TY - JOUR
T1 - Borderline personality disorder and traits in veterans
T2 - Psychiatric comorbidity, healthcare utilization, and quality of life along a continuum of severity
AU - Black, Donald W.
AU - Blum, Nancee
AU - Letuchy, Elena
AU - Doebbeling, Caroline Carney
AU - Forman-Hoffman, Valerie L.
AU - Doebbeling, Bradley N.
N1 - Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2006/9
Y1 - 2006/9
N2 - Objective: To examine the presence of borderline personality disorder (BPD) traits in Gulf War veterans, and to assess psychiatric comorbidity, health status, healthcare utilization, and quality of life (QOL) along a continuum of BPD trait severity. Method: BPD and traits were evaluated using the Schedule for Non-Adaptive and Adaptive Personality in 576 veterans who were either deployed to the Persian Gulf (1990-1991) or were on active duty though not deployed to the Gulf. Demographic and military characteristics, personal and family history, psychiatric comorbidity, and QOL were also assessed. Results: One or more BPD traits were present in 247 subjects (43%), and BPD (≥5 traits) was identified in 15 subjects (3%). The number of traits was significantly associated with age and level of education. Lifetime psychiatric comorbidity was significantly associated with the number of BPD traits present, and level of functioning, health status, healthcare utilization, social functioning, self-injurious tendencies, and military/behavioral problems. Conclusion: BPD and traits identified in Gulf War veterans were associated with significant psychiatric morbidity, poorer QOL, and increased utilization of healthcare resources. Early recognition and treatment of veterans with BPD symptoms may be warranted to minimize the burden on the healthcare system.
AB - Objective: To examine the presence of borderline personality disorder (BPD) traits in Gulf War veterans, and to assess psychiatric comorbidity, health status, healthcare utilization, and quality of life (QOL) along a continuum of BPD trait severity. Method: BPD and traits were evaluated using the Schedule for Non-Adaptive and Adaptive Personality in 576 veterans who were either deployed to the Persian Gulf (1990-1991) or were on active duty though not deployed to the Gulf. Demographic and military characteristics, personal and family history, psychiatric comorbidity, and QOL were also assessed. Results: One or more BPD traits were present in 247 subjects (43%), and BPD (≥5 traits) was identified in 15 subjects (3%). The number of traits was significantly associated with age and level of education. Lifetime psychiatric comorbidity was significantly associated with the number of BPD traits present, and level of functioning, health status, healthcare utilization, social functioning, self-injurious tendencies, and military/behavioral problems. Conclusion: BPD and traits identified in Gulf War veterans were associated with significant psychiatric morbidity, poorer QOL, and increased utilization of healthcare resources. Early recognition and treatment of veterans with BPD symptoms may be warranted to minimize the burden on the healthcare system.
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U2 - 10.1017/S1092852900014772
DO - 10.1017/S1092852900014772
M3 - Article
C2 - 16946693
AN - SCOPUS:33749037703
SN - 1092-8529
VL - 11
SP - 680
EP - 689
JO - CNS Spectrums
JF - CNS Spectrums
IS - 9
ER -