The impact of borderline personality disorder on post-traumatic stress in the community: a study of health status, health utilization, and functioning.
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.
Connor
Kathryn M
KM
Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Box 3812, Durham, NC 27710, USA.
Davidson
Jonathan R T
JR
Hughes
Dana C
DC
Swartz
Marvin S
MS
Blazer
Dan G
DG
George
Linda K
LK
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
D011619:Psychotropic Drugs