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Middle-aged adults with borderline personality disorder are potentially at higher risk of heart attacks



WASHINGTON – According to research published by the Association of American Psychologists, middle-aged adults with borderline personality disorder symptoms may be at greater risk for heart attacks because they show physical symptoms that worsen cardiovascular health, according to research published by the American Psychological Association.

MS and Whitney Ringwald of the University of Pittsburgh MSW, "Although borderline personality disorder has been well studied for its association with psychological and social disorders, recent research has suggested that it may also contribute to physical health risks." Said. "Our study shows that the effects of this disease on heart health are so great that clinicians treating patients should recommend monitoring their cardiovascular health."

Work published Personality Disorders: Theory, Research and Treatment.

The borderline is characterized by personality disorder, severe mood changes, impulsive behaviors, and extreme emotional reactions. Failure to manage their emotions makes it difficult for people with borderline personality disorders to finish school, continue their work, or maintain stable and healthy relationships. According to the National Institute of Mental Health, 1.4% of adults have BPD, but this number does not include those with less severe symptoms that may experience clinically significant disorders from PhD, Aidan Wright, and other authors from the University of Pittsburgh. the study.

“BPD can be difficult to treat because you want to change a person's deep-rooted ways of thinking, feeling and behavior for a long time,” he said. Var There are evidence-based treatment options that can help, so there are many reasons to be optimistic, but treatment can take a long time. ”

Researchers analyzed the health data of 1,295 participants at the University of Pittsburgh Adult Health and Behavior Project. This is a record of behavioral and biological measurements in which white and African American adults of Latin American origin were recruited between 2001 and 2005 in southwest Pennsylvania between 30 and 50 years of age. In addition to the basic personality traits reported by him, the researchers looked at up to two of the participants' reported symptoms of depression, as well as those reported by friends or family members. After a 12-hour fast, the researchers identified a relative cardiovascular risk score for each participant by combining blood pressure, body mass index, and various physical health measures, such as insulin, glucose, cholesterol, and other compounds in the blood.

They found a significant relationship between borderline personality traits and increased cardiovascular risk. Researchers have also examined the potential role of depression because people with BPD are often depressed. Borderline personality traits and depression were both associated with cardiovascular risk, whereas the effect of borderline traits was independent of depression symptoms.

Tı The strength of the impact surprised us, and we found it particularly interesting that our measure of borderline personality pathology has a greater impact on and beyond depression in predicting heart disease, W Wright said. "There is a great focus on depression in physical health, and these findings suggest that there is a need to focus on personality traits."

The researchers said their findings had significant effects on primary care physicians and mental health professionals treating BPD patients.

Right Mental health practitioners may want to perform cardiovascular risk screening for BPD patients, W Wright said. Ken When discussing the views of a personality disorder diagnosis with patients, practitioners may want to emphasize the link with negative health outcomes and, if indicated, possibly suggest exercise and lifestyle changes.

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Article: "Borderline Personality Disorder Characteristics, Associated with Midlife Cardiometabolic Risk", Whitney R. Ringwald, MSW, MS, Aidan G.C. Wright, PhD, Stephen B. Manuck, PhD, University of Pittsburgh; and Taylor A. Barber, BS, Philadelphia School of Osteopathic Medicine. Personality Disorders: Theory, Research and Treatmentwas published online on October 28, 2019.

The full text of the article can be found online at https: /./www.apa.organ /pub /magazine /Release/per0000373 per.PDFs

Contact: Aidan Wright, PhD, aidan@pitt.edu.

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