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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

2023Journal article Open access
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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.accessioned2023-02-01T12:24:59Z
dc.date.available2023-02-01T12:24:59Z
dc.date.issued2023
dc.description© The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.pt_PT
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 affective 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 affectivity, 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 dysregulation (OR: 13.02), restricted affectivity (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 intersection with schizoaffective/psychosis spectra. The pathological personality nature of the psychotic features emerges as a potential comprehensive trait of the phenomenological dimensions.pt_PT
dc.description.sponsorshipThis work received national funding from FCT – Fundação para a Ciência e a Tecnologia, I. P [Foundation for Science and Technology] through the Research Center for Psychological Science of the Faculty of Psychology, University of Lisbon (UIDB/04527/2020; UIDP/04527/2020).pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBorderline Personal Disord Emot Dysregul. 2023 Jan 16;10(1):2pt_PT
dc.identifier.doi10.1186/s40479-022-00205-wpt_PT
dc.identifier.eissn2051-6673
dc.identifier.urihttp://hdl.handle.net/10451/56097
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Naturept_PT
dc.relationResearch Center for Psychological Science
dc.relationResearch Center for Psychological Science
dc.relation.publisherversionhttps://bpded.biomedcentral.com/pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectBipolar disorderpt_PT
dc.subjectBorderline personality disorderpt_PT
dc.subjectDSM-5pt_PT
dc.subjectPersonalitypt_PT
dc.subjectPersonality inventorypt_PT
dc.subjectPsychopathologypt_PT
dc.subjectPsychoticpt_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.familyNamePaulino
person.familyNamePereira Gama Marques
person.familyNameGonçalves
person.givenNameJoana
person.givenNameRute
person.givenNameMarco
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.orcid0000-0001-5576-0670
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-id7003349370
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.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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