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Self-reported symptoms of schizotypal and borderline personality disorder in patients with mood disorders

Published online by Cambridge University Press:  23 March 2020

I. Baryshnikov ,
J. Suvisaari ,
K. Aaltonen ,
M. Koivisto ,
P. Näätänen ,
B. Karpov ,
T. Melartin ,
J. Oksanen ,
K. Suominen  and
M. Heikkinen
...Show all authors
I. Baryshnikov
Affiliation:
Department of Psychiatry, University of Helsinki and Helsinki University Hospital, P.O. Box 22, (Välskärinkatu 12 A), Helsinki00014Finland
J. Suvisaari
Affiliation:
Department of Psychiatry, University of Helsinki and Helsinki University Hospital, P.O. Box 22, (Välskärinkatu 12 A), Helsinki00014Finland Department of Social Services and Health Care, Helsinki, Finland
K. Aaltonen
Affiliation:
Department of Psychiatry, University of Helsinki and Helsinki University Hospital, P.O. Box 22, (Välskärinkatu 12 A), Helsinki00014Finland National Institute for Health and Welfare, Mental Health Unit, Mannerheimintie 166 Helsinki00271Finland
M. Koivisto
Affiliation:
Department of Psychiatry, University of Helsinki and Helsinki University Hospital, P.O. Box 22, (Välskärinkatu 12 A), Helsinki00014Finland
P. Näätänen
Affiliation:
Department of Psychiatry, University of Helsinki and Helsinki University Hospital, P.O. Box 22, (Välskärinkatu 12 A), Helsinki00014Finland
B. Karpov
Affiliation:
Department of Psychiatry, University of Helsinki and Helsinki University Hospital, P.O. Box 22, (Välskärinkatu 12 A), Helsinki00014Finland
T. Melartin
Affiliation:
Department of Psychiatry, University of Helsinki and Helsinki University Hospital, P.O. Box 590, Helsinki00029Finland
J. Oksanen
Affiliation:
Department of Social Services and Health Care, Helsinki, Finland
K. Suominen
Affiliation:
City of Helsinki, Social Services and Healthcare, Helsinki, Finland Aurora HospitalP.O. Box 6800 Helsinki00099Finland
M. Heikkinen
Affiliation:
Department of Psychiatry, University of Helsinki and Helsinki University Hospital, P.O. Box 22, (Välskärinkatu 12 A), Helsinki00014Finland
T. Paunio
Affiliation:
Department of Psychiatry, University of Helsinki and Helsinki University Hospital, P.O. Box 22, (Välskärinkatu 12 A), Helsinki00014Finland
G. Joffe
Affiliation:
Department of Psychiatry, University of Helsinki and Helsinki University Hospital, P.O. Box 22, (Välskärinkatu 12 A), Helsinki00014Finland
E. Isometsä*
Affiliation:
Department of Psychiatry, University of Helsinki and Helsinki University Hospital, P.O. Box 22, (Välskärinkatu 12 A), Helsinki00014Finland National Institute for Health and Welfare, Mental Health Unit, Mannerheimintie 166 Helsinki00271Finland
*
⁎ Corresponding author. Department of Psychiatry, University of Helsinki, P.O. Box 22, (Välskärinkatu 12 A), 0014 Helsinki, Finland. Tel.: +358 9 4711; fax: +358 9 47163735. E-mail address:erkki.isometsa@hus.fi (E. Isometsä).
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Abstract

Background

Distinguishing between symptoms of schizotypal (SPD) and borderline personality disorders (BPD) is often difficult due to their partial overlap and frequent co-occurrence. We investigated correlations in self-reported symptoms of SPD and BPD in questionnaires at the levels of both total scores and individual items, examining overlapping dimensions.

Methods

Two questionnaires, the McLean Screening Instrument (MSI) for BPD and the Schizotypal Personality Questionnaire Brief (SPQ-B) for SPD, were filled in by patients with mood disorders (n = 282) from specialized psychiatric care in a study of the Helsinki University Psychiatric Consortium. Correlation coefficients between total scores and individual items of the MSI and SPQ-B were estimated. Multivariate regression analysis (MRA) was conducted to examine the relationships between SPQ-B and MSI.

Results

The Spearman's correlation between total scores of the MSI and SPQ-B was strong (rho = 0.616, P < 0.005). Items of MSI reflecting disrupted relatedness and affective dysregulation correlated moderately (rφ varied between 0.2 and 0.4, P < 0.005) with items of SPQ. Items of MSI reflecting behavioural dysregulation correlated only weakly with items of SPQ. In MRA, depressive symptoms, sex and MSI were significant predictors of SPQ-B score, whereas symptoms of anxiety, age and SPQ-B were significant predictors of MSI score.

Conclusions

Items reflecting cognitive-perceptual distortions and affective symptoms of BPD appear to overlap with disorganized and cognitive-perceptual symptoms of SPD. Symptoms of depression may aggravate self-reported features of SPQ-B, and symptoms of anxiety features of MSI. Symptoms of behavioural dysregulation of BPD and interpersonal deficits of SPQ appear to be non-overlapping.

Keywords

Borderline Personality DisorderSchizotypal Personality DisorderMcLean Screening InstrumentSchizotypal Personality Questionnaire Brief
Type
Original article
Information
European Psychiatry , Volume 33 , Issue 1 , March 2016 , pp. 37 - 44
Copyright
Copyright © European Psychiatric Association 2016

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Footnotes

1

Tel.: +358 9 4711.

2

Tel.: +358 9 4711; fax: +358 9 47163735.

3

Tel.: +358 40 7718354.

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