PMID- 28923434 OWN - NLM STAT- MEDLINE DCOM- 20181211 LR - 20181211 IS - 1872-7123 (Electronic) IS - 0165-1781 (Linking) VI - 262 DP - 2018 Apr TI - Personality organization and its association with clinical and functional features in borderline personality disorder. PG - 393-399 LID - S0165-1781(17)30658-3 [pii] LID - 10.1016/j.psychres.2017.09.013 [doi] AB - Patients with borderline personality disorder (BPD) show poor psychosocial functioning over the course of their lives. To date, predictors of functionality in BPD patients have remained mostly unexplored. In this study, we aimed to assess the association between personality organization and clinical and functional features in a sample of 50 patients with BPD referred to a specialized outpatient clinic. We used the Structured Interview of Personality Organization (STIPO) to assess personality organization and the Global Assessment of Functioning (GAF) scale to measure functionality. Clinical and demographic associations with personality organization were also explored. STIPO scores were negatively correlated with GAF scores (i.e. higher scores in the STIPO dimensions, which reflected greater personality pathology, were significantly associated with lower psychosocial functioning). After controlling for potential confounders, the STIPO domain "identity" significantly accounted for 26.7% of the variance in the GAF, while the STIPO subscale "sense of self" significantly accounted for 31.2% of the variance in the GAF. These findings suggest that identity and its pathological correlate, identity diffusion, may play a key role in the functional prognosis of BPD patients. CI - Copyright (c) 2017 Elsevier B.V. All rights reserved. FAU - Esguevillas, Alvaro AU - Esguevillas A AD - Department of Psychiatry, Hospital General Universitario Gregorio Maranon, Madrid, Spain. Electronic address: aesguevillas0@gmail.com. FAU - Diaz-Caneja, Covadonga M AU - Diaz-Caneja CM AD - Department of Child and Adolescent Psychiatry, Hospital General Universitario Gregorio Maranon, School of Medicine, Universidad Complutense, IiSGM, CIBERSAM, Madrid, Spain. FAU - Arango, Celso AU - Arango C AD - Department of Child and Adolescent Psychiatry, Hospital General Universitario Gregorio Maranon, School of Medicine, Universidad Complutense, IiSGM, CIBERSAM, Madrid, Spain. FAU - Rey-Mejias, Angel Luis Del AU - Rey-Mejias ALD AD - Department of Child and Adolescent Psychiatry, Hospital General Universitario Gregorio Maranon, School of Medicine, Universidad Complutense, IiSGM, CIBERSAM, Madrid, Spain; Innovation Unit, Hospital Clinico San Carlos, Instituto de Investigacion Sanitaria del Hospital Clinico San Carlos (IdISSC). Department of Methodology, School of Psychology, Universidad Complutense, Madrid, Spain. FAU - Bernardo, Enrique G AU - Bernardo EG AD - Department of Psychiatry, Hospital General Universitario Gregorio Maranon, Madrid, Spain. FAU - Delgado, Carlos AU - Delgado C AD - Department of Child and Adolescent Psychiatry, Hospital General Universitario Gregorio Maranon, School of Medicine, Universidad Complutense, IiSGM, CIBERSAM, Madrid, Spain. FAU - Clarkin, John F AU - Clarkin JF AD - Weill Cornell Medical College, New York, USA. FAU - Carrasco, Jose Luis AU - Carrasco JL AD - Department of Psychiatry, Hospital Clinico San Carlos, Universidad Complutense, CIBERSAM, Madrid, Spain. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170911 PL - Ireland TA - Psychiatry Res JT - Psychiatry research JID - 7911385 SB - IM MH - Adolescent MH - Adult MH - Borderline Personality Disorder/*psychology MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Personality MH - Personality Assessment MH - Young Adult OTO - NOTNLM OT - Functionality OT - Identity OT - Structured interview EDAT- 2017/09/20 06:00 MHDA- 2018/12/12 06:00 CRDT- 2017/09/20 06:00 PHST- 2017/04/18 00:00 [received] PHST- 2017/08/25 00:00 [revised] PHST- 2017/09/08 00:00 [accepted] PHST- 2017/09/20 06:00 [pubmed] PHST- 2018/12/12 06:00 [medline] PHST- 2017/09/20 06:00 [entrez] AID - S0165-1781(17)30658-3 [pii] AID - 10.1016/j.psychres.2017.09.013 [doi] PST - ppublish SO - Psychiatry Res. 2018 Apr;262:393-399. doi: 10.1016/j.psychres.2017.09.013. Epub 2017 Sep 11.