Abstract:
OBJECTIVE:Borderline personality disorder (BPD) is characterized in the DSM by anger. While previous studies have examined various types of externalized aggression and violence among individuals with BPD, we are aware of no investigations of disruptive behaviors perpetrated by patients with BPD in medical settings-the focus of the present study. METHOD:Using a cross-sectional, consecutive sample of internal medicine outpatients from a resident provider clinic, we surveyed 397 participants regarding 17 disruptive behaviors related to medical personnel and assessed BPD using two self-report measures, the BPD scale of the Personality Diagnostic Questionnaire-4 (PDQ-4) and the Self-Harm Inventory (SHI). RESULTS:A statistically significantly greater proportion of respondents who exceeded the clinical cut-off scores for BPD on both the PDQ-4 and SHI endorsed at least one form of disruptive behavior. However, there were no differences between participants with versus without BPD symptomatology regarding the number of different forms of disruptive behaviors after that initial threshold of one such behavior was reached. Several specific disruptive behaviors were reported more often in those with BPD symptomatology (i.e., yelling, screaming, verbally threatening, and refusing to talk with medical staff as well as talking badly about medical staff to the patients' friends and family). CONCLUSIONS:BPD appears to be associated with a greater likelihood of disruptive behaviors in the medical setting, but not physical threat.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Sansone RA,Farukhi S,Wiederman MWdoi
10.2190/PM.41.4.esubject
Has Abstractpub_date
2011-01-01 00:00:00pages
355-63issue
4eissn
0091-2174issn
1541-3527journal_volume
41pub_type
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journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/9736-0B8Y-28LD-5MX8
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journal_title:International journal of psychiatry in medicine
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journal_title:International journal of psychiatry in medicine
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journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217420985969
更新日期:2020-12-30 00:00:00
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更新日期:1983-01-01 00:00:00
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pub_type: 杂志文章,评审
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doi:10.2190/UT6D-RDFG-LBT7-G39N
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更新日期:2009-01-01 00:00:00
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更新日期:2015-01-01 00:00:00
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journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
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更新日期:2006-01-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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更新日期:1994-01-01 00:00:00
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pub_type: 临床试验,杂志文章
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