Evidence map›Paper›PMID 37392944›Full record

ArticleJournal of affective disorders2023

Protective factors in borderline personality disorder: A multi-study analysis of conscientiousness, distress tolerance, and self-compassion.

Matthew W Southward, Kristen P Howard, Kara A Christensen Pacella, Jennifer S Cheavens

Open access · greenAbstract read
In one paragraph

Article in Journal of affective disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. A Network Analysis of Inner Strength Among University Students with Borderline Personality Disorder Symptoms.European journal of investigation in health, psychology and education · 2026
    Article
  3. Article
  4. Article
  5. 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

4 authors at 4 institutions in 1 country.

Matthew W SouthwardDepartment of Psychology, University of Kentucky, United States of America. Electronic address: southward@uky.edu.
Kristen P HowardDivision of Mental Health, Milwaukee VA Medical Center, United States of America; Division of General Internal Medicine, Medical College of Wisconsin, United States of America.
Kara A Christensen PacellaDepartment of Psychology, University of Nevada, Las Vegas, United States of America.
Jennifer S CheavensDepartment of Psychology, The Ohio State University, United States of America.
Howard University · USMedical College of Wisconsin · USThe Ohio State University · USUniversity of Nevada, Las Vegas · US

Funding

The Ohio State University Center for Clinical and Translational ScienceTL1TR001069 · NCATS · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2013 to 2017
$763k
A Precision Medicine Approach to Target Engagement for Emotion RegulationK23MH126211 · NIMH · UNIVERSITY OF KENTUCKY · PI SOUTHWARD, MATTHEW WAYNE · 2022 to 2025
$592k
NCATS NIH HHS TL1 TR001069NIMH NIH HHS K23 MH126211
6 · The paper itself

Abstract

backgroundDespite a growing literature characterizing risk factors associated with the development and maintenance of borderline personality disorder (BPD), substantially less is known about potentially protective factors in BPD.

methodsIn a sample of online (N = 272) participants with likely BPD, major depressive disorder (MDD), or no disorder (ND) and an independent sample of in-person (N = 90) participants diagnosed with BPD, MDD, or ND, we tested the cross-sectional and longitudinal associations among BPD features and three putatively protective personality, cognitive, and affective-behavioral factors: conscientiousness, self-compassion, and distress tolerance.

resultsOnly conscientiousness was significantly lower in BPD than MDD (ds: .67-.73) across both studies and more strongly related to BPD features (rs: -.68 to -.59) than MDD symptoms (rs: -.49 to -.43) in dimensional analyses across both studies. However, in a multiple regression analysis including all three factors in Study 1, only self-compassion predicted decreases in BPD features (β = -.28) and MDD symptoms (β = -.21) over one month. LIMITATIONS: Study 1 participants completed all measures online and exhibited some differential attrition at one month follow-up. Study 2 participants were all diagnosed by one trained assessor and the smaller sample size limited our power to detect effects.

conclusionsLow conscientiousness may be most strongly related to BPD, whereas self-compassion may be a prospective transdiagnostic protective factor.

Indexed as

Borderline Personality DisorderMajor Depressive DisorderCross-Sectional StudiesHumansProspective StudiesProtective FactorsSelf-CompassionBorderline personality disorderConscientiousnessDepressionDistress toleranceSelf-compassion

Identifiers

PMID37392944
PMCPMC10528710
OpenAlexW4382700637

What OpenQuestion holds

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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.