PMID- 33380157 OWN - NLM STAT- MEDLINE DCOM- 20211221 LR - 20211221 IS - 1440-1665 (Electronic) IS - 1039-8562 (Linking) VI - 29 IP - 6 DP - 2021 Dec TI - The association between reflective function and global functionality in patients with borderline personality disorder. PG - 586-589 LID - 10.1177/1039856220981801 [doi] AB - OBJECTIVE: To examine the association between reflective function and global functionality in borderline personality disorder (BPD) patients, controlling for symptomatology and defensive style. METHOD: Thirty-nine female inpatients were evaluated employing a sociodemographic questionnaire, the Structured Clinical Interview for Personality Disorders-II (SCID-II), the Self-Reporting Questionnaire (SRQ-20), the Reflective Functioning Questionnaire (RFQ), the Defence Style Questionnaire-40 (DSQ-40) and the Global Assessment of Functioning (GAF). RESULTS: Functionality was inversely associated with the reflective function uncertainty score (-.458; p < .01) and neurotic defences (-.335; p < .05). Symptom severity (SRQ-20) was associated with the use of immature defences (-.445; p < .01). The association between functionality and the reflective function uncertainty score remained significant, even when controlled for symptoms and defensive style (p = .002). CONCLUSION: The ability to mentalise seems to play a central and somehow independent role in BPD psychopathology. FAU - Bezerra, Glaydcianne Pinheiro AU - Bezerra GP AUID- ORCID: 0000-0002-0388-2702 AD - Psychiatry and Behavioral Sciences Research Program, Federal University of Rio Grande do Sul, Porto Alegre, Brazil. FAU - Laskoski, Pricilla Braga AU - Laskoski PB AUID- ORCID: 0000-0001-7085-5619 AD - Psychiatry and Behavioral Sciences Research Program, Federal University of Rio Grande do Sul, Porto Alegre, Brazil. FAU - Terra, Luciana AU - Terra L AD - Psychiatry and Behavioral Sciences Research Program, Federal University of Rio Grande do Sul, Porto Alegre, Brazil. FAU - Ramos-Lima, Luis Francisco AU - Ramos-Lima LF AD - Psychiatry and Behavioral Sciences Research Program, Federal University of Rio Grande do Sul, Porto Alegre, Brazil. FAU - Serralta, Fernanda Barcellos AU - Serralta FB AD - Psychology, Universidade do Vale do Rio dos Sinos, Sao Leopoldo, Brazil. FAU - Hauck, Simone AU - Hauck S AD - Psychiatry and Behavioral Sciences Research Program, Federal University of Rio Grande do Sul, Porto Alegre, Brazil. LA - eng PT - Journal Article DEP - 20201230 PL - England TA - Australas Psychiatry JT - Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists JID - 9613603 SB - IM MH - *Borderline Personality Disorder MH - Female MH - Humans MH - Psychopathology OTO - NOTNLM OT - borderline personality disorder OT - defence mechanisms OT - functionality OT - mentalisation OT - reflective function EDAT- 2021/01/01 06:00 MHDA- 2021/12/22 06:00 CRDT- 2020/12/31 05:17 PHST- 2021/01/01 06:00 [pubmed] PHST- 2021/12/22 06:00 [medline] PHST- 2020/12/31 05:17 [entrez] AID - 10.1177/1039856220981801 [doi] PST - ppublish SO - Australas Psychiatry. 2021 Dec;29(6):586-589. doi: 10.1177/1039856220981801. Epub 2020 Dec 30.