Evidence map›Paper›PMID 35255991›Full record

ArticleBorderline personality disorder and emotion dysregulation2022

Homocysteine as a potential indicator of endothelial dysfunction and cardiovascular risk in female patients with borderline personality disorder.

Katharina Kern, Kathrin Sinningen, Luisa Engemann, Clara Maiß, Beatrice Hanusch, Andreas Mügge, Thomas Lücke, Martin Brüne

Open access · goldAbstract read
In one paragraph

Article in Borderline personality disorder and emotion dysregulation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

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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

8 authors at 4 institutions in 1 country.

Katharina KernDepartment of Psychiatry, Psychotherapy and Preventive Medicine, LWL University Hospital Bochum, Division of Social Neuropsychiatry and Evolutionary Medicine, Ruhr University Bochum, Alexandrinenstr. 1, 44791, Bochum, Germany.
Kathrin SinningenUniversity Hospital of Pediatrics and Adolescent Medicine, St. Josef-Hospital, Ruhr University Bochum, Bochum, Germany.
Luisa EngemannDepartment of Psychiatry, Psychotherapy and Preventive Medicine, LWL University Hospital Bochum, Division of Social Neuropsychiatry and Evolutionary Medicine, Ruhr University Bochum, Alexandrinenstr. 1, 44791, Bochum, Germany.
Clara MaißDepartment of Psychiatry, Psychotherapy and Preventive Medicine, LWL University Hospital Bochum, Division of Social Neuropsychiatry and Evolutionary Medicine, Ruhr University Bochum, Alexandrinenstr. 1, 44791, Bochum, Germany.
Beatrice HanuschUniversity Hospital of Pediatrics and Adolescent Medicine, St. Josef-Hospital, Ruhr University Bochum, Bochum, Germany.
Andreas MüggeBergmannsheil Bochum, Medical Clinic II, Department of Cardiology and Angiology, Ruhr University Bochum, Bochum, Germany.
Thomas LückeUniversity Hospital of Pediatrics and Adolescent Medicine, St. Josef-Hospital, Ruhr University Bochum, Bochum, Germany.
Martin BrüneDepartment of Psychiatry, Psychotherapy and Preventive Medicine, LWL University Hospital Bochum, Division of Social Neuropsychiatry and Evolutionary Medicine, Ruhr University Bochum, Alexandrinenstr. 1, 44791, Bochum, Germany. martin.bruene@rub.de.ORCID http://orcid.org/0000-0002-2507-0561
LWL-Universitätsklinikum Bochum · DESt. Josef-Hospital · DEBG University Hospital Bergmannsheil Bochum · DEUniversity Hospitals of the Ruhr-University of Bochum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is increasing evidence suggesting that patients with Borderline Personality Disorder (BPD) are at greater risk of developing cardiovascular diseases (CVD) compared to the general population. Homocysteine (Hcy) has been discussed as a serum marker for endothelial dysfunction as a mechanism involved in CVD and has been shown to be associated with numerous psychiatric conditions. Pathophysiologically, there seems to be a link between Hcy and psychological stress mediated by abnormal activity of the autonomic nervous system. Accordingly, the present study sought to examine Hcy in BPD and to explore possible associations with clinical parameters.

methodsPlasma Hcy levels as well as conventional cardiovascular risk factors, such as blood pressure, BMI, smoking habits, HbA

resultsBPD patients showed significantly higher mean plasma Hcy concentrations compared to controls, though below ranges considered pathological. Moreover, Hcy correlated significantly with the severity of childhood trauma, chronic stress, and subjective sleep disturbances. In a regression model BPD diagnosis was found to predict Hcy levels best.

conclusionIn conclusion, young female BPD patients with no history of CVD show higher, though non-pathological, Hcy levels compared to healthy controls. Our findings seem to support the assumption that BPD is associated with increased risk of CVD, and that Hcy could serve as potential marker for risk evaluation of midlife CVD in BPD patients.

Indexed as

Borderline personality disorderCardiovascular riskChildhood adversityChronic stressHomocysteine

Identifiers

PMID35255991
PMCPMC8900342
OpenAlexW4220745134

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.