Citation

Frankenburg FR, Zanarini MC. J. Personal. Disord. 2011; 25(4): 421-431.

Copyright

(Copyright © 2011, Guilford Publications)

DOI

10.1521/pedi.2011.25.4.421

PMID

21838559

PMCID

PMC3203730

Abstract

We examined the relationship between cumulative body mass index (BMI) and symptomatic, psychosocial, and medical outcomes in patients with borderline personality disorder (BPD). Two hundred female borderline patients were weighed and measured during their index admission. They were subsequently interviewed at six-, eight-, and 10-year intervals. Over 10 years of prospective follow-up, increases in cumulative BMI were significantly associated with self-mutilation and dissociation (but not suicide attempts). Increases in cumulative BMI were also significantly associated with having no life partner, a poor work or school history, being on disability, being rated with a GAF score in the fair or poor range, and having a low income. In addition, increases in BMI were related to having two or more other medical conditions and using costly forms of health care. Increases in cumulative BMI may be a marker for adverse symptomatic, functional, and medical outcomes in patients with BPD.

Language: en

Keywords

Humans; Adult; Female; Health Status; Suicide; Young Adult; Comorbidity; Quality of Life; Follow-Up Studies; Obesity; Social Behavior; Women's Health; Attitude to Health; Personality Assessment; Social Adjustment; Self Mutilation; Borderline Personality Disorder