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Chapter 12 - Borderline personality disorder

Sex differences

from Section 3 - Violence, self-harm and substance misuse

Published online by Cambridge University Press:  05 March 2016

By
Andrew M. Chanen  and
Katherine Thompson
Edited by
David J. Castle  and
Kathryn M. Abel
David J. Castle
Affiliation:
University of Melbourne
Kathryn M. Abel
Affiliation:
University of Manchester
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Comprehensive Women's Mental Health , pp. 137 - 147
Publisher: Cambridge University Press
Print publication year: 2016

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References

Aggen, S. H., Neale, M. C., Roysamb, E., Reichborn-Kjennerud, T., & Kendler, K. S. (2009). A psychometric evaluation of the DSM-IV borderline personality disorder criteria: age and sex moderation of criterion functioning. Psychol Med, 39(12), 1967–1978.Google Scholar
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders. Retrieved from dsm.psychiatryonline.orgCrossRefGoogle Scholar
Anderson, K. G., Sankis, L. M., & Widiger, T. A. (2001). Pathology versus statistical infrequency: potential sources of gender bias in personality disorder criteria. J Nerv Ment Dis, 189(10), 661–668.Google Scholar
Banzhaf, A., Ritter, K., Merkl, A., Schulte-Herbruggen, O., Lammers, C. H., & Roepke, S. (2012). Gender differences in a clinical sample of patients with borderline personality disorder. J Pers Disord, 26(3), 368–380.CrossRefGoogle Scholar
Barnow, S., Herpertz, S. C., Spitzer, C., Stopsack, M., Preuss, U. W., Grabe, H. J., … Freyberger, H. J. (2007). Temperament and character in patients with borderline personality disorder taking gender and comorbidity into account. Psychopathology, 40(6), 369–378.Google Scholar
Barrachina, J., Pascual, J. C., Ferrer, M., Soler, J., Rufat, M. J., Andion, O., … Perez, V. (2011). Axis II comorbidity in borderline personality disorder is influenced by sex, age, and clinical severity. Compr Psychiatry, 52(6), 725–730.CrossRefGoogle ScholarPubMed
Bernstein, D. P., Cohen, P., Velez, C. N., Schwab-Stone, M., Siever, L. J., & Shinsato, L. (1993). Prevalence and stability of the DSM-III-R personality disorders in a community-based survey of adolescents. Am J Psychiatry, 150(8), 1237–1243.Google Scholar
Bjorklund, P. (2006). No man’s land: gender bias and social contructivism in the diagnosis of borderline personality disorder. Issues in Mental Health Nursing, 27, 3–23.CrossRefGoogle ScholarPubMed
Bornovalova, M. A., Hicks, B. M., Iacono, W. G., & McGue, M. (2009). Stability, change, and heritability of borderline personality disorder traits from adolescence to adulthood: a longitudinal twin study. Dev Psychopathol, 21(4), 1335–1353.Google Scholar
Bradley, R., Zittel Conklin, C., & Westen, D. (2005). The borderline personality diagnosis in adolescents: gender differences and subtypes. J Child Psychol Psychiatry, 46(9), 1006–1019.CrossRefGoogle ScholarPubMed
Caspi, A., Roberts, B. W., & Shiner, R. L. (2005). Personality development: stability and change. Annual Review of Psychology, 56, 453–484.Google Scholar
Chanen, A. M., Jackson, H. J., McGorry, P. D., Allot, K., Clarkson, V., Yuen, H. P. (2004). Two-year stability of personality disorder in older adolescent outpatients. J Pers Disord, 18(6), 526–541.CrossRefGoogle ScholarPubMed
Chanen, A. M., & Kaess, M. (2012). Developmental pathways to borderline personality disorder. Curr Psychiatry Rep, 14(1), 45–53.Google Scholar
Chanen, A. M., & McCutcheon, L. (2013). Prevention and early intervention for borderline personality disorder: current status and recent evidence. British Journal of Psychiatry, 202, s24–s29.CrossRefGoogle Scholar
Coid, J., Yang, M., Roberts, A., Ullrich, S., Moran, P., Bebbington, P., … Singleton, N. (2006). Violence and psychiatric morbidity in a national household population – a report from the British Household Survey. Am J Epidemiol, 164(12), 1199–1208.Google Scholar
