Affective instability across the lifespan in borderline personality disorder - a cross-sectional e-diary study

Acta Psychiatrica Scandinavica
Philip S SantangeloUlrich W Ebner-Priemer

Abstract

Longitudinal and cross-sectional studies suggest that affective instability is inversely related to greater age in borderline personality disorder (BPD). However, existing studies relied on retrospective self-reports of perceived instability. We examined affective instability in everyday life in patients with BPD and healthy controls (HCs) by age in a cross-sectional e-diary study. Two hundred and sixty female participants between 14 and 53 years of age (130 patients with BPD and 130 HCs) carried an e-diary over 4 days. The e-diaries emitted a prompting signal in approximately hourly intervals asking participants to rate their current affective state, that is valence (ranging from pleasant to unpleasant) and tense arousal (ranging from calm/relaxed to restless/under tension). Multilevel analyses revealed a significant interaction of age and group predicting affective instability (valence: F(1,255.6)  = 7.59; P < 0.01; tense arousal: F(1,252)  = 6.08; P < 0.01), suggesting that affective instability significantly declines with greater age in patients with BPD. Controlling for the number of comorbid disorders and BPD severity did not change the results, illustrating an inverse relationship between age and affective instability in...Continue Reading

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Citations

Oct 2, 2019·JMIR Formative Research·Stig Helweg-JoergensenSusanne S Pedersen
Jun 5, 2019·Current Psychiatry Reports·Arjan C VidelerSebastiaan P J van Alphen
Nov 21, 2018·Brain Sciences·Filiz Kulacaoglu, Samet Kose
Dec 10, 2020·Borderline Personality Disorder and Emotion Dysregulation·Philip S SantangeloUlrich W Ebner-Priemer

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