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2015 ; 17
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English Wikipedia
Borderline Personality in the Medical Setting
#MMPMID26644960
Sansone RA
; Sansone LA
Prim Care Companion CNS Disord
2015[]; 17
(3
): ä PMID26644960
show ga
OBJECTIVE: Individuals with borderline personality disorder in mental health
settings tend to present with relationship difficulties, mood
instability/dysphoria, and overt self-harm behavior. In contrast, it appears that
individuals with borderline personality disorder in medical settings manifest
physical symptoms that are medically difficult to substantiate. Through a review
of the literature, we examine 2 symptom manifestations among patients with
borderline personality in primary care and general medical settings-namely pain
sensitivity and multiple somatic complaints. In addition to reviewing the
research of others, we also highlight our own investigations into these 2 areas.
DATA SOURCES: We conducted a literature search of the PubMed database and a
previous version of the PsycINFO search engine (no restrictions). Search terms
included borderline personality, borderline personality disorder, personality
disorders; chronic pain, pain, pain syndromes; and somatization disorder,
Briquet's syndrome, somatic preoccupation, somatic. STUDY SELECTION: Published
articles related to borderline personality, pain and somatic symptoms (ie,
somatization disorder, somatic preoccupation) were examined. RESULTS: According
to our review, the literature indicates higher-than-expected rates of borderline
personality disorder among patients in primary care and general medical settings
who present with chronic pain conditions and/or somatic preoccupation.
CONCLUSIONS: Unlike patients with borderline personality disorder in mental
health settings, who tend to present with relationship difficulties, mood
instability/dysphoria, and overt self-harm behavior, patients with borderline
personality disorder in primary care settings tend to present with
unsubstantiated chronic pain of various types as well as somatic preoccupation.