Evidence map›Paper›PMID 39009509›Full record

ArticleEarly intervention in psychiatry2025

Mentalizing deficits in borderline personality disorder related to axis I comorbidity: Clinical relevance.

José Manuel López-Villatoro, M Díaz-Marsá, A Gálvez-Merlin, P De la Higuera-González, J L Carrasco

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Article in Early intervention in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

José Manuel López-VillatoroHealth Research Institute, Hospital Clínico San Carlos (IdISSC), Madrid, Spain.ORCID 0000-0002-0903-8895
M Díaz-MarsáDepartment of Legal Medicine, Psychiatry and Pathology, Faculty of Medicine, Universidad Complutense de Madrid (UCM), Madrid, Spain.
A Gálvez-MerlinHealth Research Institute, Hospital Clínico San Carlos (IdISSC), Madrid, Spain.
P De la Higuera-GonzálezHealth Research Institute, Hospital Clínico San Carlos (IdISSC), Madrid, Spain.
J L CarrascoDepartment of Legal Medicine, Psychiatry and Pathology, Faculty of Medicine, Universidad Complutense de Madrid (UCM), Madrid, Spain.

Funding

Instituto de Salud Carlos III PI20/01471
6 · The paper itself

Abstract

aimDeficits in mentalization have been described in several mental disorders, but information is still scarce and ambiguous about the types of mentalization errors in each disorder and their specificity and severity in borderline personality disorder (BPD). Due to the high comorbidity between this disorder and axis I disorders, the aim of this work is to study differences in mentalization responses in BPD considering the different comorbidity profiles with other disorders.

methodsA total of 141 BPD patients were evaluated using The Mini-International Neuropsychiatric Interview (MINI), to identify comorbid axis I disorders. Mentalizing ability was assessed by the Movie for the Assessment of Social Cognition (MASC). Statistical associations were analysed into the different variables.

resultsPatients with comorbid BPD and anorexia nervosa (AN), suicidal behaviour disorder or post-traumatic stress disorder (PTSD) respectively presented higher overmentalization, undermentalization and absence of mentalization errors, compared with patients with BPD without comorbidity.

conclusionsResults show that BPD comorbidity with AN, suicidal behaviour disorder and PTSD affect to the types and severity of mentalizing deficits observed in these patients. This study highlights the importance of the assessment and treatment of axis I comorbid disorders in borderline personality disorder, with the objective of shaping personalized treatment for every patient.

Indexed as

Anorexia NervosaBorderline Personality DisorderMentalizationStress Disorders, Post-TraumaticTheory of MindAdultClinical RelevanceComorbidityFemaleHumansMaleMiddle AgedYoung Adultaxis I disordersborderline personality disorderemotional instabilityimpulsivitymentalization

Identifiers

PMID39009509
PMCPMC11730503

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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.