Evidence map›Paper›PMID 29461847›Full record

ArticlePersonality disorders2018

Dynamic associations between borderline personality disorder and stressful life events over five years in older adults.

Christopher C Conway, Michael Boudreaux, Thomas F Oltmanns

Abstract read
In one paragraph

Article in Personality disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Prospective self- and informant-personality associations with inflammation, health behaviors, and health indicators.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022
    Article
  7. Article
  8. Article
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Christopher C ConwayCollege of William and Mary.
Michael BoudreauxWashington University in St. Louis.
Thomas F OltmannsWashington University in St. Louis.
Washington University in St. Louis · USWilliam & Mary · US

Funding

Intergenerational Transmission of Stress: Psychosocial and Biological MechanismsR01AG061162 · NIA · WASHINGTON UNIVERSITY · PI BOGDAN, RYAN H · 2019 to 2023
$3.1M
Personality and Health in Later Life: Psychosocial and Biological MechanismsR01AG045231 · NIA · WASHINGTON UNIVERSITY · PI OLTMANNS, THOMAS · 2014 to 2018
$2.9M
Personality, Health, and Transitions in Later LifeR01MH077840 · NIMH · WASHINGTON UNIVERSITY · PI OLTMANNS, THOMAS · 2007 to 2011
$2.6M
National Institute of AgingNIA NIH HHS R01 AG045231NIA NIH HHS R01 AG061162NIMH NIH HHS R01 MH077840
6 · The paper itself

Abstract

The time course of borderline personality disorder (BPD) is far more variable than traditionally assumed. Shifting environmental conditions are theorized to account, at least in part, for fluctuations in symptom presentation over time. In the present study, we evaluated the reciprocal influences of stressful life events and borderline pathology in a representative community sample of 1,630 older adults assessed 3 times over 5 years. An autoregressive cross-lagged model revealed strong, but imperfect, stability in symptoms of BPD over the study time frame. After adjusting for this continuity in BPD, the prospective effect of life stress on borderline pathology was virtually nil, contrary to expectations. On the other hand, borderline pathology was prospectively related to subsequent dependent event (i.e., stressors to which individuals may have contributed), but not independent event (i.e., fateful stressors), exposure. This pattern of associations was consistent with a stress generation effect. We conclude that stressful life events do not substantially redirect the trajectory of BPD in older adults, possibly owing to inertia of borderline pathology at this developmental stage. Instead, symptoms of BPD seem to promote stress exposure, thereby setting the stage for continued social impairment and comorbid psychiatric problems. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Indexed as

Life Change EventsBorderline Personality DisorderFemaleHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesStress, Psychological

Identifiers

PMID29461847
PMCPMC6098988
OpenAlexW2792011407

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.