Personality functioning and mentalizing in patients with subthreshold or diagnosed Borderline Personality Disorder: Implications for ICD-1
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Personality functioning and mentalizing in patients with subthreshold or diagnosed Borderline Personality Disorder : Implications for ICD-1. / Rishede, Marie Zerafine; Juul, Sophie; Bo, Sune; Gondan, Matthias; Møller, Stine Bjerrum; Simonsen, Sebastian.
I: Frontiers in Psychiatry, Bind 12, 634332, 31.03.2021.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Personality functioning and mentalizing in patients with subthreshold or diagnosed Borderline Personality Disorder
T2 - Implications for ICD-1
AU - Rishede, Marie Zerafine
AU - Juul, Sophie
AU - Bo, Sune
AU - Gondan, Matthias
AU - Møller, Stine Bjerrum
AU - Simonsen, Sebastian
PY - 2021/3/31
Y1 - 2021/3/31
N2 - The 11th revision of the International Classification of Diseases for Mortality and Morbidity Statistics (ICD-11) defines personality disorder according to personality functioning, which relates to self- and interpersonal functioning. The aim of the present study was to assess the relationship between mentalizing and personality functioning in patients with subthreshold or diagnosed borderline personality disorder. A total of 116 eligible participants were included. Mentalizing was assessed using the Mentalization Questionnaire (MZQ), personality functioning (self- and interpersonal functioning) was assessed using the Level of Personality Functioning Scale-Brief Form 2.0 (LPFS-BF), and borderline severity was assessed using the Zanarini Rating Scale (ZAN-BPD). Mediation analysis was employed to test if mentalizing accounted for the relationship between borderline severity and self- and interpersonal functioning. We found a significant relationship between borderline severity and both subscales of the LPFS-BF. Mentalizing fully and significantly mediated the relationship between borderline severity and interpersonal functioning.However, mentalizing only partly mediated the relationship between borderline severity and self-functioning. Controlling for the covariates gender and age did not impact the results. Mentalizing is likely to be involved in the ICD-11 model of personality functioning, especially interpersonal functioning. This could emphasize the relevance of therapy aimed at strengthening mentalizing abilities when treating personality pathology in general and people with borderline personality disorder in particular. However, self-functioning may be more nuanced, as aspects other than mentalizing also influence self-function. The study is explorative in nature and has methodological limitations that require caution in the interpretation and generalizability.
AB - The 11th revision of the International Classification of Diseases for Mortality and Morbidity Statistics (ICD-11) defines personality disorder according to personality functioning, which relates to self- and interpersonal functioning. The aim of the present study was to assess the relationship between mentalizing and personality functioning in patients with subthreshold or diagnosed borderline personality disorder. A total of 116 eligible participants were included. Mentalizing was assessed using the Mentalization Questionnaire (MZQ), personality functioning (self- and interpersonal functioning) was assessed using the Level of Personality Functioning Scale-Brief Form 2.0 (LPFS-BF), and borderline severity was assessed using the Zanarini Rating Scale (ZAN-BPD). Mediation analysis was employed to test if mentalizing accounted for the relationship between borderline severity and self- and interpersonal functioning. We found a significant relationship between borderline severity and both subscales of the LPFS-BF. Mentalizing fully and significantly mediated the relationship between borderline severity and interpersonal functioning.However, mentalizing only partly mediated the relationship between borderline severity and self-functioning. Controlling for the covariates gender and age did not impact the results. Mentalizing is likely to be involved in the ICD-11 model of personality functioning, especially interpersonal functioning. This could emphasize the relevance of therapy aimed at strengthening mentalizing abilities when treating personality pathology in general and people with borderline personality disorder in particular. However, self-functioning may be more nuanced, as aspects other than mentalizing also influence self-function. The study is explorative in nature and has methodological limitations that require caution in the interpretation and generalizability.
KW - Faculty of Social Sciences
KW - personality disorder
KW - personality functioning
KW - mentalizing
KW - International classification of diseases 11th revision
KW - interpersonal functioning
KW - self-functioning
KW - mediation
KW - borderline personality disorder
U2 - 10.3389/fpsyt.2021.634332
DO - 10.3389/fpsyt.2021.634332
M3 - Journal article
C2 - 33868051
VL - 12
JO - Frontiers in Psychiatry
JF - Frontiers in Psychiatry
SN - 1664-0640
M1 - 634332
ER -
ID: 257884824