Quality and severity of depression in borderline personality disorder: A systematic review and meta-analysis

Clinical Psychology Review
Johanna KöhlingUlrike Dinger

Abstract

Depression in borderline personality disorder (BPD) is hypothesized to be distinct in quality and severity. This paper provides a systematic review of depression quality, and a meta-analysis of depression severity in BPD patients compared to those with depressive disorders (DeDs) only. Based on a systematic literature search, 26 studies were identified for systematic review and 35 studies (3425 participants) were included for meta-analysis. The review focused on different forms of depressive symptoms, affective impairment, self-evaluation, and negative interpersonal experiences. The meta-analysis examined age, gender, presence of comorbid DeDs in BPD patients, and type of depression scale as moderators of effect sizes. Findings indicate that depression quality in BPD is characterized by higher anger/hostility and self-criticism. There was no significant difference in depression severity between BPD and DeD groups, and a high level of heterogeneity. Moderator analyses revealed lower depression severity in BPD patients without comorbid DeDs, but higher severity in BPD patients with comorbid DeDs compared to depressed controls. Our results suggest high variability in depression severity across BPD patients, point toward the consid...Continue Reading

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Citations

Dec 2, 2015·Journal of Personality Disorders·Johanna KöhlingUlrike Dinger
May 18, 2016·Psychiatry Research·Marijn A DistelBrenda W J H Penninx
Jan 11, 2017·Journal of Personality Disorders·Brooke A AmmermanMichael S McCloskey
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Feb 27, 2016·Borderline Personality Disorder and Emotion Dysregulation·Eric A FertuckBarbara Stanley
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Mar 22, 2019·Nordic Journal of Psychiatry·Bibiana DukalskiUta-Susan Donges
Oct 2, 2019·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Sathya Rao, Jillian Broadbear
Mar 30, 2017·The Journal of Nervous and Mental Disease·Carla CrempienMariane Krause
Apr 24, 2020·The Journal of Nervous and Mental Disease·Katie Aafjes-van DoornRainer Weber
Sep 14, 2019·Nordic Journal of Psychiatry·Jane Fjermestad-NollErik Simonsen
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Dec 29, 2020·Frontiers in Psychology·Paula DagninoJohannes C Ehrenthal
Aug 10, 2021·Borderline Personality Disorder and Emotion Dysregulation·Caitlin E MillerBrin F S Grenyer
Nov 4, 2021·Personality and Mental Health·Jacob A Martin, Kenneth N Levy

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