Abstract
Growing research has been conducted to understand how borderline personality disorder (BPD) affects everyday life functioning. However, studies have largely included women and there is a need to examine if the functional impacts in men differ. The aim of this scoping review is to synthetize knowledge about impacts of BPD in daily life functioning of men living with this mental health issue. Several databases were consulted to identify articles published between January 2000 and January 2022. A total of 12 articles met inclusion and exclusion criteria. Grey literature was also considered. The data was analyzed with the Human Development Model–Disability Creation Process, which documents several indicators of functioning in twelve areas of life. The functioning of men with BPD is greatly influenced by the behavior of withdrawal, which is seen across multiple domains including partner relationships, family, employment and recreation. These findings were validated by health care professionals specialized in the treatment and rehabilitation of BPD. There are gaps in many domains Including mobility, nutrition, personal care and home maintenance. This way of managing everyday life could explain why men with BPD do not seek support from service providers and are then under-represented in the literature, therefore limiting the development of more targeted resources for this group.
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References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association.
Arksey, H., & O'Malley, L. (2005). Scoping Studies: Towards a methodological framework. International Journal of Social Research Methodology: Theory & Practice, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616
Bagge, C., Nickell, A., Stepp, S., Durrett, C., Jackson, K., & Trull, T. J. (2004). Borderline personality disorder features predict negative outcomes 2 years later. Journal of Abnormal Psychology, 113(2), 279–288. https://doi.org/10.1037/0021-843X.113.2.279
Banzhaf, A., Ritter, K., Merkl, A., Schulte-Herbrüggen O, Lammers, C. H.; Roepke, S. (2012). Gender differences in a clinical sample of patients with borderline personality disorder. Journal of Personality Disorders, 26(3), 368–80. https://doi.org/10.1521/pedi.2012.26.3.368
Barnow S., Herpertz S.C., Spitzer C., Stopsack M., Preuss U.W., Grabe H.J., Kessler C., & Freyberger H.J. (2007). Temperament and character in patients with borderline personality disorder taking gender and comorbidity into account. Psychopathology, 40(6), 369-378. https://doi.org/10.1159/000106467.
Bayes, A., & Parker, G. (2017). Borderline personality disorder in men: A literature review and illustrative case vignettes. Psychiatry Research, 257, 197–202. https://doi.org/10.1016/j.psychres.2017.07.047
Braamhorst W., Lobbestael J., Emons W.H., Arntz A., Witteman C.L., Bekker M.H. (2015). Sex bias in classifying borderline and narcissistic personality disorder. Journal of Nervous and Mental Disease, 203(10), 804-808. https://doi.org/10.1097/NMD.0000000000000371.
Choudhary, S., & Thapa, K. (2013). Recommending interventions for a borderline personality disorder patient. Psychological Studies, 58(2), 171–178. https://doi.org/10.1007/s12646-013-0181-2
Corbière, M., Mazaniello-Chézol, M., Bastien, M.-F., Geoffrion, S., Briand, C., Lavoie-Tremblay, M., Hurtubise, A. & Tanguay, P. (2020). Enjeux et solutions en santé mentale et travail : le point de vue des gestionnaires d’une grande organisation de santé. Santé mentale au Québec, 45(1), 147–181. https://doi.org/10.7202/1070245ar
Dahl, K., Larivière, N., Corbière, M. (2017). Work participation of individuals with borderline personality disorder: a multiple case study. Journal of Vocational Rehabilitation, 46(3), 377–388. https://doi.org/10.3233/JVR-170874
Dehlbom, P., Wetterborg, D., Lundqvist, D., Maurex, L., Dal, H., Dalman, C., & Kosidou, K. (2021). Gender differences in the treatment of patients with borderline personality disorder. Personality Disorders: Theory, Research, and Treatment. Advance online publication. https://doi.org/10.1037/per000050
Desrosiers, J., Larivière, N., Desrosiers J. & Boyer, R. (2020). Concept analysis of human functioning and potential applications to mental health evaluation. Occupational Therapy in Mental Health, 36(1), 1-28. https://doi.org/10.1080/0164212X.2019.1684860
Eaton, N.R., Keyes, K.M., Krueger, R.F., Balsis, S., Skodol, A.E., Markon, K.E., Grant, B.F., and Hasin, D.S. (2012). An invariant dimensional liability model of gender differences in mental disorder prevalence: evidence from a national sample. Journal of Abnormal Psychology, 121(1):282-288. https://doi.org/10.1037/a0024780.
Evans, M. (2015). Men’s Experiences of having the Diagnosis of Borderline Personality Disorder: An Interpretive Phenomenological Analysis. Faculty of Health and Applied Sciences: University of the West of England.
