title: The impact of borderline personality disorder on post-traumatic stress in the community: a study of health status, health utilization, and functioning.
abstract: This study examines impairment and health status and resource utilization among individuals with and without borderline personality disorder (BPD), all of whom had post-traumatic stress symptoms (PTSS). Using data from the community-based Piedmont Health Survey, 150 adult respondents who had experienced clinically significant PTSS during their life were identified. The Diagnostic Interview Schedule (DIS) Borderline Index was used to distinguish a subset of respondents who met criteria for BPD. Compared with adults with PTSS (n = 135), individuals with PTSS and BPD (PTSS-BPD) (n = 15) exhibited impaired health status and greater utilization of mental health services and psychotropic medications, as well as more functional impairment based on social, occupational, and early adverse life-event measures. Individuals with comorbid PTSS and BPD demonstrate greater overall impairment and usage of health care resources.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Box 3812, Durham, NC 27710, USA.
authors.forename: Kathryn M
authors.initials: KM
authors.lastname: Connor
authors.forename: Jonathan R T
authors.initials: JR
authors.lastname: Davidson
authors.forename: Dana C
authors.initials: DC
authors.lastname: Hughes
authors.forename: Marvin S
authors.initials: MS
authors.lastname: Swartz
authors.forename: Dan G
authors.initials: DG
authors.lastname: Blazer
authors.forename: Linda K
authors.initials: LK
authors.lastname: George
mesh_terms: D000328:Adult; D001883:Borderline Personality Disorder / Q000175:diagnosis / Q000191:economics*; D003156:Community Mental Health Services / Q000191:economics / Q000706:statistics & numerical data*; D004363:Drug Utilization; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009657:North Carolina / Q000453:epidemiology; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*; D011619:Psychotropic Drugs / Q000191:economics*; D012917:Social Adjustment; D013313:Stress Disorders, Post-Traumatic / Q000191:economics* / Q000453:epidemiology; D011795:Surveys and Questionnaires
chemical_list: D011619:Psychotropic Drugs