Display options
Cite
Rishede MZ, Juul S, Bo S, et al. Personality Functioning and Mentalizing in Patients With Subthreshold or Diagnosed Borderline Personality Disorder: Implications for ICD-11. Front Psychiatry. 2021;12:634332doi: 10.3389/fpsyt.2021.634332.
Rishede, M. Z., Juul, S., Bo, S., Gondan, M., Bjerrum Møeller, S., & Simonsen, S. (2021). Personality Functioning and Mentalizing in Patients With Subthreshold or Diagnosed Borderline Personality Disorder: Implications for ICD-11. Frontiers in psychiatry, 12634332. https://doi.org/10.3389/fpsyt.2021.634332
Rishede, Marie Zerafine, et al. "Personality Functioning and Mentalizing in Patients With Subthreshold or Diagnosed Borderline Personality Disorder: Implications for ICD-11." Frontiers in psychiatry vol. 12 (2021): 634332. doi: https://doi.org/10.3389/fpsyt.2021.634332
Rishede MZ, Juul S, Bo S, Gondan M, Bjerrum Møeller S, Simonsen S. Personality Functioning and Mentalizing in Patients With Subthreshold or Diagnosed Borderline Personality Disorder: Implications for ICD-11. Front Psychiatry. 2021 Mar 31;12:634332. doi: 10.3389/fpsyt.2021.634332. eCollection 2021. PMID: 33868051; PMCID: PMC8044580.
Copy Download .nbib Format: NLM
Share it on

Front Psychiatry. 2021 Mar 31;12:634332. doi: 10.3389/fpsyt.2021.634332. eCollection 2021.

Personality Functioning and Mentalizing in Patients With Subthreshold or Diagnosed Borderline Personality Disorder: Implications for ICD-11.

Frontiers in psychiatry

Marie Zerafine Rishede, Sophie Juul, Sune Bo, Matthias Gondan, Stine Bjerrum Møeller, Sebastian Simonsen

Affiliations

  1. Stolpegaard Psychotherapy Centre, Mental Health Services in the Capital Region of Denmark, Gentofte, Denmark.
  2. Department of Psychology, University of Copenhagen, Copenhagen, Denmark.
  3. Psychiatric Research Unit, Slagelse, Denmark.

PMID: 33868051 PMCID: PMC8044580 DOI: 10.3389/fpsyt.2021.634332

Abstract

The 11th revision of the International Classification of Diseases for Mortality and Morbidity Statistics (ICD-11) defines personality disorder according to personality functioning, which relates to self- and interpersonal functioning. The aim of the present study was to assess the relationship between mentalizing and personality functioning in patients with subthreshold or diagnosed borderline personality disorder. A total of 116 eligible participants were included. Mentalizing was assessed using the Mentalization Questionnaire (MZQ), personality functioning (self- and interpersonal functioning) was assessed using the Level of Personality Functioning Scale-Brief Form 2.0 (LPFS-BF), and borderline severity was assessed using the Zanarini Rating Scale (ZAN-BPD). Mediation analysis was employed to test if mentalizing accounted for the relationship between borderline severity and self- and interpersonal functioning. We found a significant relationship between borderline severity and both subscales of the LPFS-BF. Mentalizing fully and significantly mediated the relationship between borderline severity and interpersonal functioning. However, mentalizing only partly mediated the relationship between borderline severity and self-functioning. Controlling for the covariates gender and age did not impact the results. Mentalizing is likely to be involved in the ICD-11 model of personality functioning, especially interpersonal functioning. This could emphasize the relevance of therapy aimed at strengthening mentalizing abilities when treating personality pathology in general and people with borderline personality disorder in particular. However, self-functioning may be more nuanced, as aspects other than mentalizing also influence self-functioning. The study is explorative in nature and has methodological limitations that require caution in the interpretation and generalizability.

Copyright © 2021 Rishede, Juul, Bo, Gondan, Bjerrum Møeller and Simonsen.

Keywords: borderline personality disorder; international classification of diseases 11th revision; interpersonal functioning; mediation; mentalizing; personality disorder; personality functioning; self-functioning

