Document Detail


Pregnancies, abortions, and births among women with and without borderline personality disorder.
MedLine Citation:
PMID:  22749198     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The purpose of this study was to examine history of pregnancies among women with and without borderline personality disorder (BPD), to determine whether BPD symptoms are associated with teenage pregnancies, unplanned pregnancies, elective and spontaneous abortions, and live births.
METHODS: Three hundred seventy-nine women completed the Structured Clinical Interview for DSM-IV Axis I diagnoses, Structured Interview for DSM-IV Personality for Axis II diagnoses, and a reproductive health interview. African-American (AA) women were oversampled, because little is known about BPD in AA women and they are at greater risk of teenage pregnancy, unplanned pregnancies, and spontaneous abortions.
RESULTS: BPD symptom severity was associated with a teenage pregnancy, even after controlling for race and socioeconomic status. Symptom severity was also associated with unplanned pregnancies and live births, but only for women without a history of a substance use disorder. BPD symptom severity was not associated with abortion.
CONCLUSION: Women with BPD become pregnant and have children, often during the period when BPD symptoms emerge and intensify. They are at increased risk of teenage pregnancies and unintended pregnancies compared with women with Axis I disorders. Treatment planning for this population should include attention to their reproductive health and better integration of physical and mental health services.
Authors:
Natacha M De Genna; Ulrike Feske; Cynthia Larkby; Teresa Angiolieri; Melanie A Gold
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Women's health issues : official publication of the Jacobs Institute of Women's Health     Volume:  22     ISSN:  1878-4321     ISO Abbreviation:  Womens Health Issues     Publication Date:    2012 Jul-Aug
Date Detail:
Created Date:  2012-07-03     Completed Date:  2012-09-18     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  9101000     Medline TA:  Womens Health Issues     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e371-7     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Psychiatry, University of Pittsburgh Medical School, Program in Epidemiology, Pittsburgh, PA 15213, USA. degennan@pitt.edu
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MeSH Terms
Descriptor/Qualifier:
Abortion, Induced / psychology*
Adolescent
Adult
Age Factors
Borderline Personality Disorder / diagnosis*,  etiology,  psychology
Cross-Sectional Studies
Diagnostic and Statistical Manual of Mental Disorders
Female
Humans
Logistic Models
Mental Health
Multivariate Analysis
Parturition / psychology*
Personality Assessment
Pregnancy / psychology*
Pregnancy Complications / psychology*
Pregnancy Outcome / psychology
Pregnancy in Adolescence / psychology,  statistics & numerical data
Reproductive Health
Severity of Illness Index
Sexual Behavior
Socioeconomic Factors
Young Adult
Grant Support
ID/Acronym/Agency:
DA 020130/DA/NIDA NIH HHS; DA025734/DA/NIDA NIH HHS; K01 DA025734/DA/NIDA NIH HHS; R01 DA020130/DA/NIDA NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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