Molina Ramos R, Carrasco Perera J L, Pérez Urdaniz A, Sánchez Iglesias S
Hospital Universitario de Salamanca, Spain.
Actas Esp Psiquiatr. 2002 May-Jun;30(3):153-9.
Borderline personality disorder (BPD) is the most common personality disorder in clinical settings, however, this disorder presents diagnostic difficulties because of the own heterogeneous character. The purpose of this study was to describe and examine the possible relationship between clinic-psychobiographical aspects of the patients and diagnoses of BPD.
A transversal study was assessed in 73 psychiatric outpatients, by protocol of data collection about social and demographic aspects, psychobiographic aspects about childhood, sexual history and psychiatric earlier. International Personality Disorders Examination (IPDE) was used to evaluate the personality disorder.
Borderline patients self-reported of traumatics experiences, physical and/or sexual abuse in childhood in more percentage than the group without BPD. Sexual identity disturbance and homosexual relations were associated with BPD. Psychiatry earlier of hospitalization, suicide attempts and substance use disorders were more frequent in BPD patients.
These results suggest a profile that can be use to suspect a BPD and help to do precocious diagnoses.
边缘型人格障碍（BPD）是临床环境中最常见的人格障碍，然而，由于其自身的异质性，该障碍存在诊断困难。本研究的目的是描述并检验患者的临床心理传记方面与BPD诊断之间可能存在的关系。
对73名精神科门诊患者进行了一项横断面研究，通过收集有关社会和人口统计学方面、童年心理传记方面、性史及既往精神病史的数据。采用国际人格障碍检查表（IPDE）评估人格障碍。
边缘型患者自我报告童年期有创伤经历、身体和/或性虐待的比例高于无BPD组。性身份障碍和同性恋关系与BPD相关。BPD患者既往住院治疗、自杀未遂和物质使用障碍更为常见。
这些结果提示了一种可用于怀疑BPD并有助于进行早期诊断的特征。
