+ 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

Gender differences in axis I and axis II comorbidity in patients with borderline personality disorder



Gender differences in axis I and axis II comorbidity in patients with borderline personality disorder



Psychopathology 42(4): 257-263



Differences in the clinical presentation of men and women with borderline personality disorder (BPD) are of potential interest for investigations into the neurobiology, genetics, natural history, and treatment response of BPD. The purpose of this study was to investigate gender differences in axis I and axis II comorbidity and in diagnostic criteria in BPD patients. 110 women and 49 men with BPD were assessed with the computer-based version of the Munich-Composite International Diagnostic Interview and the Structured Clinical Interview for DSM-IV Personality Disorders. Gender differences were investigated for the following outcomes: (a) lifetime, 12-month and 4-week prevalence of axis I disorders; (b) axis II disorders, and (c) DSM-IV BPD diagnostic criteria. With regard to lifetime prevalence of axis I disorders, men more often displayed a substance use disorder, in particular alcohol dependency (65 vs. 43%); on the other hand, women more frequently had an affective (94 vs. 82%), anxiety (92 vs. 80%) or eating disorder (35 vs. 18%), in particular anorexia nervosa (21 vs. 4%). Regarding the 12-month prevalence, we found significantly more women suffering from anorexia nervosa (13 vs. 0%). Considering the 4-week prevalence, there were no significant gender differences. With regard to axis II disorders, men had a higher frequency of antisocial personality disorder (57 vs. 26%). Regarding the BPD diagnostic criteria, men more often displayed 'intensive anger' (74 vs. 49%), whereas women more frequently showed 'affective instability' (94 vs. 82%). In this German study, we could replicate and extend the findings from previous US studies, where men and women with BPD showed important differences in their pattern of psychiatric comorbidity. The implications for clinicians and researchers are discussed.

Please choose payment method:






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

Accession: 053359650

Download citation: RISBibTeXText

PMID: 19521142

DOI: 10.1159/000224149


Related references

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

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

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

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

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

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

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

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

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

Axis II comorbidity in borderline personality disorder is influenced by sex, age, and clinical severity. Comprehensive Psychiatry 52(6): 725-730, 2012

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

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

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

Prospective follow-up study of borderline personality disorder: prognosis, prediction of outcome, and Axis II comorbidity. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie 43(3): 265-270, 1998