Evidence map›Paper›PMID 35177022›Full record

ArticleBMC psychiatry2022

The experience of loneliness among people with a "personality disorder" diagnosis or traits: a qualitative meta-synthesis.

Sarah Ikhtabi, Alexandra Pitman, Gigi Toh, Mary Birken, Eiluned Pearce, Sonia Johnson

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Psychosocial functioning in personality disorders.Borderline personality disorder and emotion dysregulation · 2025
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Feeling close to others? Social cognitive mechanisms of intimacy in personality disorders.Borderline personality disorder and emotion dysregulation · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Loneliness in Personality Disorders.Current psychiatry reports · 2022
    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

6 authors at 1 institution in 1 country.

Sarah IkhtabiUCL Division of Psychiatry, London, UK. sarah.ikhtabi.19@ucl.ac.uk.
Alexandra PitmanUCL Division of Psychiatry, London, UK.
Gigi TohUCL Division of Psychiatry, London, UK.
Mary BirkenUCL Division of Psychiatry, London, UK.
Eiluned PearceUCL Division of Psychiatry, London, UK.
Sonia JohnsonUCL Division of Psychiatry, London, UK.
University College London · GB

Funding

Medical Research Council MR/L501487/1
6 · The paper itself

Abstract

backgroundLoneliness is prevalent among people with a "personality disorder" diagnosis or who have related personality traits, but the experience of loneliness among people with "personality disorder" diagnoses/traits has not been well described. A qualitative approach has potential to help understand the experience of loneliness among people with "personality disorder" diagnoses/traits, and to develop interventions that promote recovery. We therefore aimed to synthesise the qualitative literature relevant to this topic.

methodWe conducted a meta-synthesis of qualitative studies exploring the subjective experience of loneliness as reported by people with "personality disorder" diagnoses/traits. We searched four databases using pre-formulated search terms, selected eligible articles, appraised the quality of each, and analyzed data from eligible studies using thematic synthesis.

resultWe identified 39 articles that described the experience of loneliness in people with "personality disorder" diagnoses/traits. From extracted data, we identified seven themes: (1) disconnection and emptiness: a "haunting alienation", (2) alienation arising from childhood experiences, (3) thwarted desire for closeness and connection, (4) paradox: for both closeness and distance, (5) experiences of existential loneliness, (6) recovery, embedded in a social world, and (7) group therapy: a setback. Our results suggest that for our sample early alienating and traumatic experiences may pave the way for experiences of loneliness, which further exacerbate "personality disorder" symptoms and distress.

conclusionDespite describing a need to belong and efforts to cope with unmet social needs, people with "personality disorder" diagnoses/traits (particularly "emotionally unstable personality disorder") report experiencing an intense disconnection from other people. This seems rooted in early adversities, reinforced by later traumatic experiences. Given the apparent salience of loneliness to people with "personality disorder" diagnoses/traits, interventions focused on helping people connect with others, which may include both psychological and social components, have potential to be beneficial in reducing loneliness and promoting recovery.

Indexed as

Borderline Personality DisorderLonelinessEmotionsHumansPersonality DisordersQualitative ResearchLonelinessmeta-synthesisPersonality disorderQualitative synthesisThematic synthesis

Identifiers

PMID35177022
PMCPMC8855579
OpenAlexW4212956676

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.