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Psychotic spectrum features in borderline and bipolar disorders within the scope of the DSM-5 section III personality traits: a case control study

2023Artigo científico Acesso aberto
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dc.contributor.authorHenriques-Calado, Joana
dc.contributor.authorPires, Rute
dc.contributor.authorPaulino, Marco
dc.contributor.authorMarques, João Gama
dc.contributor.authorGonçalves, Bruno
dc.date.accessioned2024-03-02T16:22:44Z
dc.date.available2024-03-02T16:22:44Z
dc.date.issued2023
dc.date.updated2024-01-28T21:41:29Z
dc.description.abstractBackground Psychotic spectrum features in borderline personality disorder (PD) are a long-standing phenomenon, but remarkably, to date, they have not been the focus of many empirical studies. Moreover, the comparative studies that acknowledge their links to afective psychoses are even more scarce. Likewise, the contributions of empirical research on the DSM-5 dimensional approach to this topic are also uncommon. This study seeks to identify the best set of pathological personality traits and/or symptoms that are predictors of psychotic features (psychoticism and ideation paranoid symptoms) in borderline PD and in bipolar disorder, based on the framework of the DSM-5 section III personality traits. Methods A cross-sectional study of two clinical samples: 1) Borderline PD group of 63 participants; 2) Bipolar disorder group of 65 participants. Self-reported assessment: Personality Inventory for DSM-5 (PID-5); Brief Symptom Inventory (BSI). A series of linear and logistic regression analyses were computed. Results Overall, the data emerging as common predictors are detachment, negative afectivity, psychoticism, depressivity, grandiosity, suspiciousness and interpersonal sensitivity symptoms. Borderline PD has the highest score in BSI paranoid ideation which emerges as its discriminating trait (Nagelkerke R2=.58): cognitive and perceptual dys‑ regulation (OR: 13.02), restricted afectivity (OR: 12.09), withdrawal (OR: 11.70), anhedonia (OR: 10.98) and emotional lability (OR: 6.69). Conclusions Besides the commonality that appears to overlap both disorders with a psychosis superspectrum, the patterns of the pathological personality-symptoms underlying the psychotic features appear to reinforce a position between schizophrenia and bipolar disorders that borderline PD may occupy, highlighting the possibility of its inter‑ section with schizoafective/psychosis spectra. The pathological personality nature of the psychotic features emerges as a potential comprehensive trait of the phenomenological dimensions.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationHenriques-Calado, J., Pires, R., Paulino, M., Gama Marques, J., & Gonçalves, B. (2023). Psychotic spectrum features in borderline and bipolar disorders within the scope of the DSM-5 section III personality traits: a case control study. Borderline Personality Disorder and Emotion Dysregulation, 10(1), 1-13. https://doi.org/10.1186/S40479-022-00205-Wpt_PT
dc.identifier.doi10.1186/S40479-022-00205-Wpt_PT
dc.identifier.eissn2051-6673
dc.identifier.slugcv-prod-3508700
dc.identifier.urihttp://hdl.handle.net/10451/63107
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBMC - BioMed Centralpt_PT
dc.relationResearch Center for Psychological Science
dc.relationResearch Center for Psychological Science
dc.relation.publisherversionhttps://bpded.biomedcentral.com/articles/10.1186/s40479-022-00205-wpt_PT
dc.subjectBorderline personality disorderpt_PT
dc.subjectBipolar disordept_PT
dc.subjectPsychoticpt_PT
dc.subjectPersonalitypt_PT
dc.subjectPsychopathologypt_PT
dc.subjectPersonality inventorypt_PT
dc.subjectDSM-5pt_PT
dc.titlePsychotic spectrum features in borderline and bipolar disorders within the scope of the DSM-5 section III personality traits: a case control studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleResearch Center for Psychological Science
oaire.awardTitleResearch Center for Psychological Science
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F04527%2F2020/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDP%2F04527%2F2020/PT
oaire.citation.issue1pt_PT
oaire.citation.titleBorderline Personality Disorder and Emotion Dysregulationpt_PT
oaire.citation.volume10pt_PT
oaire.fundingStream6817 - DCRRNI ID
oaire.fundingStream6817 - DCRRNI ID
person.familyNameHenriques-Calado
person.familyNamePires
person.familyNamePereira Gama Marques
person.familyNameGonçalves
person.givenNameJoana
person.givenNameRute
person.givenNameJoão Carlos
person.givenNameBruno
person.identifierQ-9004-2017
person.identifier.ciencia-idA417-6317-3C22
person.identifier.ciencia-idD315-35C1-9609
person.identifier.ciencia-id0518-6E23-CF22
person.identifier.ciencia-id5515-0F9B-9415
person.identifier.orcid0000-0001-8732-649X
person.identifier.orcid0000-0003-1019-7794
person.identifier.orcid0000-0003-0662-5178
person.identifier.orcid0000-0003-3355-4539
person.identifier.ridL-2462-2014
person.identifier.scopus-author-id55295831700
person.identifier.scopus-author-id56152909900
person.identifier.scopus-author-id7003463826
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.cv.cienciaidA417-6317-3C22 | Joana Henriques-Calado
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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