Dissociative symptoms are positively related to stress in borderline personality disorder
Objective: According to DSM‐IV criteria, dissociative symptoms in borderline personality disorder (BPD) occur in response to stress. Empirical evidence is, however, lacking. Method: Using ambulatory monitoring, we assessed dissociative symptoms and subjective ratings of stress every 60 min for 48 ...
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| Veröffentlicht in: | Acta psychiatrica Scandinavica 2008-02, Vol.117 (2), p.139-147 |
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| creator | Stiglmayr, C. E. Ebner-Priemer, U. W. Bretz, J. Behm, R. Mohse, M. Lammers, C.-H. Anghelescu, I.-G. Schmahl, C. Schlotz, W. Kleindienst, N. Bohus, M. |
| description | Objective: According to DSM‐IV criteria, dissociative symptoms in borderline personality disorder (BPD) occur in response to stress. Empirical evidence is, however, lacking.
Method: Using ambulatory monitoring, we assessed dissociative symptoms and subjective ratings of stress every 60 min for 48 h on a palmtop computer in BPD‐patients (n = 51), clinical controls (CC; major depression n = 25; panic disorder n = 26), and healthy controls (HC; n = 40). Data analyses were primarily based on hierarchical linear models.
Results: In all groups, states of increased stress were paralleled by increased scores of dissociation, thus confirming the hypothesized association between stress and dissociation. The increase in dissociation was more pronounced in BPD‐patients when compared with CC and HC. Additionally, BPD‐patients reported heightened dissociative experience compared with CC and HC, even after controlling for stress.
Conclusion: Our data suggest that BPD‐patients might be prone to dissociation when experiencing stress and are characterized by a generally heightened level of dissociation. |
| doi_str_mv | 10.1111/j.1600-0447.2007.01126.x |
| format | Article |
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Method: Using ambulatory monitoring, we assessed dissociative symptoms and subjective ratings of stress every 60 min for 48 h on a palmtop computer in BPD‐patients (n = 51), clinical controls (CC; major depression n = 25; panic disorder n = 26), and healthy controls (HC; n = 40). Data analyses were primarily based on hierarchical linear models.
Results: In all groups, states of increased stress were paralleled by increased scores of dissociation, thus confirming the hypothesized association between stress and dissociation. The increase in dissociation was more pronounced in BPD‐patients when compared with CC and HC. Additionally, BPD‐patients reported heightened dissociative experience compared with CC and HC, even after controlling for stress.
Conclusion: Our data suggest that BPD‐patients might be prone to dissociation when experiencing stress and are characterized by a generally heightened level of dissociation.</description><identifier>ISSN: 0001-690X</identifier><identifier>EISSN: 1600-0447</identifier><identifier>DOI: 10.1111/j.1600-0447.2007.01126.x</identifier><identifier>PMID: 18028248</identifier><identifier>CODEN: APYSA9</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Adult and adolescent clinical studies ; ambulatory monitoring ; Biological and medical sciences ; borderline personality disorder ; Borderline Personality Disorder - diagnosis ; Borderline Personality Disorder - epidemiology ; Borderline Personality Disorder - psychology ; Demography ; Diagnostic and Statistical Manual of Mental Disorders ; dissociation ; Dissociative Disorders - diagnosis ; Dissociative Disorders - epidemiology ; Dissociative Disorders - etiology ; experience sampling method ; Female ; Humans ; Incidence ; Male ; Medical sciences ; Miscellaneous ; Personality disorders ; Prevalence ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology ; Psychopathology. Psychiatry ; Severity of Illness Index ; Stress ; Stress, Psychological - epidemiology ; Stress, Psychological - psychology</subject><ispartof>Acta psychiatrica Scandinavica, 2008-02, Vol.117 (2), p.139-147</ispartof><rights>2008 INIST-CNRS</rights><rights>2007 The Authors Journal Compilation 2007 Blackwell Munksgaard</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4636-c90f49c09a0ff6baff2669d9c819b5de5849193ce3c2f7e888031e34ad4c15be3</citedby><cites>FETCH-LOGICAL-c4636-c90f49c09a0ff6baff2669d9c819b5de5849193ce3c2f7e888031e34ad4c15be3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1600-0447.2007.01126.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1600-0447.2007.01126.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19998451$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18028248$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stiglmayr, C. E.</creatorcontrib><creatorcontrib>Ebner-Priemer, U. W.</creatorcontrib><creatorcontrib>Bretz, J.</creatorcontrib><creatorcontrib>Behm, R.</creatorcontrib><creatorcontrib>Mohse, M.</creatorcontrib><creatorcontrib>Lammers, C.-H.</creatorcontrib><creatorcontrib>Anghelescu, I.-G.</creatorcontrib><creatorcontrib>Schmahl, C.</creatorcontrib><creatorcontrib>Schlotz, W.</creatorcontrib><creatorcontrib>Kleindienst, N.</creatorcontrib><creatorcontrib>Bohus, M.</creatorcontrib><title>Dissociative symptoms are positively related to stress in borderline personality disorder</title><title>Acta psychiatrica Scandinavica</title><addtitle>Acta Psychiatr Scand</addtitle><description>Objective: According to DSM‐IV criteria, dissociative symptoms in borderline personality disorder (BPD) occur in response to stress. Empirical evidence is, however, lacking.
