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At least 19 recordsLinked to original sources
PubMed1979

Crossing the border into borderline personality and borderline schizophrenia. The development of criteria.

Although there is a large psychiatric literature on various "borderline" conditions, there has been no agreement as to the definition of the concept. A review of the literature reviewed two major uses of the term: Borderline Schizophrenia and Borderline Personality. Two item sets were developed to provide diagnostic criteria for the two concepts. High sensitivity and specificity were demonstrated for both item sets using data describing 808 borderline and 808 control patients. These criteria will be used in the forthcoming DSM-III classification for the categories of Borderline Personality Disorder and Schizotypal Personality Disorder.

Adolescent↗
PubMed1989

Comparing borderline definitions: DSM-III borderline and schizotypal personality disorders.

Compared the two types of borderline disorder formally defined by DSM-III, borderline personality disorder and schizotypal personality disorder, at the diagnostic category and individual criterion level. Unlike previous research in this area, which has focused on inpatient and outpatient populations, the sample was a psychometrically defined, nonpatient sample including Ss meeting DSM-III criteria for each disorder. The results indicated that the two diagnostic categories each define a type of borderline with distinctive combinations of features. Perceptual and cognitive distortion, however, seem to be present in both and define an area of overlap between the two disorders. The implications of these findings for the revision of the SPD diagnostic criteria in DSM-III-R are discussed, and the theoretical separation of two subtypes of borderline personality is affirmed.

Borderline Personality Disorder↗
PubMed1985

Borderline diagnosis from hospital records. Reliability and validity of Gunderson's Diagnostic Interview for Borderlines (DIB).

Two trained and experienced clinical psychologists and two nontrained students rated the sections in Gunderson's Diagnostic Interview for Borderlines (DIB) on the basis of hospital records for 16 patients (DIB-R). The results showed that both reliability and validity, i.e., correlations with an actual interview, were unexpectedly high, around .80 for the trained judges and around .55 for the nontrained judges. The conclusion is that the DIB may be used for retrospective diagnosis of borderline patients from hospital records.

Adult↗
PubMed1988

Borderline symptom inventory: assessing inpatient and outpatient borderline personality disorders.

The Borderline Symptom Inventory (BSI), a 52-item self-report inventory, was administered to cohorts of patients diagnosed with borderline personality disorder (BPD), affective disorder and a normal control sample. The study failed to demonstrate that the inventory could effectively discriminate either ambulatory or hospitalized BPD patients from those with affective disorders, but that the inventory could correctly specify a control group without a psychiatric disorder. The results suggest that it is premature to utilize the BSI as a reliable screen to detect BPD.

Adult↗
PubMed1991

[Ultrasonography of the borderline between normal and pathological state of the hip in newborn infants (borderline hip)].

Infant hips are classified, according to Graf, in 4 US types on the basis of the morphologic changes in both the cartilaginous and the bony roofs (type I, II, III, IV). Out of 6,000 examined hips, 170 (2.8%) were considered, which could be classified neither as type I (mature) nor as type II (delayed/immature ossification). These hips were called borderline hips. They exhibited some characteristic US features: good bone modeling, rounded cotyle, and alpha angle 60 degrees +/- 2. They were always observed during the first month of the patients' life. Anamnestic data were not specific (27.5% breech delivery, and 13% oligohydramnios); clinics sometimes overestimated the actual anatomic development (64/170 cases with positivity of Ortolani's sign and/or restricted abduction; 25% of patients presented with no suspicious signs). Dynamic hip examination showed only physiological cranial deflection of the cartilaginous roof. Finally, borderline hips developed into type I hips in 99% of cases, within the third month of the patients' life.

Follow-Up Studies↗
PubMed1990

[Selected problems of diagnosis, natural course and prognostic significance of borderline arterial hypertension. I. Long-term observations of borderline arterial hypertension in the population of working men].

Of 1236 men, aged 40-59 years, working in the same industrial plant borderline arterial hypertension (BH) was found in 253 (20.5%) subjects. The hypertensives and matched control normotensives (n = 237) were followed up for many years. At 13 years 343 subjects i.e. 70% of the original population were reevaluated. Arterial hypertension developed in 79.1% of the subjects with initial BH, most frequently with systolic++-diastolic, less frequently with systolic and diastolic BH. In normotensives hypertension was diagnosed in 30% of the subjects (p less than 0.001). A negative correlation between blood pressure rise and its initial value was found in all subjects. Out of various risk factors such as overweight, family hypertension, smoking and tachycardia possibly contributing to the development of established hypertension genetic factors and overweight were shown to be predisposing. The results of the studies indicate the need of preventive measures in all men with borderline hypertension and normotensives with family hypertension and overweight.

Adult↗
PubMed1990

[Selected problems of diagnosis, natural course and prognostic significance of borderline arterial hypertension. II. Sequelae of borderline arterial hypertension].

In 490 working men, aged 40-59 years the sequelae of borderline arterial hypertension (BH) were evaluated. The patients with BH (n = 253) were matched with normal controls (n = 237). At 13 years the cardiovascular state, ability to work and mortality were assessed. A significantly more frequent incidence of left ventricular hypertrophy and overload was found when hypertension developed. In the group of initial BH less men continued work (36%) than in the control group (48.1%, p less than 0.01), despite the same age. A relation between the ability to work and blood pressure becomes more prominent while taking into account final diagnosis; i.e. 65.7% of actual normotensives, 56.4% of the patients with BH and 47.5% with hypertension continue their work. The mortality rate was higher (15.4%) in the group with BH than in the controls (8.4%, p less than 0.01). The highest death rate was found when BH was combined with other coronary risk factors. The results confirm the presence of both indirect (through the development of arterial hypertension) and harmful effects of BH. They also show the need of devoting special attention to patients with BH and concommitant coronary risk factors.

Adult↗
PubMed1990

[Selected problems of diagnosis, natural course and prognostic significance of borderline arterial hypertension. III. Long-term studies of borderline hypertension in children and adolescents].

Cardiological reevaluation was carried out in a group of subjects aged 19-28 years in whom elevated (n = 80) or normal blood pressure (n = 69) had been found 10 years earlier. Control physical examination was extend to 24 hour ambulatory blood pressure monitoring. In both groups differences in systolic and diastolic blood pressure levels after 10 years are characterized by significant (p less than 0.001) negative correlation with its initial values. Elevated blood pressure (greater than 140/90 mmHg) was found in 21 patients of the studied group (23.3%) and in 4 controls (5.8%, p less than 0.001). The results of blood pressure monitoring are in accordance with traditional measurements and confirm equalization of mean blood pressure values, maintenance of group differences in diastolic pressure and correctness of diagnosis (at 10 years) of borderline or mild arterial hypertension. Complaints reported by the patients as well as ECG studies do not suffice for verification of young persons with elevated blood pressure and risk of hypertension. In this respect it is more useful to repeat measurements by using continuous automatic recording devices although considerable variations in blood pressure levels in longterm observations in young subjects indicate the need of careful prognosis concerning evolution of the disease.

Adolescent↗