Temperament and character in patients with borderline personality disorder taking gender and comorbidity into account.

  • Sven Barnow
  • Sabine C Herpertz
  • Carsten Spitzer
  • Malte Stopsack
  • Ulrich W Preuss
  • Hans J Grabe
  • Christoph Kessler
  • Harald J Freyberger

Abstract

This study examined correlations of borderline personality disorder (BPD) symptoms with scales from Cloninger's psychobiological model taking gender and psychiatric comorbidity into consideration. Inpatients with BPD (n = 202) were compared to several control groups including psychiatrically healthy persons (n = 327), subjects with affective disorders (n = 46), alcohol use disorders (n = 47), cluster C personality disorders (n = 23) and antisocial personality disorder (n = 25). The results indicate that only males with BPD presented an 'explosive' temperament suggested by Cloninger, with simultaneously high levels of novelty seeking and harm avoidance. In contrast, women with BPD were characterized by high levels of harm avoidance, but not novelty seeking. Regarding temperament and character dimensions our analyses suggest that patients with BPD could be characterized, in particular, by a combination of high harm avoidance and very low self-directedness. The specific temperament configuration of BPD postulated by Cloninger's psychobiological model could only partially be supported. The results provide support for the importance of controlling for gender effects when investigating the applicability of dimensional models with respect to personality disorders.

Bibliografische Daten

OriginalspracheDeutsch
Aufsatznummer6
ISSN0254-4962
StatusVeröffentlicht - 2007
pubmed 17652949