Crawford, T. N., Cohen, P., & Brook, J. S. (2001). Dramatic-erratic personality disorder symptoms: I. Continuity from early adolescence into adulthood. J Pers Disord, 15(4), 319–335.Google Scholar
Distel, M. A., Trull, T. J., Derom, C. A., Thiery, E. W., Grimmer, M. A., Martin, N. G., … Boomsma, D. I. (2008). Heritability of borderline personality disorder features is similar across three countries. Psychol Med, 38(9), 1219–1229.CrossRefGoogle ScholarPubMed
Eaton, N. R., Krueger, R. F., Keyes, K. M., Skodol, A. E., Markon, K. E., Grant, B. F., & Hasin, D. S. (2011). Borderline personality disorder co-morbidity: relationship to the internalizing-externalizing structure of common mental disorders. Psychol Med, 41(5), 1041–1050.Google Scholar
Fergusson, D. M., Lynskey, M. T., & Horwood, L. J. (1996). Childhood sexual abuse and psychiatric disorder in young adulthood: I. Prevalence of sexual abuse and factors associated with sexual abuse. J Am Acad Child Adolesc Psychiatry, 35(10), 1355–1364.CrossRefGoogle ScholarPubMed
Fonseca-Pedrero, E., Paino, M., Lemos-Giraldez, S., Sierra-Baigrie, S., Gonzalez, M. P., Bobes, J., & Muniz, J. (2011). Borderline personality traits in nonclinical young adults. J Pers Disord, 25(4), 542–556.Google Scholar
Goodman, M., Patil, U., Triebwasser, J., Hoffman, P., Weinstein, Z. A., & New, A. (2011). Parental burden associated with borderline personality disorder in female offspring. J Pers Disord, 25(1), 59–74.CrossRefGoogle ScholarPubMed
Grant, B. F., Chou, S. P., Goldstein, R. B., Huang, B., Stinson, F. S., Saha, T. D., … Ruan, W. J. (2008). Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry, 69(4), 533–545.Google Scholar
Gratz, K. L., Latzman, R. D., Young, J., Heiden, L. J., Damon, J., Hight, T., Tull, M.T. (2012). Deliberate self-harm among underserved adolescents: the moderating roles of gender, race, and school-level and association with borderline personality features. Personality Disorders: Theory, Research, and Treatment, 3(1), 39–54.Google Scholar
Gratz, K. L., Tull, M. T., Reynolds, E. K., Bagge, C. L., Latzman, R. D., Daughters, S. B., & Lejuez, C. W. (2009). Extending extant models of the pathogenesis of borderline personality disorder to childhood borderline personality symptoms: the roles of affective dysfunction, disinhibition, and self- and emotion-regulation deficits. Dev Psychopathol, 21(4), 1263–1291.CrossRefGoogle ScholarPubMed
Gunderson, J. G., Stout, R. L., McGlashan, T. H., Shea, M. T., Morey, L. C., Grilo, C. M., … Skodol, A. E. (2011). Ten-year course of borderline personality disorder: psychopathology and function from the Collaborative Longitudinal Personality Disorders study. Arch Gen Psychiatry, 68(8), 827–837.Google Scholar
Hoffman, P. D., Buteau, E., Hooley, J. M., Fruzzetti, A. E., & Bruce, M. L. (2003). Family members' knowledge about borderline personality disorder: correspondence with their levels of depression, burden, distress, and expressed emotion. Fam Process, 42(4), 469–478.CrossRefGoogle ScholarPubMed
Horz, S., Zanarini, M. C., Frankenburg, F. R., Reich, D. B., & Fitzmaurice, G. (2010). Ten-year use of mental health services by patients with borderline personality disorder and with other axis II disorders. Psychiatr Serv, 61(6), 612–616.Google Scholar
Jang, K. L., McCrae, R. R., Angleitner, A., Riemann, R., & Livesley, W. J. (1998). Heritability of facet-level traits in a cross-cultural twin sample: support for a hierarchical model of personality. J Pers Soc Psychol, 74(6), 1556–1565.Google Scholar
Johnson, J. G., Cohen, P., Brown, J., Smailes, E. M., & Bernstein, D. P. (1999). Childhood maltreatment increases risk for personality disorders during early adulthood. Arch Gen Psychiatry, 56(7), 600–606.Google Scholar
