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Management of 201 individuals with emotionally unstable personality disorders: A naturalistic observational study in real-world inpatient setting
Shahpesandy, Homayun Mohammed-Ali, Rosemary Oakes, Michael Al-Kubaisy, Tarik Cheetham, Anna Anene, Moses
Shahpesandy, Homayun
Mohammed-Ali, Rosemary
Oakes, Michael
Al-Kubaisy, Tarik
Cheetham, Anna
Anene, Moses
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Epub Date
Issue Date
2021-06-03
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Abstract
BACKGROUND: Emotionally unstable personality disorder (EUPD) is a challenging condition with a prevalence of 20% in inpatient services. Psychotherapy is the preferred treatment; nevertheless, off-license medications are widely used. OBJECTIVES: To identify socio-demographics, clinical and service-delivery characteristics of people with EUPD admitted to inpatient services between 1st January 2017 and 31st December 2018. METHODS: A retrospective review using data from patients' records. Individuals, age 18-65 were included. Statistical analysis was conducted by the Mann-Whitney-Wilcoxon test and Chi-squared test with Yates's continuity correction. RESULTS: Of 1646 inpatients, 201 (12.2%); had the diagnosis of EUPD; 133 (66.0%) women, 68 (44.0%). EUPD was significantly (P < .001) more prevalent in women (18.2%) than men (7.4%). EUPD patients were significantly (P < .001) younger (32.2 years) than patients without EUPD (46 years), and had significantly (P < .001) more admissions (1.74) than patients without EUPD (1.2 admission). 70.5% of patients had one and 17.0% two Axis-I psychiatric co-morbidities. Substance use was significantly (P < .001) more often in men (57.3%) than in women (28.5%). Significantly (P = 0.047) more women (68.4%) than men (53.0%) reported sexual abuse. 87.5% used polypharmacy. Antidepressants were significantly (P = 0.02) often prescribed to women (76.6%) than men (69.1%). Significantly (P = 0.02) more women (83.5%) than men (67.6%) were on antipsychotics. 57.2% of the patients were on anxiolytics, 40.0% on hypnotics and 25.8% on mood stabilisers. CONCLUSION: EUPD is a complex condition with widespread comorbidity. The term EUPD, Borderline Personality Disorder is unsuitable, stigmatising and too simplistic to reflect the nature, gravity and psychopathology of this syndrome.
Citation
Shahpesandy, H., Mohammed-Ali, R., Oakes, M., Al-Kubaisy, T., Cheetham, A. and Anene, M. (2021) Management of 201 individuals with emotionally unstable personality disorders: A naturalistic observational study in real-world inpatient setting. Neuroendocrinology letters, 42(3), pp. 200–212
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Journal
Research Unit
DOI
PubMed ID
34279863 (pubmed)
PubMed Central ID
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Type
Journal article
Language
en
Description
© 2021 The Authors. Published by Maghira and Maas Publications. This is an open access article available under a Creative Commons licence.
The published version can be accessed at the following link on the publisher’s website: https://www.nel.edu/management-of-201-individuals-with-emotionally-unstable-personality-disorders-a-naturalistic-observational-study-in-real-world-inpatient-setting-2791/
Series/Report no.
ISSN
0172-780X
EISSN
2354-4716