Borderline personality disorder: health service use and social functioning among a national household population

J. Coid; M. Yang; P. Bebbington; P. Moran; T. Brugha; R. Jenkins; M. Farrell; N. Singleton; S. Ullrich

doi:10.1017/S0033291708004911

Borderline personality disorder: health service use and social functioning among a national household population

J. Coid, M. Yang, P. Bebbington, P. Moran, T. Brugha, R. Jenkins, M. Farrell, N. Singleton, S. Ullrich

Research output: Contribution to journal › Article › peer-review

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Abstract

Background. It is unclear whether Axis II psychopathology or co-morbid clinical syndromes result in the treatment-seeking behaviour and social impairment of patients with borderline personality disorder (BPD). This study examined the independent associations between social functioning and service use and Axis I and Axis II disorders in persons with BPD in the national household Population of Britain. Method. The Study was a cross-sectional survey of adults aged 16-74 years in households (n = 8397). Data included self-reported consultations with health-care professionals and behavioural problems. Diagnosis was determined by computer-assisted interviews. Analyses included logistic regression adjusting for demography, co-morbid Axis I clinical syndromes and other Axis II disorders. Results. Consultation in the past year was reported by 57.5%, of persons with BPD but only 13.4%, reported lifetime psychiatric admission. BPD was not independently associated with impaired functioning but was associated with co-morbid psychotic, depressive and anxiety disorders. Only general practitioners (GPs) were consulted for problems independently due to BPD. Conclusions. Functional effects of BPD are mediated through co-morbid clinical syndromes, not Axis II psychopathology. A subgroup do not have co-morbid disorders or seek treatment, and are high functioning.

Original language	English
Pages (from-to)	1721 - 1731
Number of pages	11
Journal	Psychological Medicine
Volume	39
Issue number	10
DOIs	https://doi.org/10.1017/S0033291708004911
Publication status	Published - Oct 2009

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title = "Borderline personality disorder: health service use and social functioning among a national household population",

abstract = "Background. It is unclear whether Axis II psychopathology or co-morbid clinical syndromes result in the treatment-seeking behaviour and social impairment of patients with borderline personality disorder (BPD). This study examined the independent associations between social functioning and service use and Axis I and Axis II disorders in persons with BPD in the national household Population of Britain. Method. The Study was a cross-sectional survey of adults aged 16-74 years in households (n = 8397). Data included self-reported consultations with health-care professionals and behavioural problems. Diagnosis was determined by computer-assisted interviews. Analyses included logistic regression adjusting for demography, co-morbid Axis I clinical syndromes and other Axis II disorders. Results. Consultation in the past year was reported by 57.5%, of persons with BPD but only 13.4%, reported lifetime psychiatric admission. BPD was not independently associated with impaired functioning but was associated with co-morbid psychotic, depressive and anxiety disorders. Only general practitioners (GPs) were consulted for problems independently due to BPD. Conclusions. Functional effects of BPD are mediated through co-morbid clinical syndromes, not Axis II psychopathology. A subgroup do not have co-morbid disorders or seek treatment, and are high functioning.",

author = "J. Coid and M. Yang and P. Bebbington and P. Moran and T. Brugha and R. Jenkins and M. Farrell and N. Singleton and S. Ullrich",

year = "2009",

month = oct,

doi = "10.1017/S0033291708004911",

language = "English",

volume = "39",

pages = "1721 -- 1731",

journal = "Psychological Medicine",

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publisher = "Cambridge University Press",

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T1 - Borderline personality disorder: health service use and social functioning among a national household population

AU - Coid, J.

AU - Yang, M.

AU - Bebbington, P.

AU - Moran, P.

AU - Brugha, T.

AU - Jenkins, R.

AU - Farrell, M.

AU - Singleton, N.

AU - Ullrich, S.

PY - 2009/10

Y1 - 2009/10

N2 - Background. It is unclear whether Axis II psychopathology or co-morbid clinical syndromes result in the treatment-seeking behaviour and social impairment of patients with borderline personality disorder (BPD). This study examined the independent associations between social functioning and service use and Axis I and Axis II disorders in persons with BPD in the national household Population of Britain. Method. The Study was a cross-sectional survey of adults aged 16-74 years in households (n = 8397). Data included self-reported consultations with health-care professionals and behavioural problems. Diagnosis was determined by computer-assisted interviews. Analyses included logistic regression adjusting for demography, co-morbid Axis I clinical syndromes and other Axis II disorders. Results. Consultation in the past year was reported by 57.5%, of persons with BPD but only 13.4%, reported lifetime psychiatric admission. BPD was not independently associated with impaired functioning but was associated with co-morbid psychotic, depressive and anxiety disorders. Only general practitioners (GPs) were consulted for problems independently due to BPD. Conclusions. Functional effects of BPD are mediated through co-morbid clinical syndromes, not Axis II psychopathology. A subgroup do not have co-morbid disorders or seek treatment, and are high functioning.

AB - Background. It is unclear whether Axis II psychopathology or co-morbid clinical syndromes result in the treatment-seeking behaviour and social impairment of patients with borderline personality disorder (BPD). This study examined the independent associations between social functioning and service use and Axis I and Axis II disorders in persons with BPD in the national household Population of Britain. Method. The Study was a cross-sectional survey of adults aged 16-74 years in households (n = 8397). Data included self-reported consultations with health-care professionals and behavioural problems. Diagnosis was determined by computer-assisted interviews. Analyses included logistic regression adjusting for demography, co-morbid Axis I clinical syndromes and other Axis II disorders. Results. Consultation in the past year was reported by 57.5%, of persons with BPD but only 13.4%, reported lifetime psychiatric admission. BPD was not independently associated with impaired functioning but was associated with co-morbid psychotic, depressive and anxiety disorders. Only general practitioners (GPs) were consulted for problems independently due to BPD. Conclusions. Functional effects of BPD are mediated through co-morbid clinical syndromes, not Axis II psychopathology. A subgroup do not have co-morbid disorders or seek treatment, and are high functioning.

U2 - 10.1017/S0033291708004911

DO - 10.1017/S0033291708004911

M3 - Article

SN - 1469-8978

VL - 39

SP - 1721

EP - 1731

JO - Psychological Medicine

JF - Psychological Medicine

IS - 10

ER -

Borderline personality disorder: health service use and social functioning among a national household population

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