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Schizophrenia and borderline personality disorder: similarities and differences in the experience of auditory hallucinations, paranoia, and childhood trauma

Schizophrenia and borderline personality disorder: similarities and differences in the experience of auditory hallucinations, paranoia, and childhood trauma
Schizophrenia and borderline personality disorder: similarities and differences in the experience of auditory hallucinations, paranoia, and childhood trauma
This study investigated similarities and differences in the experience of auditory hallucinations, paranoia, and childhood trauma in schizophrenia and borderline personality disorder (BPD). Patients with clinical diagnoses of schizophrenia or BPD were interviewed using the Structured Clinical Interviews for DSM-IV. Axes 1 and 2 and auditory hallucinations, paranoia, and childhood trauma were assessed. A total of 111 patients participated; 59 met criteria for schizophrenia, 33 for BPD, and 19 for both. The groups were similar in their experiences of voices, including the perceived location of them, but they differed in frequency of paranoid delusions. Those with a diagnosis of BPD, including those with schizophrenia comorbidity, reported more childhood trauma, especially emotional abuse. BPD and schizophrenia frequently coexist, and this comorbidity has implications for diagnostic classification and treatment. Levels of reported childhood trauma are especially high in those with a BPD diagnosis, whether they have schizophrenia or not, and this requires assessment and appropriate management.
0022-3018
399-403
Kingdon, David G.
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Ashcroft, Katie
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Bhandari, Bharathi
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Gleeson, Stefan
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Warikoo, Nishchint
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Symons, Matthew
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Taylor, Lisa
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Lucas, Eleanor
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Mahendra, Ravi
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Ghosh, Soumya
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Mason, Anthony
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Badrakalimuthu, Raja
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Hepworth, Claire
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Read, John
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Mehta, Raj
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Kingdon, David G.
14cdc422-10b4-4b2d-88ec-24fde5f4329b
Ashcroft, Katie
5f69a4df-db05-4499-8063-0fd61b5c8b04
Bhandari, Bharathi
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Gleeson, Stefan
4d15da6e-7e67-49fa-b11d-987984525a11
Warikoo, Nishchint
bddc5995-2afa-4425-8ab1-4307015997c3
Symons, Matthew
e459fb26-3cc3-46db-ac2e-5646535b1d1c
Taylor, Lisa
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Lucas, Eleanor
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Mahendra, Ravi
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Ghosh, Soumya
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Mason, Anthony
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Badrakalimuthu, Raja
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Hepworth, Claire
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Read, John
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Mehta, Raj
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Kingdon, David G., Ashcroft, Katie, Bhandari, Bharathi, Gleeson, Stefan, Warikoo, Nishchint, Symons, Matthew, Taylor, Lisa, Lucas, Eleanor, Mahendra, Ravi, Ghosh, Soumya, Mason, Anthony, Badrakalimuthu, Raja, Hepworth, Claire, Read, John and Mehta, Raj (2010) Schizophrenia and borderline personality disorder: similarities and differences in the experience of auditory hallucinations, paranoia, and childhood trauma. Journal of Nervous and Mental Disease, 198 (6), 399-403. (doi:10.1097/NMD.0b013e3181e08c27). (PMID:20531117)

Record type: Article

Abstract

This study investigated similarities and differences in the experience of auditory hallucinations, paranoia, and childhood trauma in schizophrenia and borderline personality disorder (BPD). Patients with clinical diagnoses of schizophrenia or BPD were interviewed using the Structured Clinical Interviews for DSM-IV. Axes 1 and 2 and auditory hallucinations, paranoia, and childhood trauma were assessed. A total of 111 patients participated; 59 met criteria for schizophrenia, 33 for BPD, and 19 for both. The groups were similar in their experiences of voices, including the perceived location of them, but they differed in frequency of paranoid delusions. Those with a diagnosis of BPD, including those with schizophrenia comorbidity, reported more childhood trauma, especially emotional abuse. BPD and schizophrenia frequently coexist, and this comorbidity has implications for diagnostic classification and treatment. Levels of reported childhood trauma are especially high in those with a BPD diagnosis, whether they have schizophrenia or not, and this requires assessment and appropriate management.

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Published date: June 2010
Organisations: Clinical Neurosciences

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Local EPrints ID: 183399
URI: http://eprints.soton.ac.uk/id/eprint/183399
ISSN: 0022-3018
PURE UUID: 2b96338a-1abc-4ec5-b2bd-422950c42203

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Date deposited: 03 May 2011 13:21
Last modified: 14 Mar 2024 03:03

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Contributors

Author: David G. Kingdon
Author: Katie Ashcroft
Author: Bharathi Bhandari
Author: Stefan Gleeson
Author: Nishchint Warikoo
Author: Matthew Symons
Author: Lisa Taylor
Author: Eleanor Lucas
Author: Ravi Mahendra
Author: Soumya Ghosh
Author: Anthony Mason
Author: Raja Badrakalimuthu
Author: Claire Hepworth
Author: John Read
Author: Raj Mehta

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