Self-reported symptoms of schizotypal and borderline personality disorder in patients with mood disorders

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• 作者：I. Baryshnikov^a ; ¹ ; J. Suvisaari^a ; ^b ; K. Aaltonen^a ; ^c ; ¹ ; M. Koivisto^a ; P. Nä ; ä ; tä ; nen^a ; B. Karpov^a ; T. Melartin^f ; ² ; J. Oksanen^b ; K. Suominen^d ; ^e ; ³ ; M. Heikkinen^a ; T. Paunio^a ; G. Joffe^a ; E. Isometsä ; ^a ; ^c ; ^{erkki.isometsa@hus.fi" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Borderline Personality Disorder ; Schizotypal Personality Disorder ; McLean Screening Instrument ; Schizotypal Personality Questionnaire Brief
• 刊名：European Psychiatry
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：33
• 期：Complete
• 页码：37-44
• 全文大小：511 K

文摘

Distinguishing between symptoms of schizotypal (SPD) and borderline personality disorders (BPD) is often difficult due to their partial overlap and frequent co-occurrence. We investigated correlations in self-reported symptoms of SPD and BPD in questionnaires at the levels of both total scores and individual items, examining overlapping dimensions.

Methods

Two questionnaires, the McLean Screening Instrument (MSI) for BPD and the Schizotypal Personality Questionnaire Brief (SPQ-B) for SPD, were filled in by patients with mood disorders (n = 282) from specialized psychiatric care in a study of the Helsinki University Psychiatric Consortium. Correlation coefficients between total scores and individual items of the MSI and SPQ-B were estimated. Multivariate regression analysis (MRA) was conducted to examine the relationships between SPQ-B and MSI.

Results

The Spearman's correlation between total scores of the MSI and SPQ-B was strong (rho = 0.616, P < 0.005). Items of MSI reflecting disrupted relatedness and affective dysregulation correlated moderately (r_φ varied between 0.2 and 0.4, P < 0.005) with items of SPQ. Items of MSI reflecting behavioural dysregulation correlated only weakly with items of SPQ. In MRA, depressive symptoms, sex and MSI were significant predictors of SPQ-B score, whereas symptoms of anxiety, age and SPQ-B were significant predictors of MSI score.

Conclusions

Items reflecting cognitive-perceptual distortions and affective symptoms of BPD appear to overlap with disorganized and cognitive-perceptual symptoms of SPD. Symptoms of depression may aggravate self-reported features of SPQ-B, and symptoms of anxiety features of MSI. Symptoms of behavioural dysregulation of BPD and interpersonal deficits of SPQ appear to be non-overlapping.