Johnson, J. G., Cohen, P., Kasen, S., Skodol, A.E., Hamagami, F., Brook, J.S. (2000). Age-related change in personality disorder trait levels between early adolescence and adulthood: a community-based longitudinal investigation. Acta Psychiatrica Scandinavica, 102, 265–275.Google Scholar
Johnson, D. M., Shea, M. T., Yen, S., Battle, C. L., Zlotnick, C., Sanislow, C. A., … Zanarini, M. C. (2003). Gender differences in borderline personality disorder: findings from the Collaborative Longitudinal Personality Disorders Study. Compr Psychiatry, 44(4), 284–292.Google Scholar
Krause-Utz, A., Winter, D., Niedtfeld, I., & Schmahl, C. (2014). The latest neuroimaging findings in borderline personality disorder. Curr Psychiatry Rep, 16(3), 438.CrossRefGoogle ScholarPubMed
Lenzenweger, M. F., Lane, M. C., Loranger, A. W., & Kessler, R. C. (2007). DSM-IV personality disorders in the National Comorbidity Survey Replication. Biol Psychiatry, 62(6), 553–564.Google Scholar
Leyton, M., Okazawa, H., Diksic, M., Paris, J., Rosa, P., Mzengeza, S., … Benkelfat, C. (2001). Brain Regional alpha-[11C]methyl-L-tryptophan trapping in impulsive subjects with borderline personality disorder. Am J Psychiatry, 158(5), 775–782.Google Scholar
McCormick, B., Blum, N., Hansel, R., Franklin, J. A., St John, D., Pfohl, B., … Black, D. W. (2007). Relationship of sex to symptom severity, psychiatric comorbidity, and health care utilization in 163 subjects with borderline personality disorder. Compr Psychiatry, 48(5), 406–412.Google Scholar
Paris, J. (1997). Antisocial and borderline personality disorders: two separate diagnoses or two aspects of the same psychopathology? Compr Psychiatry, 38(4), 237–242.Google Scholar
Paris, J. (1998). Does childhood trauma cause personality disorders in adults? Can J Psychiatry, 43(2), 148–153.Google Scholar
Paris, J., Chenard-Poirier, M. P., & Biskin, R. (2013). Antisocial and borderline personality disorders revisited. Compr Psychiatry, 54(4), 321–325.Google Scholar
Paris, J., & Zweig-Frank, H. (2001). A 27-year follow-up of patients with borderline personality disorder. Compr Psychiatry, 42(6), 482–487.Google Scholar
Paris, J., Zweig-Frank, H., & Guzder, J. (1994). Risk factors for borderline personality in male outpatients. J Nerv Ment Dis, 182(7), 375–380.CrossRefGoogle ScholarPubMed
Perez-Rodriguez, M. M., Hazlett, E. A., Rich, E. L., Ripoll, L. H., Weiner, D. M., Spence, N., … New, A. S. (2012). Striatal activity in borderline personality disorder with comorbid intermittent explosive disorder: sex differences. J Psychiatr Res, 46(6), 797–804.Google Scholar
Pompili, M., Girardi, P., Ruberto, A., & Tatarelli, R. (2005). Suicide in borderline personality disorder: a meta-analysis. Nord J Psychiatry, 59(5), 319–324.Google Scholar
Sansone, R. A., Lam, C., & Wiederman, M. W. (2010). Self-harm behaviors in borderline personality: an analysis by gender. J Nerv Ment Dis, 198(12), 914–915.Google Scholar
Sansone, R. A., & Sansone, L. A. (2011). Gender patterns in borderline personality disorder. Innov Clin Neurosci, 8(5), 16–20.Google Scholar
Simmons, D. (1992). Gender issues and borderline personality disorder: why do females dominate the diagnosis? Arch Psychiatr Nurs, 6(4), 219–223.Google Scholar
Skodol, A. E., & Bender, D. S. (2003). Why are women diagnosed borderline more than men? Psychiatric Quarterly, 74(4), 349–360.CrossRefGoogle ScholarPubMed
Soloff, P. H., Kelly, T. M., Strotmeyer, S. J., Malone, K. M., & Mann, J. J. (2003). Impulsivity, gender, and response to fenfluramine challenge in borderline personality disorder. Psychiatry Res, 119(1–2), 11–24.CrossRefGoogle ScholarPubMed
Tadic, A., Wagner, S., Hoch, J., Baskaya, O., von Cube, R., Skaletz, C., … Dahmen, N. (2009). Gender differences in axis I and axis II comorbidity in patients with borderline personality disorder. Psychopathology, 42(4), 257–263.Google Scholar
