일 대학병원을 방문한 경계성 인격장애 환자의 성별에 따른 임상양상, 심리특성 및 방어기제의 차이
Gender Difference in Clinical and Psychological Characteristics in Patients with Borderline Personality Disorder at a University Hospital
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Objectives: Previous studies on gender differences of patients with borderline personality disorder (BPD) were mainly to estimate prevalence rates and comorbidities in epidemiology. This study evaluated clinical and psychological characteristics, including defense mechanisms, between male and female patients with BPD in a clinical setting. Methods: We recruited 30 male and 35 female patients with BPD according to the Diagnostic and Statistical Manual of Mental Disorder, 4th edition diagnostic criteria. We investigated the gender difference of Axis I comorbidities and characteristics of suicidal attempts, and retrospectively assessed psychological characteristics of patients with BPD using the Symptom Checklist-90-Revised, the Minnesota Multiphasic Personality Inventory, the Personality Disorder Questionnaire-4+, and the Defense Style Questionnaire. Results: Male patients showed amoreparanoid, socially introverted, and antisocial tendency compared to female patients. Female patients used splitting more frequently as the primary defense mechanism than male patients. Conclusion: This study suggests that the core psychopathologies of BPD are very similar between male and female patients in spite of some gender differences in clinical characteristics of BPD. Female patients are more likely to show a typical prototype of BPD than male.
Abstract
Objectives: Previous studies on gender differences of patients with borderline personality disorder (BPD) were mainly to estimate prevalence rates and comorbidities in epidemiology. This study evaluated clinical and psychological characteristics, including defense mechanisms, between male and female patients with BPD in a clinical setting. Methods: We recruited 30 male and 35 female patients with BPD according to the Diagnostic and Statistical Manual of Mental Disorder, 4th edition diagnostic criteria. We investigated the gender difference of Axis I comorbidities and characteristics of suicidal attempts, and retrospectively assessed psychological characteristics of patients with BPD using the Symptom Checklist-90-Revised, the Minnesota Multiphasic Personality Inventory, the Personality Disorder Questionnaire-4+, and the Defense Style Questionnaire. Results: Male patients showed amoreparanoid, socially introverted, and antisocial tendency compared to female patients. Female patients used splitting more frequently as the primary defense mechanism than male patients. Conclusion: This study suggests that the core psychopathologies of BPD are very similar between male and female patients in spite of some gender differences in clinical characteristics of BPD. Female patients are more likely to show a typical prototype of BPD than male.
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