{
  "abstract": "Objective: The care of patients with borderline personality disorder (BPD) places a significant burden on emergency inpatient mental health services. The aim of this study was to investigate predisposing risk factors for early rehospitalization over 12 months.\n\nMethods: A total of 117 inpatients with BPD were included. The Beck Hopelessness Scale, Adolescent/Adult Sensory Profile, Coping Orientation to Problems Experienced (COPE), and Toronto Alexithymia Scale (TAS-20) were administered.\n\nResults: Forty-seven percent of the sample was rehospitalized. Divorced marital status, current substance abuse, a higher score on the TAS-20 externally oriented thinking score and on the COPE Alcohol and drug disengagement subscales, and a lower score on the COPE. Use of social–emotional support subscale were significantly associated with rehospitalization. Therefore, alcohol and substance misuse, impaired social support, and alexithymia were the most relevant predictors for rehospitalization.\n\nConclusions: Maladaptive coping, depressive symptoms, and history of high service utilization and multiple high-lethality suicide attempts were also found to be more common in readmitted subjects. Further research could help to better define potential different therapeutic interventions.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, Genoa, Italy",
    "AOM - IRCCS Ospedale Policlinico san Martino, Genoa, Italy",
    "ASL 2 Savona (SV), Italy",
    "Department of Psychiatry, Faculty of Medicine, Geneva University (UNIGE), 1205 Geneva, Switzerland",
    "Department of Psychiatry, Faculty of Biomedical Sciences, University of Italian Switzerland (USI), 6900 Lugano, Switzerland"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 11,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Andrea Aguglia",
      "orcid": "0000-0002-2003-2101"
    },
    {
      "affs": [
        0
      ],
      "name": "Gabriele Sapia"
    },
    {
      "affs": [
        0
      ],
      "name": "Francesco Stefanini"
    },
    {
      "affs": [
        0
      ],
      "name": "Michela Gagliardi"
    },
    {
      "affs": [
        0
      ],
      "name": "Noemi Redaelli"
    },
    {
      "affs": [
        2
      ],
      "name": "Annapaola Mazza"
    },
    {
      "affs": [
        1
      ],
      "name": "Benedetta Conio"
    },
    {
      "affs": [
        3,
        4
      ],
      "name": "Alessandra Costanza"
    },
    {
      "affs": [
        0
      ],
      "name": "Mario Amore"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Andrea Amerio"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Gianluca Serafini",
      "orcid": "0000-0002-6631-856X"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/ecz7n5je31tzm.bib",
  "cited_by": 0,
  "doi": "10.1017/s1092852926101084",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13732620/",
  "id": "ecz7n5je31tzm",
  "issns": [
    "1092-8529",
    "2165-6509"
  ],
  "landing_url": "https://doi.org/10.1017/s1092852926101084",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Research"
    ],
    [
      "openalex",
      "3203|Personality Disorders and Psychopathology"
    ]
  ],
  "openalex": "W7168242614",
  "pdf_url": null,
  "pmcid": "PMC13732620",
  "pmid": "42444436",
  "published": "2026-07-14",
  "publisher": "Cambridge University Press",
  "ris": "https://research.draconitic.com/paper/ecz7n5je31tzm.ris",
  "sources": [
    {
      "first_seen": "2026-11-08T12:22:34Z",
      "native_id": "PMC13732620",
      "source": "pmc",
      "url": "https://doi.org/10.1017/s1092852926101084"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:3203|Personality Disorders and Psychopathology",
      "subfield": "psychiatry"
    }
  ],
  "title": "Sociodemographic and clinical predictors in patients with borderline personality disorder: A 12-month follow-up study",
  "title_text": "Sociodemographic and clinical predictors in patients with borderline personality disorder: A 12-month follow-up study",
  "type": "peer-reviewed",
  "updated_at": "2026-11-08T12:22:34Z",
  "url": "https://research.draconitic.com/paper/ecz7n5je31tzm",
  "venue": "CNS Spectrums",
  "versions": []
}