Tebartz van Elst, L., Hesslinger, B., Thiel, T., Geiger, E., Haegele, K., Lemieux, L., Lieb, K., Bohus, M., Hennig, J., Ebert, D. (2003). Frontolimbic brain abnormalities in patients with borderline personality disorder: a volumetric magnetic resonance imaging study. Biological Psychiatry, 54(2), 163–171.Google Scholar
Torgersen, S., Kringlen, E., & Cramer, V. (2001). The prevalence of personality disorders in a community sample. Archives of General Psychiatry, 58, 590–596.Google Scholar
Torgersen, S., Myers, J., Reichborn-Kjennerud, T., Roysamb, E., Kubarych, T. S., & Kendler, K. S. (2012). The heritability of Cluster B personality disorders assessed both by personal interview and questionnaire. J Pers Disord, 26(6), 848–866.Google Scholar
Trull, T. J., Distel, M. A., & Carpenter, R. W. (2011). DSM-5 Borderline personality disorder: at the border between a dimensional and a categorical view. Curr Psychiatry Rep, 13(1), 43–49.Google Scholar
Trull, T. J., Jahng, S., Tomko, R. L., Wood, P. K., & Sher, K. J. (2010). Revised NESARC personality disorder diagnoses: gender, prevalence, and comorbidity with substance dependence disorders. J Pers Disord, 24(4), 412–426.Google Scholar
Verona, E., Sprague, J., & Javdani, S. (2012). Gender and factor-level interactions in psychopathy: implications for self-directed violence risk and borderline personality disorder symptoms. Personal Disord, 3(3), 247–262.Google Scholar
Widiger, T. A. (1998). Four out of five ain't bad. Archives of General Psychiatry., 55(10), 865–866.Google Scholar
Wiggins, C. (1996). Counting gender: does gender count? J Health Adm Educ, 14(3), 379–388.Google Scholar
Zanarini, M. C. (2000). Childhood experiences associated with the development of borderline personality disorder. Psychiatr Clin North Am, 23(1), 89–101.Google Scholar
Zanarini, M. C., Frankenburg, F. R., Reich, D. B., & Fitzmaurice, G. (2010). Time to attainment of recovery from borderline personality disorder and stability of recovery: a 10-year prospective follow-up study. Am J Psychiatry, 167(6), 663–667.Google Scholar
Zanarini, M. C., Frankenburg, F. R., Reich, D. B., & Fitzmaurice, G. (2012). Attainment and stability of sustained symptomatic remission and recovery among patients with borderline personality disorder and axis II comparison subjects: a 16-year prospective follow-up study. Am J Psychiatry, 169(5), 476–483.Google Scholar
Zanarini, M. C., Frankenburg, F. R., Reich, D. B., Silk, K. R., Hudson, J. I., & McSweeney, L. B. (2007). The subsyndromal phenomenology of borderline personality disorder: a 10-year follow-up study. Am J Psychiatry, 164(6), 929–935.Google Scholar
Zanarini, M. C., Horwood, J., Wolke, D., Waylen, A., Fitzmaurice, G., & Grant, B. F. (2011). Prevalence of DSM-IV borderline personality disorder in two community samples: 6,330 English 11-year-olds and 34,653 American adults. J Pers Disord, 25(5), 607–619.CrossRefGoogle Scholar
Zanarini, M. C., Yong, L., Frankenburg, F. R., Hennen, J., Reich, D. B., Marino, M. F., & Vujanovic, A. A. (2002). Severity of reported childhood sexual abuse and its relationship to severity of borderline psychopathology and psychosocial impairment among borderline inpatients. J Nerv Ment Dis, 190(6), 381–387.Google Scholar
Zimmerman, M., Chelminski, I., & Young, D. (2008). The frequency of personality disorders in psychiatric patients. Psychiatr Clin North Am, 31(3), 405–420.Google Scholar
Zimmerman, M., Chelminski, I., Young, D., Dalrymple, K., & Martinez, J. (2012). Does the presence of one feature of borderline personality disorder have clinical significance? Implications for dimensional ratings of personality disorders. J Clin Psychiatry, 73(1), 8–12.Google Scholar
Zlotnick, C., Rothschild, L., & Zimmerman, M. (2002). The role of gender in the clinical presentation of patients with borderline personality disorder. J Pers Disord, 16(3), 277–282.Google Scholar

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