Method: Using ambulatory monitoring, we assessed dissociative symptoms and subjective ratings of stress every 60 min for 48 h on a palmtop computer in BPD‐patients (n = 51), clinical controls (CC; major depression n = 25; panic disorder n = 26), and healthy controls (HC; n = 40). Data analyses were primarily based on hierarchical linear models.
Results: In all groups, states of increased stress were paralleled by increased scores of dissociation, thus confirming the hypothesized association between stress and dissociation. The increase in dissociation was more pronounced in BPD‐patients when compared with CC and HC. Additionally, BPD‐patients reported heightened dissociative experience compared with CC and HC, even after controlling for stress.
Conclusion: Our data suggest that BPD‐patients might be prone to dissociation when experiencing stress and are characterized by a generally heightened level of dissociation.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>ambulatory monitoring</subject><subject>Biological and medical sciences</subject><subject>borderline personality disorder</subject><subject>Borderline Personality Disorder - diagnosis</subject><subject>Borderline Personality Disorder - epidemiology</subject><subject>Borderline Personality Disorder - psychology</subject><subject>Demography</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>dissociation</subject><subject>Dissociative Disorders - diagnosis</subject><subject>Dissociative Disorders - epidemiology</subject><subject>Dissociative Disorders - etiology</subject><subject>experience sampling method</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Personality disorders</subject><subject>Prevalence</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology</subject><subject>Psychopathology. Psychiatry</subject><subject>Severity of Illness Index</subject><subject>Stress</subject><subject>Stress, Psychological - epidemiology</subject><subject>Stress, Psychological - psychology</subject><issn>0001-690X</issn><issn>1600-0447</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1v1DAQhi0EokvhLyALCW4J49hJ7AtStYWCqBakls-L5XUcyUsSbz1Z2Px7nO6qlTjhiz2eZ16NHkIog5yl83qTswogAyHqvACoc2CsqPL9A7K4azwkCwBgWaXg-wl5grhJZclAPiYnTEIhCyEX5Me5RwzWm9H_dhSnfjuGHqmJjm4D-vm3m2h0nRldQ8dAcYwOkfqBrkNsXOz8kFAXMQym8-NEG4-3jafkUWs6dM-O9yn58u7t9fJ9dvnp4sPy7DKzouJVZhW0QllQBtq2Wpu2LapKNcpKptZl40opFFPcOm6LtnZSSuDMcWEaYVm5dvyUvDrkbmO42Tkcde_Ruq4zgws71DUUDDgXCXzxD7gJu5i2Rs1UKcuaM54geYBsDIjRtXobfW_ipBno2b3e6FmxnhXr2b2-da_3afT5MX-37l1zP3iUnYCXR8CgNV0bzWA93nNKKSlKlrg3B-6P79z03wvos-Xnq_mZArJDgMfR7e8CTPylq5rXpf62utCr1fnXq5_XQn_kfwEV7rAs</recordid><startdate>200802</startdate><enddate>200802</enddate><creator>Stiglmayr, C. E.</creator><creator>Ebner-Priemer, U. W.</creator><creator>Bretz, J.</creator><creator>Behm, R.</creator><creator>Mohse, M.</creator><creator>Lammers, C.-H.</creator><creator>Anghelescu, I.-G.</creator><creator>Schmahl, C.</creator><creator>Schlotz, W.</creator><creator>Kleindienst, N.</creator><creator>Bohus, M.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200802</creationdate><title>Dissociative symptoms are positively related to stress in borderline personality disorder</title><author>Stiglmayr, C. E. ; Ebner-Priemer, U. W. ; Bretz, J. ; Behm, R. ; Mohse, M. ; Lammers, C.-H. ; Anghelescu, I.