Fougeyrollas, P. (2021). Classification internationale du modèle de développement humain-processus de production du handicap (mdh-pph, 2018). Kinésithérapie, La Revue, 21(235), 15–19. https://doi.org/10.1016/j.kine.2021.04.003
Goodman, M., Patil, U., Steffel, L., Avedon, J., Sasso, S., Triebwasser, J., & Stanley, B. (2010). Treatment utilization by gender in patients with borderline personality disorder. Journal of Psychiatric Practice, 16(3), 155–163. https://doi.org/10.1097/01.pra.0000375711.47337.27
Graboys, B. (2021). Antisocial and borderline personality disorder traits - impact on marital satisfaction mechanisms [ProQuest Information & Learning]. In Dissertation Abstracts International: Section B: The Sciences and Engineering (Vol. 82, Issue 3–B).
Helbig, K., & McKay, E. (2003) An Exploration of addictive behaviours from an occupational perspective. Journal of Occupational Science, 10(3), 140-145. https://doi.org/10.1080/14427591.2003.9686521
Hoertel, N., Peyre, H., Wall, M. M., Limosin, F., & Blanco, C. (2014). Examining sex differences in DSM-IV borderline personality disorder symptom expression using Item Response Theory (IRT). Journal of Psychiatric Research, 59, 213-219. https://doi.org/10.1016/j.jpsychires.2014.08.019
INSPQ : Public health expertise and reference centre (2015). Surveillance des troubles de la personnalité au Québec : prévalence, mortalité et profil d’utilisation des services (publication #1996). Surveillance des maladies chroniques, numéro 11. https://www.inspq.qc.ca/sites/default/files/publications/1996_surveillance_troubles_personnalite.pdf
Johnson, D.M., Shea, M.T., Yen, S., Battle, C.L., Zlotnick, C., Sanislow, C.A., Grilo, C. M., Skodol, A.E., Bender, D.S., McGlashan, T.H., Gunderson, J.G., & Zanarini, M.C. (2003). Gender differences in borderline personality disorder: findings from the Collaborative Longitudinal Personality Disorders Study. Comprehensive psychiatry, 44(4), 284–292. https://doi.org/10.1016/S0010-440X(03)00090-7
Juurlink T.T., Vukadin M., Stringer B., Westerman M.J., Lamers F., Anema J.R., Beekman A.T.F., van Marle H.J.F. (2019). Barriers and facilitators to employment in borderline personality disorder: A qualitative study among patients, mental health practitioners and insurance physicians. PLoS One, 14(7):e0220233. https://doi.org/10.1371/journal.pone.0220233.
Katsakou, C., & Pistrang, N. (2018). Clients’ experiences of treatment and recovery in borderline personality disorder: A meta-synthesis of qualitative studies. Psychotherapy Research: Journal of the Society for Psychotherapy Research, 28(6), 940–957.
Kirsten, D.K., van Lellyveld, V., & Venter, C.A. (2006). Perceptions that patients diagnosed with Borderline Personality Disorder have of their families. South African Journal of Psychology, 36(2), 319–339. https://doi.org/10.1177/008124630603600207
Löffler-Stastka, H., Ponocny-Seliger, E., Meissel, T., & Springer-Kremser, M. (2006). Gender aspects in the planning of psychotherapy for borderline personality disorder. Wiener klinische Wochenschrift, 118(5-6), 160–169. https://doi.org/10.1007/s00508-006-0573-6
Lumsden, V., Kerr, S., Feigenbaum, J. (2018). ‘It makes me not worthy to be a father from time to time’: the experiences of fathers with a diagnosis of borderline personality disorder, Journal of Family Studies, 24(2), 109-125. https://doi.org/10.1080/13229400.2015.1108859Lynum
Lynum, L.I., Wilberg, T., Karterud, S. (2008). Self-esteem in patients with borderline and avoidant personality disorders. Scandinavian Journal of Psychology, 49(5), 469–477. https://doi.org/10.1111/j.1467-9450.2008.00655.x
McCormick, B., Blum, N., Hansel, R., Franklin, J. A., St. John, D., Pfohl, B., Allen, J., & Black, D. W. (2007). Relationship of sex to symptom severity, psychiatric comorbidity, and health care utilization in 163 subjects with borderline personality disorder. Comprehensive Psychiatry, 48(5), 406–412. https://doi.org/10.1016/j.comppsych.2007.05.005
Munro, O.E., & Sellbom, M. (2020). Elucidating the relationship between borderline personality disorder and intimate partner violence. Personality and Mental Health, 14(3), 284–303. https://doi.org/10.1002/pmh.1480
