Rumination, posttraumatic stress disorder, and mood symptoms in borderline personality disorder

Liliana Dell’Osso,1 Ivan M Cremone,1 Barbara Carpita,1 Valerio Dell’Oste,1 Dario Muti,1 Gabriele Massimetti,1 Stefano Barlati,2 Antonio Vita,2 Andrea Fagiolini,3,4 Claudia Carmassi,1 Camilla Gesi11Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy;...

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Autores principales: Dell'Osso L, Cremone IM, Carpita B, Dell'Oste V, Muti D, Massimetti G, Barlati S, Vita A, Fagiolini A, Carmassi C, Gesi C
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Publicado: Dove Medical Press 2019
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Acceso en línea:https://doaj.org/article/ab73eea73c3d4f83bca869eb90e78ca5
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spelling oai:doaj.org-article:ab73eea73c3d4f83bca869eb90e78ca52021-12-02T02:52:58ZRumination, posttraumatic stress disorder, and mood symptoms in borderline personality disorder1178-2021https://doaj.org/article/ab73eea73c3d4f83bca869eb90e78ca52019-05-01T00:00:00Zhttps://www.dovepress.com/rumination-posttraumatic-stress-disorder-and-mood-symptoms-in-borderli-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Liliana Dell’Osso,1 Ivan M Cremone,1 Barbara Carpita,1 Valerio Dell’Oste,1 Dario Muti,1 Gabriele Massimetti,1 Stefano Barlati,2 Antonio Vita,2 Andrea Fagiolini,3,4 Claudia Carmassi,1 Camilla Gesi11Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy; 2Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy; 3Department of Mental Health, University of Siena, Siena, Italy; 4Department of Molecular Medicine, University of Siena, Siena, ItalyBackground: The interrelationship between mood disorders and borderline personality disorder (BPD) has been long debated in the literature. Increasing attention has also been paid to the relationship between posttraumatic stress disorder (PTSD) and BPD, as well as to the role of rumination in the development and severity of BPD. This study aims to evaluate the association of rumination, PTSD, and mood spectrum among patients with BPD with or without comorbid mood disorders.Methods: Fifty patients with BPD and 69 healthy controls were assessed with the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders 5, MoodSpectrum Self-Report (MOODS-SR), and Ruminative Response Scale (RRS).Results: The BPD group was split into subjects with BPD+ mood disorder (MD) or BPD only) . PTSD-criteria fulfillment, MOODS, and RRS scores were significantly higher in both BPD subgroups than in controls, while BPD+MD patients scored significantly higher than the BPD-only group. RRS scores and PTSD-criteria fulfillment were significantly related to the presence of both BPD and BPD+MD, with no effect of MOODS-SR scores.Conclusion: Our findings confirm the presence of a relationship between BPD and the PTSD spectrum, highlighting also a possible role of rumination in BPD psychopathology. Rumination and PTSD symptoms seem to prevail in the effect of mood spectrum in predicting BPD.Keywords: ruminative thinking, borderline personality disorder, post-traumatic stress disorder, mood disordersDell'Osso LCremone IMCarpita BDell'Oste VMuti DMassimetti GBarlati SVita AFagiolini ACarmassi CGesi CDove Medical PressarticlePTSDBorderline personality disordermood disordersruminationNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 1231-1238 (2019)
institution DOAJ
collection DOAJ
language EN
topic PTSD
Borderline personality disorder
mood disorders
rumination
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle PTSD
Borderline personality disorder
mood disorders
rumination
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Dell'Osso L
Cremone IM
Carpita B
Dell'Oste V
Muti D
Massimetti G
Barlati S
Vita A
Fagiolini A
Carmassi C
Gesi C
Rumination, posttraumatic stress disorder, and mood symptoms in borderline personality disorder
description Liliana Dell’Osso,1 Ivan M Cremone,1 Barbara Carpita,1 Valerio Dell’Oste,1 Dario Muti,1 Gabriele Massimetti,1 Stefano Barlati,2 Antonio Vita,2 Andrea Fagiolini,3,4 Claudia Carmassi,1 Camilla Gesi11Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy; 2Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy; 3Department of Mental Health, University of Siena, Siena, Italy; 4Department of Molecular Medicine, University of Siena, Siena, ItalyBackground: The interrelationship between mood disorders and borderline personality disorder (BPD) has been long debated in the literature. Increasing attention has also been paid to the relationship between posttraumatic stress disorder (PTSD) and BPD, as well as to the role of rumination in the development and severity of BPD. This study aims to evaluate the association of rumination, PTSD, and mood spectrum among patients with BPD with or without comorbid mood disorders.Methods: Fifty patients with BPD and 69 healthy controls were assessed with the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders 5, MoodSpectrum Self-Report (MOODS-SR), and Ruminative Response Scale (RRS).Results: The BPD group was split into subjects with BPD+ mood disorder (MD) or BPD only) . PTSD-criteria fulfillment, MOODS, and RRS scores were significantly higher in both BPD subgroups than in controls, while BPD+MD patients scored significantly higher than the BPD-only group. RRS scores and PTSD-criteria fulfillment were significantly related to the presence of both BPD and BPD+MD, with no effect of MOODS-SR scores.Conclusion: Our findings confirm the presence of a relationship between BPD and the PTSD spectrum, highlighting also a possible role of rumination in BPD psychopathology. Rumination and PTSD symptoms seem to prevail in the effect of mood spectrum in predicting BPD.Keywords: ruminative thinking, borderline personality disorder, post-traumatic stress disorder, mood disorders
format article
author Dell'Osso L
Cremone IM
Carpita B
Dell'Oste V
Muti D
Massimetti G
Barlati S
Vita A
Fagiolini A
Carmassi C
Gesi C
author_facet Dell'Osso L
Cremone IM
Carpita B
Dell'Oste V
Muti D
Massimetti G
Barlati S
Vita A
Fagiolini A
Carmassi C
Gesi C
author_sort Dell'Osso L
title Rumination, posttraumatic stress disorder, and mood symptoms in borderline personality disorder
title_short Rumination, posttraumatic stress disorder, and mood symptoms in borderline personality disorder
title_full Rumination, posttraumatic stress disorder, and mood symptoms in borderline personality disorder
title_fullStr Rumination, posttraumatic stress disorder, and mood symptoms in borderline personality disorder
title_full_unstemmed Rumination, posttraumatic stress disorder, and mood symptoms in borderline personality disorder
title_sort rumination, posttraumatic stress disorder, and mood symptoms in borderline personality disorder
publisher Dove Medical Press
publishDate 2019
url https://doaj.org/article/ab73eea73c3d4f83bca869eb90e78ca5
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