Similarities and differences in borderline personality disorder and schizophrenia with voice hearing

J Nerv Ment Dis. 2014 Jul;202(7):544-9. doi: 10.1097/NMD.0000000000000159.

Abstract

The aim of the study was to identify psychopathological similarities and differences in borderline personality disorder (BPD) and schizophrenia. We compared 23 female patients with a BPD and 21 female patients with schizophrenia according to auditory verbal hallucinations (AVHs), dissociation, childhood trauma, and additional psychotic symptoms. The character of AVH was similar with regard to commenting voices, location, and foreign voices. Major differences were found in the prevalence of negative symptoms, bizarre delusions, and formal thought disorder. These characteristics were more frequent in schizophrenia and negatively correlated with childhood traumatization. A history of childhood traumatization and dissociative symptoms was significantly more frequent in BPD. AVHs in BPD and schizophrenia are not distinguishable in terms of the historically grown criteria in Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision for diagnosing schizophrenia. Other symptoms such as delusions, negative symptoms, formal thought disorder, and dissociative psychopathology could help to differentiate between both groups.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Borderline Personality Disorder / complications
  • Borderline Personality Disorder / physiopathology*
  • Child
  • Child Abuse / psychology
  • Dissociative Disorders / etiology
  • Dissociative Disorders / physiopathology
  • Female
  • Hallucinations / etiology
  • Hallucinations / physiopathology*
  • Humans
  • Middle Aged
  • Psychiatric Status Rating Scales
  • Schizophrenia / complications
  • Schizophrenia / physiopathology*
  • Young Adult