Peters, M.D., Godfrey, C M., Khalil, H., McInerney, P., Parker, D., & Soares, C. B. (2015). Guidance for conducting systematic scoping reviews. International Journal of Evidence-Based Healthcare, 13(3), 141–146. https://doi.org/10.1097/XEB.0000000000000050
Potvin, O., Vallée, C., Larivière, N. (2019). Experience of occupations among people living with a personality disorder. Occupational Therapy International, 2019, 1-11. https://doi.org/10.1155/2019/9030897
Sansone, R.A., Lam, C., & Wiederman, M.W. (2010). Self-harm behaviors in borderline personality: an analysis by gender. Journal of Nervous and Mental Disease, 198(12), 914–915. https://doi.org/10.1097/NMD.0b013e3181fe75c8
Sansone, R. A., Lam, C., & Wiederman, M. W. (2012). The relationship between illegal behaviors and borderline personality symptoms among internal medicine outpatients. Comprehensive Psychiatry, 53(2), 176–180. https://doi.org/10.1016/j.comppsych.2011.03.006
Sher, L., Rutter, S. B., New, A.S., Siever, L.J., & Hazlett, E.A. (2019). Gender differences and similarities in aggression, suicidal behaviour, and psychiatric comorbidity in borderline personality disorder. Acta Psychiatrica Scandinavica, 139(2), 145–153. https://doi.org/10.1111/acps.12981
Silberschmidt, A., Lee, S., Zanarini, M., & Schulz, S.C. (2015). Gender Differences in Borderline Personality Disorder: Results from a multinational, clinical trial sample. Journal of Personality Disorders, 29(6), 828–838. https://doi.org/10.1521/pedi_2014_28_175
Soloff, P.H., Kelly, T.M., Strotmeyer, S.J., Malone, K.M., & Mann, J.J. (2003). Impulsivity, gender, and response to fenfluramine challenge in borderline personality disorder. Psychiatry research, 119(1-2), 11–24. https://doi.org/10.1016/s0165-1781(03)00100-8
Soloff, P., Nutche, J., Goradia, D., & Diwadkar, V. (2008). Structural brain abnormalities in borderline personality disorder: a voxel-based morphometry study. Psychiatry research, 164(3), 223–236. https://doi.org/10.1016/j.pscychresns.2008.02.003.
Stanley, B., & Singh, T. (2018). Diagnosis of borderline personality disorder. In B. Stanley & A. S. New (Eds.), Borderline personality disorder. (pp. 17–34). Oxford University Press.
Tellides, C., Harrison, A. M., Neuhaus, E. C., & Shapiro, E. R. (2007). Strategic choices in the psychotherapy of a “fragile” patient. Harvard Review of Psychiatry, 15(1), 18–29. https://doi.org/10.1080/10673220601183949
Tragesser, S. L., & Benfield, J. (2012). Borderline personality disorder features and mate retention tactics. Journal of Personality Disorders, 26(3), 334–344. https://doi.org/10.1521/pedi.2012.26.3.334.
Ware, J.E.J. (2000). SF-36 health survey update. Spine, 25(24), 3130-3139.
Wasmuth, S., Mokol, E., Szymaszek, K., Gaerke, K., Manspeaker, T., & Lysaker, P. (2020). Intersections of occupational participation and borderline personality disorder: A grounded theory approach. Cogent Psychology. https://doi.org/10.1080/23311908.2020.1803580
Weinstein, Y., Gleason, M.E.J., & Oltmanns, T.F. (2012). Borderline but not antisocial personality disorder symptoms are related to self-reported partner aggression in late middle-age. Journal of Abnormal Psychology, 121(3), 692-698. https://doi.org/10.1037/a0028994
Weissman, M.M., & Bothwell, S. (1976). Assessment of social adjustment by patient self-report. Archives of general psychiatry, 33(9), 1111–1115. https://doi.org/10.1001/archpsyc.1976.01770090101010
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No funding was received for this project. It was accomplished as part of the requirements for the Master’s degree of the following authors: Beauregard-Laliberté, R, Brière, A., Fontaine, A.S., Lamarre, A. and Tremblay-Perreault, P.
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Larivière, N., Beauregard-Laliberté, R., Brière, A. et al. Daily Living Functioning in Men with Borderline Personality Disorders: A Scoping Review. J. Psychosoc. Rehabil. Ment. Health 10, 215–231 (2023). https://doi.org/10.1007/s40737-022-00313-4
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DOI: https://doi.org/10.1007/s40737-022-00313-4