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The association between borderline personality disorder, fibromyalgia and chronic fatigue syndrome: systematic review

  • Sarah Penfold (a1), Emily St. Denis (a1) and Mir Nadeem Mazhar (a1)
Abstract
Background

Overlap of aetiological factors and demographic characteristics with clinical observations of comorbidity has been documented in fibromyalgia syndrome, chronic fatigue syndrome (CFS) and borderline personality disorder (BPD).

Aims

The purpose of this study was to assess the association of BPD with fibromyalgia syndrome and CFS. The authors reviewed literature on the prevalence of BPD in patients with fibromyalgia or CFS and vice versa.

Methods

A search of five databases yielded six eligible studies. A hand search and contact with experts yielded two additional studies. We extracted information pertaining to study setting and design, demographic information, diagnostic criteria and prevalence.

Results

We did not identify any studies that specifically assessed the prevalence of fibromyalgia or CFS in patients with BPD. Three studies assessed the prevalence of BPD in fibromyalgia patients and reported prevalence of 1.0, 5.25 and 16.7%. Five studies assessed BPD in CFS patients and reported prevalence of 3.03, 1.8, 2.0, 6.5 and 17%.

Conclusions

More research is required to clarify possible associations between BPD, fibromyalgia and CFS.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Mir Nadeem Mazhar, Department of Psychiatry, Queen's University, Kingston, Ontario, Canada. Email: mazharm@kgh.kari.net
Footnotes
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Declaration of interest

None.

Footnotes
References
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The association between borderline personality disorder, fibromyalgia and chronic fatigue syndrome: systematic review

  • Sarah Penfold (a1), Emily St. Denis (a1) and Mir Nadeem Mazhar (a1)
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