Conference paper
BIPOLAR AND BORDERLINE PERSONALITY DISORDERS: A DESCRIPTIVE COMPARISON OF PSYCHOPATHOLOGICAL ASPECTS IN PATIENTS DISCHARGED FROM AN ITALIAN INPATIENT UNIT USING PANSS AND BPRS
Luca Pauselli
; School of Specialization in Psychiatry, University of Perugia, Perugia, Italy
Norma Verdolini
; School of Specialization in Psychiatry, University of Perugia, Perugia, Italy
Aurora Santucci
; Faculty of Medicine and Surgery, Medical School, University of Perugia, Perugia, Italy
Patrizia Moretti
; Section of Psychiatry, Clinical Psychology and Psychiatric Rehabilitation, Department of Medicine, University of Perugia, Perugia, Italy
Roberto Quartesan
; Section of Psychiatry, Clinical Psychology and Psychiatric Rehabilitation, Department of Medicine, University of Perugia, Perugia, Italy
Abstract
Background: There is current scientific debate in consideration of the possibility to consider the Borderline Personality
Disorder (BPD) as a mood disorder within the bipolar spectrum furthermore, authors reported about the challenging differential
diagnosis of BPD and Bipolar Disorder (BD).
Subjects and methods: 32 patients hospitalized in the Inpatient Psychiatric Unit in Perugia, discharged with a diagnosis of BD
or BPD, were included. Factor analyses of BPRS and PANSS items were performed. Association between socio-demographic,
clinical and psychopathological variables was tested using bivariate analyses.
Results: Factor analysis identified 6 Factors, explaining 67.6% of the variance, interpreted as follow: 1) Euphoric Mania, 2)
Psychosis, 3) Inhibited Depression, 4) Disorganization, 5) Psychosomatic features, and 6) Mixed features. Bivariate analyses identified
statistically significant differences between BPD and BD according to: PANSS positive symptoms domain, BPRS total score,
Euphoric Mania and Disorganization. No statistically significant differences came up on socio-demographic and clinical aspects.
Conclusion: Even though the sample is small, interesting findings came out from our investigation. Our findings are in line with
the current literature. Euphoric mood, is one of the aspects which best differentiated BD from BPD. Higher scores in
Disorganization, BPRS and PANSS positive symptoms in BD may be related to the fact that our sample is a group of patients from an
acute inpatient unit, so the impact of the symptoms severity for BD may be remarkable.
Keywords
Bipolar Disorder; Borderline Personalitry Disorder; psychopathology
Hrčak ID:
264481
URI
Publication date:
8.9.2015.
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