+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Axis II comorbidity in borderline personality disorder is influenced by sex, age, and clinical severity



Axis II comorbidity in borderline personality disorder is influenced by sex, age, and clinical severity



Comprehensive Psychiatry 52(6): 725-730



Borderline personality disorder (BPD) is a severe psychiatric disorder that has a high clinical heterogeneity and frequent co-occurrence with other personality disorders (PDs). Although several studies have been performed to assess axis II comorbidity in BPD, more research is needed to clarify associated factors. The aim of this study was to determine the prevalence of co-occurrent axis II disorders in a large sample of patients with BPD and to investigate the influence of sex, age, and severity on this comorbidity. Data were collected from 484 patients with BPD through 2 semistructured interviews. We analyzed the frequency of axis II comorbidity and assessed differences regarding sex, age, and severity of BPD. About 74% of patients with BPD had at least 1 co-occurrent axis II disorder. The most common were paranoid, passive-aggressive, avoidant, and dependent PDs. Significant sex differences were found. Women presented more comorbidity with dependent PD, whereas men showed higher rates of comorbidity with antisocial PD. We also observed a significant positive correlation between age and the number of co-occurrent axis II disorders in women with BPD. Another finding was the positive correlation between BPD severity and the number of co-occurrent axis II disorders. These findings suggest that comorbidity with other axis II disorders and sex, age, and severity should be taken into account when developing treatment strategies and determining the prognosis of BPD.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 051737514

Download citation: RISBibTeXText

PMID: 21349508

DOI: 10.1016/j.comppsych.2010.11.009


Related references

Gender differences in axis I and axis II comorbidity in patients with borderline personality disorder. Psychopathology 42(4): 257-263, 2009

The comorbidity of borderline personality disorder and other DSM-III-R axis II personality disorders. American Journal of Psychiatry 148(10): 1371-1377, 1991

Axis I comorbidity in borderline personality disorder. Vertex 21(90): 97-104, 2010

Axis II comorbidity of borderline personality disorder. Comprehensive Psychiatry. 39(5): 296-302,.-., 1998

Axis I Comorbidity of Borderline Personality Disorder. American Journal of Psychiatry 155(12): 1733-1739, 1998

The Axis-I Dissociative Disorder Comorbidity of Borderline Personality Disorder Among Psychiatric Outpatients. Journal of Trauma and Dissociation 4(1): 119-136, 2003

Axis I diagnostic comorbidity and borderline personality disorder. Comprehensive Psychiatry 40(4): 245-252, 1999

Axis II comorbidity of borderline personality disorder in adolescents. Psychopathology 46(3): 172-175, 2013

Axis I dissociative disorder comorbidity in borderline personality disorder and reports of childhood trauma. Journal of Clinical Psychiatry 67(10): 1583-1590, 2006

Axis I and II comorbidity and psychosocial functioning in female adolescents with borderline personality disorder. Psychopathology 46(1): 55-62, 2013

DSM-IV axis II comorbidity with borderline personality disorder in monolingual Hispanic psychiatric outpatients. Journal of Nervous and Mental Disease 190(5): 324-330, 2002

The Personality Disorders Institute/Borderline Personality Disorder Research Foundation Randomized Control Trial for Borderline Personality Disorder: reliability of Axis I and II diagnoses. Psychiatric Quarterly 78(1): 15-24, 2007

Axis II comorbidity of borderline personality disorder: description of 6-year course and prediction to time-to-remission. Acta Psychiatrica Scandinavica 110(6): 416-420, 2004

Multiple cluster axis II comorbidity and functional outcome in severe patients with borderline personality disorder. Actas Espanolas de Psiquiatria 44(6): 212-221, 2016

Axis I comorbidity in patients with borderline personality disorder: 6-year follow-up and prediction of time to remission. American Journal of Psychiatry 161(11): 2108-2114, 2004