TY - JOUR
T1 - Sexuality-related issues in borderline personality disorder
T2 - A comprehensive review
AU - Frías, Álvaro
AU - Palma, Carol
AU - Farriols, Núria
AU - González, Laura
N1 - Publisher Copyright:
Copyright © 2016 John Wiley & Sons, Ltd.
PY - 2016/8/1
Y1 - 2016/8/1
N2 - Objective: Sexuality is somewhat neglected in clinical research on borderline personality disorder (BPD). Method: We performed a systematic review from 1980 to November 2014 through PubMed and PsycINFO. Results: Empirical evidence underscores that childhood sexual trauma may be considered a non-specific risk factor for BPD. Furthermore, individuals with BPD also display higher sexual identity disturbances and homosexual relationships than non-BPD individuals. Moreover, patients with BPD also exhibit higher sexual impulsivity than non-BPD. In addition, sexual risk behaviours among individuals with BPD are related to increased rates of sexually transmitted diseases, unwanted pregnancies, rape and commercial sexual relationships, especially among drug abusers. Although psychotherapy is widely recommended for BPD, there has been little systematic research on the effect of these treatments with respect to co-morbid post-traumatic symptoms related to childhood sexual trauma. Conclusions: Sexuality-related issues represent a major clinical topic within this population. Findings are discussed concerning their methodological limitations and clinical implications.
AB - Objective: Sexuality is somewhat neglected in clinical research on borderline personality disorder (BPD). Method: We performed a systematic review from 1980 to November 2014 through PubMed and PsycINFO. Results: Empirical evidence underscores that childhood sexual trauma may be considered a non-specific risk factor for BPD. Furthermore, individuals with BPD also display higher sexual identity disturbances and homosexual relationships than non-BPD individuals. Moreover, patients with BPD also exhibit higher sexual impulsivity than non-BPD. In addition, sexual risk behaviours among individuals with BPD are related to increased rates of sexually transmitted diseases, unwanted pregnancies, rape and commercial sexual relationships, especially among drug abusers. Although psychotherapy is widely recommended for BPD, there has been little systematic research on the effect of these treatments with respect to co-morbid post-traumatic symptoms related to childhood sexual trauma. Conclusions: Sexuality-related issues represent a major clinical topic within this population. Findings are discussed concerning their methodological limitations and clinical implications.
KW - Posttraumatic-stress-disorder
KW - Ii comparison subjects
KW - Transference-focused psychotherapy
KW - Dialectical behavior-therapy
KW - Randomized controlled-trial
KW - Mental-health disparities
KW - Prospective follow-up
KW - Childhood maltreatment
KW - Sensation seeking
KW - Major depression
UR - http://www.scopus.com/inward/record.url?scp=85028274186&partnerID=8YFLogxK
U2 - 10.1002/pmh.1330
DO - 10.1002/pmh.1330
M3 - Article
C2 - 26840032
AN - SCOPUS:85028274186
SN - 1932-8621
VL - 10
SP - 216
EP - 231
JO - Personality and Mental Health
JF - Personality and Mental Health
IS - 3
ER -