caa a22 4500 605477027 CHVBK 20210128100359.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00787-014-0585-0 doi (NATIONALLICENCE)springer-10.1007/s00787-014-0585-0 Pain perception in female adolescents with borderline personality disorder [Elektronische Daten] [Petra Ludäscher, Clemens von Kalckreuth, Peter Parzer, Michael Kaess, Franz Resch, Martin Bohus, Christian Schmahl, Romuald Brunner] Borderline personality disorder (BPD) is a severe and often debilitating psychiatric disorder that begins during adolescence. Core features of BPD are affective dysregulation, dysfunctional self-concepts, and difficulties in social interactive domains. A widely accepted marker for severe emotion dysregulation in adult BPD is decreased pain sensitivity. Until now it is unclear whether this characteristic feature of BPD is already present during adolescence. Thus, this study aims to investigate pain sensitivity in adolescent patients meeting DSM-IV criteria for BPD. 20 female adolescent patients with BPD (mean age 16.4years) and 20 healthy age-matched control participants were investigated. Detection and pain thresholds for thermal stimuli were assessed on both hands. Furthermore, self-rating instruments were used to assess overall psychopathology, dissociation, and depression. We found significantly higher pain thresholds in patients with BPD than in healthy controls. Patients with BPD had higher intensities of depression, overall psychopathology, and dissociative symptoms, but there was no correlation between pain sensitivity and any of these measures of psychopathology. These findings are in line with previous findings in adult BPD patients concerning lower pain sensitivity as compared to healthy controls. This provides support for the idea that disturbed pain processing is not only a consequence of chronic BPD but is already present in early stages of BPD. Springer-Verlag Berlin Heidelberg, 2014 Borderline personality disorder nationallicence Adolescents nationallicence Self-injurious behavior nationallicence Pain perception nationallicence Thermal pain thresholds nationallicence Ludäscher Petra Central Institute of Mental Health, Department of Psychosomatic Medicine and Psychotherapy, J5, University of Heidelberg, Mannheim, Germany aut von Kalckreuth Clemens Section Disorders of Personality Development, Department of Child and Adolescent, Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Blumenstraße 8, 69115, Heidelberg, Germany aut Parzer Peter Section Disorders of Personality Development, Department of Child and Adolescent, Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Blumenstraße 8, 69115, Heidelberg, Germany aut Kaess Michael Section Disorders of Personality Development, Department of Child and Adolescent, Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Blumenstraße 8, 69115, Heidelberg, Germany aut Resch Franz Section Disorders of Personality Development, Department of Child and Adolescent, Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Blumenstraße 8, 69115, Heidelberg, Germany aut Bohus Martin Central Institute of Mental Health, Department of Psychosomatic Medicine and Psychotherapy, J5, University of Heidelberg, Mannheim, Germany aut Schmahl Christian Central Institute of Mental Health, Department of Psychosomatic Medicine and Psychotherapy, J5, University of Heidelberg, Mannheim, Germany aut Brunner Romuald Section Disorders of Personality Development, Department of Child and Adolescent, Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Blumenstraße 8, 69115, Heidelberg, Germany aut European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/3(2015-03-01), 351-357 1018-8827 24:3<351 2015 24 787 https://doi.org/10.1007/s00787-014-0585-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00787-014-0585-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ludäscher Petra Central Institute of Mental Health, Department of Psychosomatic Medicine and Psychotherapy, J5, University of Heidelberg, Mannheim, Germany aut NATIONALLICENCE 700 1- von Kalckreuth Clemens Section Disorders of Personality Development, Department of Child and Adolescent, Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Blumenstraße 8, 69115, Heidelberg, Germany aut NATIONALLICENCE 700 1- Parzer Peter Section Disorders of Personality Development, Department of Child and Adolescent, Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Blumenstraße 8, 69115, Heidelberg, Germany aut NATIONALLICENCE 700 1- Kaess Michael Section Disorders of Personality Development, Department of Child and Adolescent, Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Blumenstraße 8, 69115, Heidelberg, Germany aut NATIONALLICENCE 700 1- Resch Franz Section Disorders of Personality Development, Department of Child and Adolescent, Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Blumenstraße 8, 69115, Heidelberg, Germany aut NATIONALLICENCE 700 1- Bohus Martin Central Institute of Mental Health, Department of Psychosomatic Medicine and Psychotherapy, J5, University of Heidelberg, Mannheim, Germany aut NATIONALLICENCE 700 1- Schmahl Christian Central Institute of Mental Health, Department of Psychosomatic Medicine and Psychotherapy, J5, University of Heidelberg, Mannheim, Germany aut NATIONALLICENCE 700 1- Brunner Romuald Section Disorders of Personality Development, Department of Child and Adolescent, Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Blumenstraße 8, 69115, Heidelberg, Germany aut NATIONALLICENCE 773 0- European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/3(2015-03-01), 351-357 1018-8827 24:3<351 2015 24 787