Exploratory comparison of auditory verbal hallucinations and other psychotic symptoms among youth with borderline personality disorder or schizophrenia spectrum disorder

Cavelti, Marialuisa; Thompson, Katherine N; Hulbert, Carol; Betts, Jennifer; Jackson, Henry; Francey, Shona; Homan, Philipp; Chanen, Andrew M (2019). Exploratory comparison of auditory verbal hallucinations and other psychotic symptoms among youth with borderline personality disorder or schizophrenia spectrum disorder. Early intervention in psychiatry, 13(5), pp. 1252-1262. Blackwell Publishing Asia 10.1111/eip.12763

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OBJECTIVE This study explored phenomenological aspects of auditory verbal hallucinations (AVH) and other psychotic symptoms among youth with borderline personality disorder (BPD). METHODS Sixty-eight outpatients, aged 15 to 25 years, were categorized into three groups according to their primary Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) diagnosis and AVH symptom profile; BPD + AVH (n = 23), schizophrenia spectrum disorder (SZ) + AVH (n = 22) and BPD with no AVH (n = 23). RESULTS No differences in AVH were found between BPD + AVH and SZ + AVH. Compared with SZ + AVH, BPD + AVH scored lower on delusions and difficulty in abstract thinking and higher on hostility. BPD + AVH reported more severe self-harm, paranoid ideation, dissociation, anxiety and stress than BPD no AVH. CONCLUSIONS This study replicates, in a sample of youth, the finding from studies of adults that AVH in BPD are indistinguishable from those in SZ, when assessed with the Psychotic Symptom Rating Scales (PSYRATS). Clinicians should specifically enquire about AVH among youth with BPD. When present, AVH appear to be an indicator of a more severe form of BPD.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy > Translational Research Center
04 Faculty of Medicine > University Psychiatric Services > University Hospital of Child and Adolescent Psychiatry and Psychotherapy > Research Division

UniBE Contributor:

Cavelti, Marialuisa and Homan, Philipp

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1751-7885

Publisher:

Blackwell Publishing Asia

Language:

English

Submitter:

Marialuisa Cavelti

Date Deposited:

10 Apr 2019 13:37

Last Modified:

14 Sep 2019 01:31

Publisher DOI:

10.1111/eip.12763

PubMed ID:

30485670

Uncontrolled Keywords:

adolescence hearing voices psychiatry psychotic symptoms schizophrenia young adulthood

BORIS DOI:

10.7892/boris.126093

URI:

https://boris.unibe.ch/id/eprint/126093

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