» Articles » PMID: 21107920

DSM-5 Borderline Personality Disorder: At the Border Between a Dimensional and a Categorical View

Overview
Publisher Current Science
Specialty Psychiatry
Date 2010 Nov 26
PMID 21107920
Citations 14
Authors
Affiliations
Soon will be listed here.
Abstract

Recently, the DSM-5 Personality Disorders Workgroup offered its proposed revision for borderline personality disorder (BPD) and other personality disorder types ( http://www.dsm5.org ). According to the workgroup, this revision reflects an attempt to address excessive comorbidity among personality disorders, place personality pathology on continua, and replace individual behavioral criteria with personality traits. Essentially, the committee proposes a hybrid model of BPD (ie, categorical and dimensional)-one that combines the notion of a borderline "type" with supplemental dimensional ratings of relevant personality traits. In this article, we review recent findings on the dimensionality of BPD from phenotypic, genetic, and endophenotypic perspectives. Finally, we evaluate the current DSM-5 proposal for diagnosing BPD-one that ostensibly combines a categorical and dimensional perspective-in light of these findings.

Citing Articles

A second chance for first impressions: evidence for altered impression updating in borderline personality disorder.

Konegen K, Halbeisen G, Paslakis G Borderline Personal Disord Emot Dysregul. 2024; 11(1):15.

PMID: 39026374 PMC: 11256375. DOI: 10.1186/s40479-024-00259-y.


The Complexity of Borderline Personality Disorder: Network Analysis of Personality Factors and Defense Styles in the Context of Borderline Personality Organization.

Yun S, Jo S, Jeon H, Kim H, Cheon E, Koo B Psychiatry Investig. 2024; 21(6):672-679.

PMID: 38960445 PMC: 11222081. DOI: 10.30773/pi.2024.0085.


How changes in depression severity and borderline personality disorder intensity are linked - a cohort study of depressed patients with and without borderline personality disorder.

Soderholm J, Socada J, Ekelund J, Isometsa E Borderline Personal Disord Emot Dysregul. 2024; 11(1):3.

PMID: 38369499 PMC: 10875744. DOI: 10.1186/s40479-024-00247-2.


Development and validation of 21-item outcome inventory (OI-21).

Wongpakaran N, Wongpakaran T, Kovi Z Heliyon. 2022; 8(6):e09682.

PMID: 35711988 PMC: 9193908. DOI: 10.1016/j.heliyon.2022.e09682.


Cluster analysis of personality traits in psychiatric patients with borderline personality disorder.

Oladottir K, Wolf-Arehult M, Ramklint M, Isaksson M Borderline Personal Disord Emot Dysregul. 2022; 9(1):7.

PMID: 35130981 PMC: 8822819. DOI: 10.1186/s40479-022-00178-w.


References
1.
Thatcher D, Cornelius J, Clark D . Adolescent alcohol use disorders predict adult borderline personality. Addict Behav. 2005; 30(9):1709-24. DOI: 10.1016/j.addbeh.2005.07.008. View

2.
DellOsso B, Berlin H, Serati M, Altamura A . Neuropsychobiological aspects, comorbidity patterns and dimensional models in borderline personality disorder. Neuropsychobiology. 2010; 61(4):169-79. DOI: 10.1159/000297734. View

3.
Bouchard Jr T, Loehlin J . Genes, evolution, and personality. Behav Genet. 2001; 31(3):243-73. DOI: 10.1023/a:1012294324713. View

4.
Bornovalova M, Hicks B, Iacono W, McGue M . Stability, change, and heritability of borderline personality disorder traits from adolescence to adulthood: a longitudinal twin study. Dev Psychopathol. 2009; 21(4):1335-53. PMC: 2789483. DOI: 10.1017/S0954579409990186. View

5.
Distel M, Trull T, Willemsen G, Vink J, Derom C, Lynskey M . The five-factor model of personality and borderline personality disorder: a genetic analysis of comorbidity. Biol Psychiatry. 2009; 66(12):1131-8. DOI: 10.1016/j.biopsych.2009.07.017. View