Trauma, Mood and Ruminations in Borderline Personality Disorder

The inter-relation between mood diseases and Borderline Personality Disorder (BPD) has been debated since the introduction of BPD diagnosis itself. On the other hand, as studies on Post-traumatic Stress Disorder (PTSD) grew in number, the question of the close relationship between traumatic events and BPD has been posed with more and more emphasis. Moreover, only in recent times it is considered that Ruminations could have an independent role respect to other co-morbidities, like mood diseases, in the development and severity of BPD. In this study, for the first time, we compare the weight of these three psychopathological dimensions in determining BPD condition. METHOD: 50 patients who met the criteria for Borderline Personality Disorder, and 69 healthy controls were enrolled. Clinical diagnoses were determined by Structured Clinical Interview for DSM-5 (Scid-5). Mood Spectrum Self-Report (MOODS-SR) and Rumination Response Scale (RRS) were administered. RESULTS: Using a logistic regression model we found that BPD risk increases by 47% (OR=1.47, P=0.19) for every increase point of RRS brooding domain score and by almost three times (OR=2.87, P