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The Relationship Between Cognitive Abilities and Trait Clinical Features in Patients With Borderline Personality Disorder.

Authors
  • Belvederi Murri, Martino1
  • Folesani, Federica1
  • Costa, Silvia1
  • Biancosino, Bruno2
  • Zerbinati, Luigi1
  • Ounalli, Heifa1
  • Rossetto, Agnese1
  • Caruso, Rosangela1
  • Nanni, Maria Giulia1
  • Grassi, Luigi1
  • 1 Institute of Psychiatry, Department of Biomedical and Specialty Surgical Sciences, University of Ferrara, Ferrara, Italy. , (Italy)
  • 2 Department of Mental Health and Pathological Addiction, Ferrara Health Agency, Ferrara, Italy. , (Italy)
Type
Published Article
Journal
Journal of personality disorders
Publication Date
Oct 01, 2021
Volume
35
Issue
5
Pages
730–749
Identifiers
DOI: 10.1521/pedi_2020_34_497
PMID: 33779282
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Very few studies have focused on the relationship between cognitive functions and clinical features in borderline personality disorder (BPD). Subjects with BPD and healthy controls were administered the Repeatable Battery for the Assessment of Neuropsychological Status, Trail Making Test A and B, and the Wisconsin Card Sorting Test. The Brief Symptom Inventory (BSI-53) was used to assess the severity of current symptoms. Attachment style was assessed with the Experiences in Close Relationship Questionnaire, identity integration with the Personality Structure Questionnaire, and other domains of personality dysfunction with the RUDE Scale for Personality Dysfunction. Patients with BPD performed significantly worse than healthy controls in all cognitive domains. Cognitive functions, particularly delayed memory and visuospatial abilities, displayed meaningful associations with trait-like clinical features, above the effect of global cognition and state psychopathology. These findings highlight the need to evaluate effects of cognitive rehabilitation on trait features among individuals with BPD.

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