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Disease Burden Of Co-Occurring Borderline Personality Disorder In Patients With Bipolar Disorder

Published online by Cambridge University Press:  01 September 2022

M. Turki ,
M. Abdellatif ,
N. Gargouri ,
S. Ellouze ,
S. Blanji ,
A. Daoud ,
N. Halouani  and
J. Aloulou
M. Turki*
Affiliation:
Hedi Chaker University Hospital, Psychiatry “b” Department, Sfax, Tunisia
M. Abdellatif
Affiliation:
Hedi Chaker University Hospital, Psychiatry “b” Department, Sfax, Tunisia
N. Gargouri
Affiliation:
Hedi Chaker University Hospital, Psychiatry “b” Department, Sfax, Tunisia
S. Ellouze
Affiliation:
Hedi Chaker University Hospital, Psychiatry “b” Department, Sfax, Tunisia
S. Blanji
Affiliation:
Hedi Chaker University Hospital, Psychiatry “b” Department, Sfax, Tunisia
A. Daoud
Affiliation:
Hedi Chaker University Hospital, Psychiatry “b” Department, Sfax, Tunisia
N. Halouani
Affiliation:
Hedi Chaker University Hospital, Psychiatry “b” Department, Sfax, Tunisia
J. Aloulou
Affiliation:
Hedi Chaker University Hospital, Psychiatry “b” Department, Sfax, Tunisia
*
*Corresponding author.

Abstract

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Introduction

In recent years, advances in the areas of both bipolar disorder (BD) and borderline personality disorder (BPD) have generated considerable interest in the relationship between these two conditions, since that they are commonly comorbid.

Objectives

We aimed to investigate the impact of BPD on course of illness in patients with BP.

Methods

We conducted a cross-sectional, descriptive and analytical study among 30 psychiatric outpatients diagnosed with BD in the Psychiatry « B » department, Hedi Chaker Hospital (Sfax, Tunisia). The McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) was used to screen for BPD. Clinical outcomes (hospital stays, comorbidities, suicidality…) were compared between BD- patients with or without BPD comorbidity.

Results

The mean age was 41.63 years, with a sex ratio of ½. Among the patients, 2/3 were diagnosed with BD-I, while 1/3 presented a BD-II. Physical comorbidities, comorbid anxious and eating disorders were noted respectively in 36.7%; 16.7% and 43.3% of patients. Suicidal attempts were reported in 46.7% of cases. According to MSI-BPD, a comorbid BPD was noted in 30% of our sample. Patients with BD-II were significantly more likely to present BDP traits (50%) than those with BD-I (20%) (p<0.001). Patients with BPD were significantly more likely to attempt suicide (p=0.033), and to present physical comorbidities (p<0.001) and comorbid eating disorders (p<0.001).

Conclusions

Our study showed that BPD darkens the prognosis of BD, because of worse outcomes related to suicide, physical and psychiatric comorbidities. Thus, its co-occurrence complicates the management of BD.

Disclosure

No significant relationships.

Keywords

comorbiditybipolar disorderborderline personality disorder
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S459 - S460
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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