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Peer-reviewedCC BY 4.0CNS Spectrums

Sociodemographic and clinical predictors in patients with borderline personality disorder: A 12-month follow-up study

  • Andrea Aguglia1,2
  • Gabriele Sapia1
  • Francesco Stefanini1
  • Michela Gagliardi1
  • Noemi Redaelli1
  • Annapaola Mazza3
  • Benedetta Conio2
  • Alessandra Costanza4,5
  • Mario Amore1
  • Andrea Amerio1,2
  • Gianluca Serafini1,2
5 affiliations
  1. 1Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, Genoa, Italy
  2. 2AOM - IRCCS Ospedale Policlinico san Martino, Genoa, Italy
  3. 3ASL 2 Savona (SV), Italy
  4. 4Department of Psychiatry, Faculty of Medicine, Geneva University (UNIGE), 1205 Geneva, Switzerland
  5. 5Department of Psychiatry, Faculty of Biomedical Sciences, University of Italian Switzerland (USI), 6900 Lugano, Switzerland
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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.

Methods: 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.

Results: 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.

Conclusions: 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.

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Cite

BibTeXRIS
BibTeX
@article{aguglia2026sociodemographic,
  title = {{Sociodemographic and clinical predictors in patients with borderline personality disorder: A 12-month follow-up study}},
  author = {Andrea Aguglia and Gabriele Sapia and Francesco Stefanini and Michela Gagliardi and Noemi Redaelli and Annapaola Mazza and Benedetta Conio and Alessandra Costanza and Mario Amore and Andrea Amerio and Gianluca Serafini},
  journal = {CNS Spectrums},
  year = {2026},
  month = jul,
  doi = {10.1017/s1092852926101084},
  url = {https://doi.org/10.1017/s1092852926101084},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Sociodemographic and clinical predictors in patients with borderline personality disorder: A 12-month follow-up study
AU  - Andrea Aguglia
AU  - Gabriele Sapia
AU  - Francesco Stefanini
AU  - Michela Gagliardi
AU  - Noemi Redaelli
AU  - Annapaola Mazza
AU  - Benedetta Conio
AU  - Alessandra Costanza
AU  - Mario Amore
AU  - Andrea Amerio
AU  - Gianluca Serafini
PY  - 2026
DA  - 2026/07/14
JO  - CNS Spectrums
DO  - 10.1017/s1092852926101084
UR  - https://doi.org/10.1017/s1092852926101084
AB  - 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.  Methods: 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.  Results: 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.  Conclusions: 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.
SN  - 1092-8529
SN  - 2165-6509
ER  -