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KMID : 0385320110220010009
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Journal of Korean Psychoanalytic Society
2011 Volume.22 No. 1 p.9 ~ p.18
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Gender Difference in Clinical and Psychological Characteristics in Patients with Borderline Personality Disorder at a University Hospital
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Mun Bo-Young
Jeong Jin-Young
Lee Hye-Rim
Song Shin-Ho
Lee Jun-Yeop
Koo Bon-Hoon
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Abstract
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Objectives: Previous studies on gender differences of patients with borderline personality disorder (BPD) were mainly to esti￢mate prevalence rates and comorbidities in epidemiology. This study evaluated clinical and psychological characteristics, in-cluding defense mechanisms, between male and female patients with BPD in a clinical setting.
Methods: We recruited 30 male and 35 female patients with BPD according to the Diagnostic and Statistical Manual of Mental Disorder, 4th edition diagnostic criteria. We investigated the gender difference of Axis I comorbidities and characteristics of suicidal attempts, and retrospec￢tively assessed psychological characteristics of patients with BPD using the Symptom Checklist-90-Revised, the Minnesota Multiphasic Personality Inventory, the Personality Disorder Questionnaire-4+, and the Defense Style Questionnaire.
Results: Male patients showed amoreparanoid, socially introverted, and antisocial tendency compared to female patients. Female pa￢tients used splitting more frequently as the primary defense mechanism than male patients.
Conclusion: This study suggests that the core psychopathologies of BPD are very similar between male and female patients in spite of some gender differences in clinical characteristics of BPD. Female patients are more likely to show a typical prototype of BPD than male.
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KEYWORD
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Borderline personality disorder, Sex difference, Defense mechanisms
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