Depression In Patients With Borderline Personality Disorder Screening And The Influencing Factors And Prognosis Of Disease Research

Object: Screening out of inpatients with borderline personality disorder (BPD)tendency in depressive inpatients; To explore the positive rates of the various typesof personality disorder tendency; To compare borderline personality disordertendency patients and pure depressive patients in short-term relief of symptoms ofdepression; To deplore borderline personality disorder tendency patients’ childhoodtraumatic experience and parental rearing patterns.Method: Convenience sample of selected patients hospitalized from December2010to January2012in Medical mental wards of Nanjing Brain Hospital. Application ofpersonality disorder diagnostic questionnaire (PDQ-4) was the screening of153patients enrolled,73patients’ all PDQ-4positive items were more than the30, while35patients’ BPD positive items of PDQ-4were more than5. All patients wereassessed of the Hamilton Depression Scale (HAMD17) and the Hamilton AnxietyScale (HAMA14) while39patients whose ages were below30completed ChildhoodTrauma Questionnaire (CTQ-SF) and Egna Minnen av Barndoms Uppfostran(EMBU).Results:1.For inpatients with depression, personality disorder-positive rate was47.7%, while patients with borderline personality disorder tendency accounted for22.9%of the hospitalized population. In all types of personality disorder,obsessive-compulsive personality disorder, avoidant personality disorder had thehighest positive rates. Antisocial personality disorder was more common in male, butborderline personality disorder did not find significant gender differences. Young,unmarried, the inharmonious family relationship is risk factors of personalitydisorder.2Comparing with pure major depression, borderline personality disorder tendencyinpatients remit slower, which reflected in the factor scores: emotional factor and psychic anxiety factor. But in somatic symptoms there were no significant difference.They were also not significantly different in the clinical efficacy of drugs. BPDTendency patients have no significant differences in remitting when compared themto patients of nonclassified personality disorder.3. Childhood trauma experience significantly correlated with the mother’s educationlevel, family relationships; Patients with borderline personality disorder tendencyhad significant difference in levels of emotional abuse.4. Parental rearing were significantly correlated with the educational level of theparents, family relationships; Comparing pure depressive patients, BPD tendencypatients got significantly higher score on parents’ punishment; Compared to normalpopulation, BPD tendency depressed patients had significant difference on theparental: emotional warmth, fathers’ punishment, fathers’ refusing to deny, mothers’excessive interference, mothers’ reference.Conclusion:1. BPD in mental hospital wards have a high positive rate that shouldbe noted that the identification and screening for BPD and other types of personalitydisorder.2. Compared with pure depressed inpatient, BPD tendency patients reliefslower. We should attach importance to BPD tendency and other personality disordertendency while giving anti-depression medicine.3. Mother’s education level,mother’s severity, the intensity and frequency of punishment, emotional abuse arerisk factors of BPD.4. Compared with the normal population, the punishment of thefather, refused to deny, the excessive interference of the mother and her preferencewere a important incentive for the formation of BPD.