Sexual Orientation and Borderline Personality Disorder Features in a Community Sample of Adolescents.

Published on Oct 5, 2016in Journal of Personality Disorders3.132
路 DOI :10.1521/PEDI_2015_29_224
Tyson R. Reuter7
Estimated H-index: 7
(UH: University of Houston),
Carla Sharp59
Estimated H-index: 59
(UH: University of Houston)
+ 2 AuthorsJeffrey Temple39
Estimated H-index: 39
(UTMB: University of Texas Medical Branch)
Empirical literature demonstrates that sexual minorities are at an increased risk of developing psychopathology, including borderline personality disorder (BPD). The specific link between sexual orientation and BPD has received significantly less attention in youth, and it remains unclear what drives this relation. Given that there are higher rates of psychopathology in both sexual minorities and individuals with BPD, the present study aimed to determine if sexual orientation uniquely contributes to borderline personality pathology, controlling for other psychopathology. An ethnically diverse sample of 835 adolescents completed self-report measures of borderline features, depression, anxiety, and sexual orientation. Sexual minorities scored higher on borderline features compared to heterosexual adolescents. When controlling for depression and anxiety, sexual orientation remained significantly associated with borderline features. The relation between sexual orientation and BPD cannot fully be explained by other psychopathology. Future research is necessary to understand potential mechanisms underlying this relation. Borderline personality disorder (BPD) is a severe psychiatric condition characterized by extreme dysregulation across affective, behavioral, cognitive, and interpersonal domains of functioning. Hallmarks of the disorder include intense anger, identity disturbance, stormy interpersonal relationships, impulsive behavior, and frantic efforts to avoid real and perceived abandonment (American Psychiatric Association, 2013). Prevalence is relatively high, with estimates of one to two percent in community samples (Grant et al., 2008) and approximately one in ten psychiatric outpatients and one in five inpatients, with a greater proportion being female (American Psychiatric Association, 2013). BPD is a pervasive and lifelong disorder with high traditional Axis I comorbidity (Grant et al., 2008; Zanarini et al., 1998),
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