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[Emotional and impulsive dimensions in bipolar disorder and borderline personality disorder].

Identifieur interne : 000A73 ( Main/Exploration ); précédent : 000A72; suivant : 000A74

[Emotional and impulsive dimensions in bipolar disorder and borderline personality disorder].

Auteurs : A. Leblanc [France] ; M. Jarroir [France] ; F. Vorspan [France] ; F. Bellivier [France] ; S. Leveillee [Canada] ; L. Romo [France]

Source :

RBID : pubmed:27017320

Descripteurs français

English descriptors

Abstract

BACKGROUND

Studies have shown that patients with borderline personality disorder are often misdiagnosed to have bipolar disorder and conversely. Indeed, a number of characteristics common to both disorders could explain this problem: emotional instability as well as impulsivity represent confounding factors and contribute to the risk of misdiagnosis. However, it appears that these characteristics manifest themselves in different ways according to the pathology. The aim of the study is to show differences between affective lability, emotional intensity and impulsivity dimensions. The clinical aim is to refine bipolar disorder and borderline personality disorder diagnosis, to improve psychological care for these patients in the long-term.

METHOD

We compared the emotional and impulsive dimensions in two groups of patients: a group of 21 patients with bipolar disorder and a group of 19 patients with borderline personality disorder. Tools: ALS, a self-report questionnaire to evaluate affective lability, AIM, a self-report questionnaire to see affective intensity, and UPPS, a self-report questionnaire to measure impulsivity according to several dimensions.

RESULTS

The results indicate that borderline patients scored significantly higher than bipolar patients at the ALS and AIM scales. Regarding the UPPS, borderline patients scored significantly higher than bipolar patients for the dimensions "lack of premeditation" and "lack of perseverance"; however, bipolar patients had significantly higher scores than borderline patients for the dimension "negative emergency".

CONCLUSION

This study shows that bipolar disorder and borderline personality can be differentiated thanks to emotional dimensions as well as different dimensions of impulsivity: borderline patients appear to have an affective lability and intensity more important than bipolar patients; it also appears that impulsivity manifests itself differently according to the disorder.


DOI: 10.1016/j.encep.2016.02.007
PubMed: 27017320


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Borderline Personality Disorder</term>
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<term>Trouble de la personnalité limite</term>
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<term>Trouble de la personnalité limite</term>
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<p>Studies have shown that patients with borderline personality disorder are often misdiagnosed to have bipolar disorder and conversely. Indeed, a number of characteristics common to both disorders could explain this problem: emotional instability as well as impulsivity represent confounding factors and contribute to the risk of misdiagnosis. However, it appears that these characteristics manifest themselves in different ways according to the pathology. The aim of the study is to show differences between affective lability, emotional intensity and impulsivity dimensions. The clinical aim is to refine bipolar disorder and borderline personality disorder diagnosis, to improve psychological care for these patients in the long-term.</p>
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<p>
<b>METHOD</b>
</p>
<p>We compared the emotional and impulsive dimensions in two groups of patients: a group of 21 patients with bipolar disorder and a group of 19 patients with borderline personality disorder. Tools: ALS, a self-report questionnaire to evaluate affective lability, AIM, a self-report questionnaire to see affective intensity, and UPPS, a self-report questionnaire to measure impulsivity according to several dimensions.</p>
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<p>
<b>RESULTS</b>
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<p>The results indicate that borderline patients scored significantly higher than bipolar patients at the ALS and AIM scales. Regarding the UPPS, borderline patients scored significantly higher than bipolar patients for the dimensions "lack of premeditation" and "lack of perseverance"; however, bipolar patients had significantly higher scores than borderline patients for the dimension "negative emergency".</p>
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<b>CONCLUSION</b>
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<p>This study shows that bipolar disorder and borderline personality can be differentiated thanks to emotional dimensions as well as different dimensions of impulsivity: borderline patients appear to have an affective lability and intensity more important than bipolar patients; it also appears that impulsivity manifests itself differently according to the disorder.</p>
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<Keyword MajorTopicYN="N">Affective intensity</Keyword>
<Keyword MajorTopicYN="N">Affective lability</Keyword>
<Keyword MajorTopicYN="N">Bipolar disorder</Keyword>
<Keyword MajorTopicYN="N">Borderline personality disorder</Keyword>
<Keyword MajorTopicYN="N">Impulsivity</Keyword>
<Keyword MajorTopicYN="N">Impulsivité</Keyword>
<Keyword MajorTopicYN="N">Intensité affective</Keyword>
<Keyword MajorTopicYN="N">Labilité affective</Keyword>
<Keyword MajorTopicYN="N">Trouble bipolaire</Keyword>
<Keyword MajorTopicYN="N">Trouble de la personnalité borderline</Keyword>
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<Month>06</Month>
<Day>16</Day>
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<Year>2015</Year>
<Month>05</Month>
<Day>04</Day>
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<Year>2016</Year>
<Month>3</Month>
<Day>28</Day>
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<Day>3</Day>
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<PublicationStatus>ppublish</PublicationStatus>
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<ArticleId IdType="pii">S0013-7006(16)00039-7</ArticleId>
<ArticleId IdType="doi">10.1016/j.encep.2016.02.007</ArticleId>
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<li>Canada</li>
<li>France</li>
</country>
<region>
<li>Île-de-France</li>
</region>
<settlement>
<li>Nanterre-La-Défense</li>
<li>Paris</li>
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<region name="Île-de-France">
<name sortKey="Leblanc, A" sort="Leblanc, A" uniqKey="Leblanc A" first="A" last="Leblanc">A. Leblanc</name>
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<name sortKey="Jarroir, M" sort="Jarroir, M" uniqKey="Jarroir M" first="M" last="Jarroir">M. Jarroir</name>
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