Why Are Women Diagnosed Borderline More Than Men?
@article{Skodol2004WhyAW, title={Why Are Women Diagnosed Borderline More Than Men?}, author={Andrew E. Skodol and Donna S Bender}, journal={Psychiatric Quarterly}, year={2004}, volume={74}, pages={349-360} }
DSM-IV-TR states that borderline personality disorder (BPD) is “diagnosed predominantly (about 75%) in females.” A 3:1 female to male gender ratio is quite pronounced for a mental disorder and, consequently, has led to speculation about its cause and to some empirical research. The essential question is whether the higher rate of BPD observed in women is a result of a sampling or diagnostic bias, or is it a reflection of biological or sociocultural differences between women and men? Data to…
198 Citations
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This paper attempts a synthesis of diverse, multidisciplinary literature to address the question of why women outnumber men by a ratio of 3:1 in the diagnosis of BPD.
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The authors found that women with BPD have greater hostility and relationship disruption than men, and support the conclusion that BPD may diminish normal gender differences.
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Analysis of BPD features dimensionally in a representative epidemiological sample of adults ages 55-64 revealed a significant interaction across gender and perspective, such that men reported greater BPD severity.
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Evidence indicates that there are notable gender differences in borderline personality disorder with regard to personality traits, Axis I and II comorbidity, and treatment utilization.
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The authors found that parents describe the early emergence of a constellation of symptoms in their BPD sons that include separation anxiety starting in infancy, body image concerns in childhood, and impulsivity, emptiness, and odd thinking in adolescence that differs from the developmental course found in females diagnosed with BPD.
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The results argue for gender differences in Axis I and II comorbidity and dimensional personality traits in BPD, but in general, more similarities than differences were shown in this study.
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