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

References

  1. Psychiatry Res. 2017 Dec;258:141-144 - PubMed
  2. Personal Disord. 2016 Apr;7(2):192-7 - PubMed
  3. J Pers Disord. 2018 Apr;32(2):168-174 - PubMed
  4. J Abnorm Psychol. 2015 May;124(2):387-98 - PubMed
  5. Br J Psychiatry. 2020 Feb;216(2):69-78 - PubMed
  6. Am J Psychiatry. 2005 Oct;162(10):1911-8 - PubMed
  7. Psychiatry. 2010 Winter;73(4):297-307 - PubMed
  8. Clin Psychol Psychother. 2011 Jan-Feb;18(1):75-9 - PubMed
  9. Compr Psychiatry. 2016 Jan;64:59-66 - PubMed
  10. J Pers Assess. 2011 Jul;93(4):332-46 - PubMed
  11. Psychother Res. 2012;22(6):699-709 - PubMed
  12. Compr Psychiatry. 2016 Jan;64:4-11 - PubMed
  13. Personal Disord. 2014 Oct;5(4):428-433 - PubMed
  14. Personal Ment Health. 2019 Feb;13(1):3-14 - PubMed
  15. J Pers Disord. 2003 Jun;17(3):233-42 - PubMed
  16. Borderline Personal Disord Emot Dysregul. 2017 Feb 14;4:4 - PubMed
  17. J Abnorm Psychol. 2016 Nov;125(8):1120-1134 - PubMed
  18. Psychotherapy (Chic). 2014 Sep;51(3):372-80 - PubMed
  19. J Autism Dev Disord. 2004 Apr;34(2):163-75 - PubMed
  20. PLoS One. 2015 Aug 27;10(8):e0136521 - PubMed
  21. Trials. 2019 Apr 5;20(1):196 - PubMed
  22. Child Adolesc Psychiatry Ment Health. 2012 Jul 19;6(1):27 - PubMed
  23. Dev Psychopathol. 2009 Fall;21(4):1355-81 - PubMed
  24. J Pers Assess. 2018 Nov-Dec;100(6):571-580 - PubMed
  25. J Abnorm Psychol. 2005 Nov;114(4):494-504 - PubMed
  26. J Pers Disord. 2011 Jun;25(3):321-30 - PubMed
  27. J Pers Disord. 2016 Apr;30(2):242-60 - PubMed
  28. J Clin Psychol. 2006 Apr;62(4):411-30 - PubMed
  29. J Clin Psychol. 2015 Feb;71(2):188-98 - PubMed
  30. Hosp Community Psychiatry. 1994 Dec;45(12):1215-9 - PubMed
  31. Compr Psychiatry. 2016 Jan;64:46-58 - PubMed
  32. Am J Psychiatry. 2008 Sep;165(9):1127-35 - PubMed
  33. J Pers Assess. 2011 Jul;93(4):347-53 - PubMed
  34. J Pers Disord. 2007 Oct;21(5):500-17 - PubMed
  35. Compr Psychiatry. 2016 Jan;64:1-3 - PubMed
  36. Compr Psychiatry. 2007 Jan-Feb;48(1):70-8 - PubMed
  37. Lancet. 2015 Feb 21;385(9969):717-26 - PubMed
  38. J Pers Disord. 2011 Jun;25(3):305-20 - PubMed
  39. Personal Disord. 2020 May;11(3):191-201 - PubMed
  40. Personal Ment Health. 2018 Feb;12(1):82-86 - PubMed
  41. Curr Opin Psychol. 2018 Jun;21:117-121 - PubMed
  42. Epidemiology. 1991 Sep;2(5):387-92 - PubMed
  43. Annu Rev Clin Psychol. 2020 May 7;16:297-325 - PubMed
  44. Am Psychol. 2007 Feb-Mar;62(2):71-83 - PubMed
  45. Annu Rev Psychol. 2012;63:539-69 - PubMed
  46. Sci Rep. 2017 Jan 24;7:41219 - PubMed
  47. Psychol Psychother. 2006 Dec;79(Pt 4):485-94 - PubMed
  48. Personal Ment Health. 2014 Feb;8(1):52-66 - PubMed
  49. Psychiatry Res. 2017 Oct;256:169-175 - PubMed
  50. Psychopathology. 2014;47(4):220-34 - PubMed
  51. J Pers Disord. 2019 Nov 4;:1-22 - PubMed
  52. PLoS One. 2016 Jul 08;11(7):e0158678 - PubMed
  53. Borderline Personal Disord Emot Dysregul. 2017 Nov 24;4:23 - PubMed
  54. J Pers Assess. 2018 May-Jun;100(3):268-280 - PubMed
  55. J Abnorm Psychol. 2013 Nov;122(4):1057-69 - PubMed
  56. J Pers Assess. 2018 Nov-Dec;100(6):660-670 - PubMed
  57. PLoS One. 2015 Dec 29;10(12):e0145892 - PubMed
  58. Annu Rev Clin Psychol. 2019 May 7;15:481-502 - PubMed
  59. BMC Psychiatry. 2018 Oct 29;18(1):351 - PubMed
  60. Psychol Med. 2018 Apr;48(5):834-848 - PubMed

Publication Types