ArticleThe Australian and New Zealand journal of psychiatry2022
A systematic scoping review of dissociation in borderline personality disorder and implications for research and clinical practice: Exploring the fog.
Article in The Australian and New Zealand journal of psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 37 citations in OpenAlex.
- Emotion regulation strategy use and daily levels of affective arousal, affective valence and dissociation in a clinical sample.Scientific reports · 2026Article
- Smartphone-based digital markers and clinical symptoms during therapy for Borderline Personality Disorder.Internet interventions · 2026Article
- The influence of childhood trauma and dissociation on psychotic symptoms in borderline personality disorder.Irish journal of medical science · 2026Article
- Dissociative Identity Disorder and Partial Dissociative Identity Disorder.Deutsches Arzteblatt international · 2026Review
- Unravelling associations of personality traits, emotion regulation strategies, coping styles, and psychopathology with suicide risk in university students: a network perspective.BMC psychiatry · 2025Article
- Neural Correlates of Borderline Personality Disorder (BPD) Based on Electroencephalogram (EEG)-A Mechanistic Review.International journal of molecular sciences · 2025Review
- Psychosocial dynamics of suicidality and nonsuicidal self-injury: a digital linguistic perspective.Npj mental health research · 2025Article
- Dissociative experiences mediate the association between childhood trauma and verbal hallucinations, but not delusional thoughts, in borderline personality disorder.Frontiers in psychiatry · 2025Article
- Neuroscience-based relational art therapy and deep brain reorienting in the treatment of dissociative identity disorder.Frontiers in psychology · 2025Article
- Borderline Personality as a Factor in Late, Missed, and Mis-Diagnosis in Autistic Girls and Women: A Conceptual Analysis.Autism in adulthood · 2024Article
- The Role of Oxytocin and Vasopressin in People with Borderline Personality Disorder: A Closer Look at Adolescents.International journal of molecular sciences · 2024Review
- Acute, Chronic, and Everyday Physical Pain in Borderline Personality Disorder.Current psychiatry reports · 2024Review
- Borderline personality disorder and sexuality: causes and consequences of dissociative symptoms.Borderline personality disorder and emotion dysregulation · 2024Article
- Survival, Attachment, and Healing: An Evolutionary Lens on Interventions for Trauma-Related Dissociation.Psychology research and behavior management · 2024Review
- Exploring the connection between childhood trauma, dissociation, and borderline personality disorder in forensic psychiatry: a comprehensive case study.Frontiers in psychology · 2024Article
- Randomized controlled trial investigating web-based, therapist delivered eye movement desensitization and reprocessing for adults with suicidal ideation.Frontiers in psychiatry · 2024Article
- Dissociative experiences of adolescents with borderline personality disorder: description and prediction.Borderline personality disorder and emotion dysregulation · 2023Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBorderline Personality Disorder (BPD) is frequently complicated by the presence of dissociative symptoms. Pathological dissociation is linked with earlier and more severe trauma exposure, emotional dysregulation and worse treatment outcomes in Posttraumatic Stress Disorder and Dissociative Disorders, with implications for BPD.
objectiveA systematic scoping review was conducted to assess the extent of current literature regarding the impact of dissociation on BPD and to identify knowledge gaps.
methodsFour electronic databases (MEDLINE, APA PsycINFO, EMBASE, CINAHL Plus) were searched, and English peer-reviewed studies with adults with BPD were included, following Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) extension for scoping reviews (PRISMA-ScR) 2018 guidelines.
resultsMost of the 70 included studies were observational (98%) with first authors from Germany (59%). Overall, dissociation was associated with increased BPD symptom severity, self-harm and reduced psychotherapy treatment response; findings regarding suicide risk were mixed. Dissociation was associated with working memory and cognitive deficits, decreased pain perception, altered body ownership, no substance abuse or the abuse of sedative substances, increased fantasy proneness, personality fragmentation, fearful attachment, dream anxiety, perceived stress and altered stress responses, increased cumulative body mass index, decreased water consumption, several neurological correlates and changes in gene expression.
conclusionBPD with significant dissociative symptoms may constitute a more severe and at-risk subgroup of BPD patients. However, there are significant research gaps and methodological issues in the area, including the possibility of unrecognized Dissociative Disorders in BPD study populations confounding results. Further studies are needed to better understand the impact of dissociation on BPD course and treatment, and to clarify the most appropriate assessment tools for clinical practice. In addition, interventional studies are needed to develop dissociation-specific BPD treatments to determine whether targeting dissociation in BPD can improve treatment outcomes.
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