

Results: Overall frequencies show that 36.10% engaged in overspending, 10.30% in casual sex, 20.00% in excessive drinking, 7.30% in using drugs, 38.70% in overeating, and 15.60% in reckless behavior. Significant gender differences were observed, with men reporting higher rates of casual sex (χ² = 13.868, p < 0.001) and excessive drinking (χ² = 35.331, p < 0.001), while women reported higher rates of overeating (χ² = 27.320, p < 0.001). Age analysis revealed that younger adults exhibited higher impulsivity, particularly in overspending and reckless behavior. Diagnostic analysis showed that psychotic and mood disorders were associated with higher rates of overspending and overeating.

Conclusions: The study underscores the importance of considering demographic and diagnostic variations when addressing impulsive behaviors in BPD. These findings can inform the development of targeted interventions.

Clinical trial number: Not applicable.

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边缘型人格障碍相关冲动类型在精神病临床人群中的分布。

背景：冲动性是边缘型人格障碍（BPD）的核心特征，但其在人口统计学和临床人群诊断中的患病率和变化尚未得到充分研究。本研究旨在调查大量临床样本中与BPD相关的冲动行为的频率和分布，考虑性别、年龄和诊断类别。方法：从精神科和心理咨询诊所连续抽取2862名参与者。使用人格诊断问卷第四版加号（PDQ-4plus）对BPD特征和症状进行评估，这是一份简明且结构良好的自我报告问卷。冲动行为，包括过度消费、随意性行为、酗酒、吸毒、暴饮暴食和鲁莽行为，根据pdq -4 - plus的第106项进行评估。结果：总体频次显示：超支占36.10%，滥交占10.30%，酗酒占20.00%，吸毒占7.30%，暴饮暴食占38.70%，鲁莽行为占15.60%。结论：该研究强调了在处理BPD患者冲动行为时考虑人口统计学和诊断差异的重要性。这些发现可以为制定有针对性的干预措施提供信息。临床试验号：不适用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Psychiatry 医学-精神病学

CiteScore

5.90

自引率

4.50%

发文量

716

审稿时长

3-6 weeks

期刊介绍： BMC Psychiatry is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of psychiatric disorders, as well as related molecular genetics, pathophysiology, and epidemiology.