-G. ; Schmahl, C. ; Schlotz, W. ; Kleindienst, N. ; Bohus, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4636-c90f49c09a0ff6baff2669d9c819b5de5849193ce3c2f7e888031e34ad4c15be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>ambulatory monitoring</topic><topic>Biological and medical sciences</topic><topic>borderline personality disorder</topic><topic>Borderline Personality Disorder - diagnosis</topic><topic>Borderline Personality Disorder - epidemiology</topic><topic>Borderline Personality Disorder - psychology</topic><topic>Demography</topic><topic>Diagnostic and Statistical Manual of Mental Disorders</topic><topic>dissociation</topic><topic>Dissociative Disorders - diagnosis</topic><topic>Dissociative Disorders - epidemiology</topic><topic>Dissociative Disorders - etiology</topic><topic>experience sampling method</topic><topic>Female</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Personality disorders</topic><topic>Prevalence</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology</topic><topic>Psychopathology. Psychiatry</topic><topic>Severity of Illness Index</topic><topic>Stress</topic><topic>Stress, Psychological - epidemiology</topic><topic>Stress, Psychological - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stiglmayr, C. E.</creatorcontrib><creatorcontrib>Ebner-Priemer, U. 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E.</au><au>Ebner-Priemer, U. W.</au><au>Bretz, J.</au><au>Behm, R.</au><au>Mohse, M.</au><au>Lammers, C.-H.</au><au>Anghelescu, I.-G.</au><au>Schmahl, C.</au><au>Schlotz, W.</au><au>Kleindienst, N.</au><au>Bohus, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dissociative symptoms are positively related to stress in borderline personality disorder</atitle><jtitle>Acta psychiatrica Scandinavica</jtitle><addtitle>Acta Psychiatr Scand</addtitle><date>2008-02</date><risdate>2008</risdate><volume>117</volume><issue>2</issue><spage>139</spage><epage>147</epage><pages>139-147</pages><issn>0001-690X</issn><eissn>1600-0447</eissn><coden>APYSA9</coden><abstract>Objective: According to DSM‐IV criteria, dissociative symptoms in borderline personality disorder (BPD) occur in response to stress. Empirical evidence is, however, lacking.
Method: Using ambulatory monitoring, we assessed dissociative symptoms and subjective ratings of stress every 60 min for 48 h on a palmtop computer in BPD‐patients (n = 51), clinical controls (CC; major depression n = 25; panic disorder n = 26), and healthy controls (HC; n = 40). Data analyses were primarily based on hierarchical linear models.
Results: In all groups, states of increased stress were paralleled by increased scores of dissociation, thus confirming the hypothesized association between stress and dissociation. The increase in dissociation was more pronounced in BPD‐patients when compared with CC and HC. Additionally, BPD‐patients reported heightened dissociative experience compared with CC and HC, even after controlling for stress.
Conclusion: Our data suggest that BPD‐patients might be prone to dissociation when experiencing stress and are characterized by a generally heightened level of dissociation.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>18028248</pmid><doi>10.1111/j.1600-0447.2007.01126.x</doi><tpages>9</tpages></addata></record> |
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| ispartof | Acta psychiatrica Scandinavica, 2008-02, Vol.117 (2), p.139-147 |
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| subjects | Adult Adult and adolescent clinical studies ambulatory monitoring Biological and medical sciences borderline personality disorder Borderline Personality Disorder - diagnosis Borderline Personality Disorder - epidemiology Borderline Personality Disorder - psychology Demography Diagnostic and Statistical Manual of Mental Disorders dissociation Dissociative Disorders - diagnosis Dissociative Disorders - epidemiology Dissociative Disorders - etiology experience sampling method Female Humans Incidence Male Medical sciences Miscellaneous Personality disorders Prevalence Psychology. Psychoanalysis. Psychiatry Psychopathology Psychopathology. Psychiatry Severity of Illness Index Stress Stress, Psychological - epidemiology Stress, Psychological - psychology |
| title | Dissociative symptoms are positively related to stress in borderline personality disorder |
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