General Hospital Psychiatry
Volume 23, Issue 4 , Pages 193-197 , July 2001

The prevalence of borderline personality among primary care patients with chronic pain

  • Randy A Sansone, M.D.

      Affiliations

    • Department of Psychiatry, Wright State University School of Medicine Dayton, OH, USA
    • Department of Internal Medicine at Wright State University School of Medicine Dayton, OH, USA
    • Kettering Medical Center, Kettering, OH, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-937-384-6850; fax: +1-937-384-6937 . (R.A. Sansone)
    • ,
  • Philip Whitecar, M.D.

      Affiliations

    • Department of Family Medicine, Wright State University School of Medicine, Dayton, OH, USA
    • Indian Ripple Family Health Center, Dayton, OH, USA
    • ,
  • Brian P Meier, B.S.

      Affiliations

    • Department of Psychological Science, Ball State University, Muncie, IN, USA
    • ,
  • Ann Murry, M.D.

      Affiliations

    • Department of Psychiatry, Wright State University School of Medicine Dayton, OH, USA

References 

  1. Weisberg JN. Personality and personality disorders in chronic pain. Curr Rev Pain. 2000;4:60–70
  2. Gatchel RJ, Polatin PB, Kinney RK. Predicting outcome of chronic back pain using clinical predictors of psychopathology (a prospective analysis). Health Psychol. 1995;14:415–420
  3. Spitzer RL, Williams JBW, Gibbon M, First MB. Structured Clinical Interview for DSM-III-R Personality Disorders (SCID-II, Version 1.0). Washington, DC: American Psychiatric Press; 1990;
  4. Monti DA, Herring CL, Schwartzman RJ, Marchese M. Personality assessment of patients with complex regional pain syndrome type I. Clin J Pain. 1998;14:295–302
  5. Polatin PB, Kinney RK, Gatchel RJ, Lillo E, Mayer TG. Psychiatric illness and chronic low-back pain. Spine. 1993;18:66–71
  6. Reich J, Tupin JP, Abramowitz SI. Psychiatric diagnosis of chronic pain patients. Am J Psychiatry. 1983;140:1495–1498
  7. Large RG. DSM-III diagnoses in chronic pain. Confusion or clarity?. J Nerv Ment Dis. 1986;174:295–303
  8. Fishbain DA. Can personality disorders in chronic pain patients be accurately measured?. Pain Forum. 1997;6:16–19
  9. Mumford DB, Bavington JT, Bhatnagar KS, Hussain Y, Mirza S, Naraghi MM. The Bradford Somatic Inventory (a multi-ethnic inventory of somatic symptoms reported by anxious and depressed patients in Britain and the Indo-Pakistan subcontinent). Br J Psychiatry. 1991;158:379–386
  10. Hyler SE, Rieder RO. Personality Diagnostic Questionnaire-Revised. New York: New York State Psychiatric Institute; 1987;
  11. Dubro AF, Wetzler S, Kahn MW. A comparison of three self-report questionnaires for the diagnosis of DSM-III personality disorders. J Pers Disord. 1988;2:256–266
  12. Hyler SE, Lyons M, Rieder RO, Young L, Williams JBW, Spitzer RL. The factor structure of self-report DSM-III Axis II symptoms and their relationship to clinicians’ ratings. Am J Psychiatry. 1990;147:751–757
  13. Johnson JG, Bornstein RF. Utility of the Personality Diagnostic Questionnaire-Revised in a nonclinical sample. J Pers Disord. 1992;6:450–457
  14. Patrick J, Links P, Van Reekum R, Mitton MJE. Using the PDQ-R BPD scale as a brief screening measure in the differential diagnosis of personality disorder. J Pers Disord. 1995;9:266–274
  15. Sansone RA, Wiederman MW, Sansone LA. The Self-Harm Inventory (SHI) (development of a scale for identifying self-destructive behaviors and borderline personality disorder). J Clin Psychol. 1998;54:973–983
  16. Kolb JE, Gunderson JG. Diagnosing borderline patients with a semistructured interview. Arch Gen Psychiatry. 1980;37:37–41
  17. Armelius BA, Kullgren G, Renberg E. Reliability and validity of Gunderson’s Diagnostic Interview for Borderlines. J Nerv Ment Dis. 1985;173:32–34
  18. Cornell DG, Silk KR, Ludolph RS, Lohr NE. Test-retest reliability of the Diagnostic Interview for Borderlines. Arch Gen Psychiatry. 1983;40:1307–1310
  19. Kroll J, Pyle R, Zander J, Martin K, Lari S, Sines L. Borderline personality disorder (interrater reliability of the DIB). Schizophr Bull. 1981;7:269–272
  20. Loranger AW, Oldham JM, Russakoff LM, Susman V. Structured interviews and borderline personality disorder. Arch Gen Psychiatry. 1984;41:565–568
  21. Soloff PH. Concurrent validation of a diagnostic interview for borderline patients. Am J Psychiatry. 1981;138:691–693
  22. Fullingim RB, Wilkinson CS, Powell T. Self-reported abuse history and pain complaints among young adults. Clin J Pain. 1999;15:75–76
  23. Toomey TC, Seville JL, Mann JD, Abrashian SW, Grant JR. Relationship of sexual and physical abuse to pain description, coping, psychological distress, and health-care utilization in a chronic pain sample. Clin J Pain. 1995;11:307–315
  24. Roberts SJ. The sequelae of childhood sexual abuse: a primary care focus for adult female survivors. Nurse Pract 1996;21:42, 45, 49–52.
  25. Wurtele SK, Kaplan GM, Keairnes M. Childhood sexual abuse among chronic pain patients. Clin J Pain. 1990;6:110–113
  26. Finestone HM, Stenn P, Davies F, Stalker C, Fry R, Koumanis J. Chronic pain and health care utilization in women with a history of childhood sexual abuse. Child Abuse Negl. 2000;24:547–556
  27. Goldberg RT, Pachas WN, Keith D. Relationship between traumatic events in childhood and chronic pain. Disabil Rehavil. 1999;21:23–30
  28. Walling MK, O’Hara MW, Reiter RC, Milburn AK, Lilly G, Vincent SD. Abuse history and chronic pain in women (II. A multivariate analysis of abuse and psychological morbidity). Obstet Gynecol. 1994;84:200–206

PII: S0163-8343(01)00148-7

General Hospital Psychiatry
Volume 23, Issue 4 , Pages 193-197 , July 2001

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