Post-Traumatic Stress Disorder Mediates the Relationship Between Major Depression and Borderline Personality Disorder

Alison C. Pepper, John W. DenBoer, Chris S. Miller, Frederick L. Coolidge

Abstract


Previous research has examined the relationship between Borderline Personality Disorder (BPD) and other forms of psychopathology. Although the association between Major Depressive Disorder (MDD) and BPD has received empirical (e.g., Pinto, Grapentine, Francis, & Picariello, 1996) and conceptual (e.g., DSM-IV-TR, APA, 2000) support this association falls short of fully depicting the complex etiology of BPD. Previous research suggests that Post-traumatic Stress Disorder (PTSD) may be a cognitive-affective mediator between MDD and BPD. Participants (n = 324) were administered the Coolidge Axis II Inventory (CATI), a measure of Axis I and II psychopathology. Multiple regression analysis confirmed the original mediating hypothesis. These findings provide impetus for the development of a more informative model concerning the relationship between MDD and BPD. 

Full Text:

PDF

References


American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed. Text Revision). Washington, DC: Author.

Briere, J.B. (2002). Treatment adult survivors of severe childhood abuse and neglect: Further development of an integrative model. In J.E.B. Myers, L. Berliner, J. Briere, C.T. Hendrix, T., Reid, & C. Jenny (Eds.), The APSAC handbook on child maltreatment, 2nd Edition (pp. 1-26). Newbury Park, CA: Sage Publications.

Coolidge, F.L. (1993). Coolidge Axis II Inventory: Manual. Synergistic Office Solutions: Claremont, FL. Feigenbaum, J. (2007). Dialectical behaviour therapy: An increasing evidence base. Journal of Mental Health, 16, 51-68.

Goldman, S. J., D’Angelo, E. J., DeMaso, D. R., & Mezzacappa, E. (1992). Physical and sexual abuse histories among children with borderline personality disorder. American Journal of Psychiatry, 149, 1723-1726.

Golier, J.A., Yehunda, R., Bierer, L.M., Mitropoulou, V., New, A.S., Schmeidler, J., et al. (2003). The relation- ship of Borderline Personality Disorder to Posttraumatic Stress Disorder and traumatic events. American Journal of Psychiatry, 160, 2018-2024.

Guzder, J., Paris, J., Zelkowitz, P., & Feldman, R. (1999). Psychological risk factors for borderline pathology in school-age children. Journal of American Academy of Child and Adolescent Psychiatry, 38, 206-212.

Guzder, J., Paris, J., Zelkowitz, P., & Marchessault, K. (1996). Risk factors for borderline pathology in children. Journal of American Academy of Child and Adolescent Psychiatry, 35, 26-33.

Kavoussi, R.J., Coccaro, E.F., Klar, H.M., Bernstein, D., Siever, L.J. (1990). Structured interviews for border- line personality disorder. American Journal of Psychiatry, 147, 1522-1525.

Kenny, D.A. (2006). Mediation. Retrieved December 7, 2006 from HYPERLINK “http://davidakenny.net/ cm/mediate.htm#IE” http://davidakenny.net/cm/mediate.htm#IE

Kessler, R.C., Chiu, W. T., Demler, O., & Walters, E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 617-625.

Lieb, K., Zanarini, M.C., Schmahl, C., Linehan, L.M., & Bohus, M. (2004). Borderline personality disorder, Lancet, 364, 453-461.

Linehan, M.M, Cochran, B.N., & Kehrer, C.A. (2001). Dialectical behavior therapy for Borderline personality disorder. In D. Barlow (3rd ed.), Clinical Handbook of Psychological Disorders, (pp. 470-522). New York: Guildford Press.

MacKinnon, D. P., Lockwood, C. M., Hoffman, J. M., West, S. G., & Sheets, V. (2002). A comparison of methods to test the significance of the mediated effect. Psychological Methods, 7, 83-104.

McGlashan, T. H., Grilo, C. M., Skodol, A. E., Gunderson, J. G., Shea, M. T., Morey, L. C. et al. (2000). The collaborative longitudinal personality disorders study: Baseline Axis I/II and II/II diagnostic co-occurrence. Acta Psychiatrica Scandinavica, 102, 256-264.

Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). New York: McGraw Hill.

Pinto, A., Grapentine, L.W., Francis, G., & Picariello, C.M. (1996). Borderline personality disorder in ado- lescents: Affective and cognitive features. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 1338-1343.

Sar, V., Kundakci, T., Kiziltan, E., Yargic, I. L., Tutkun, H., Bakim,. B., et al. (2003). The Axis-I dissociative disorder comorbidity of borderline personality disorder among psychiatric outpatients. Journal of Trauma & Dissociation, 4, 119-136.

Sobel, M.E. (1982). Asymptotic confidence intervals for indirect effects in structural equations models. In S. Leinhart (Ed.), Sociological methodology 1982 (pp. 290-312). San Francisco: Josey-Bass.

Zlotnick, C., Franklin, C. L., & Zimmerman, M. (2002). Is comorbidity of posttraumatic stress disorder and borderline personality disorder related to greater pathology and impairment? American Journal of Psychiatry, 159, 1940-1943.


Refbacks

  • There are currently no refbacks.


Copyright (c) 2017 The New School Psychology Bulletin

© The New School Psychology Bulletin | editors@nspb.net