Background Borderline personality disorder (BPD) and major depressive disorder (MDD) are often associated with suicidality and psychosocial difficulties. Older depressed adults with BPD are understudied compared to older depressed adults without BPD, which may result in an undertreatment of their psychiatric symptoms.Methods The present study examined differences in suicide risk and functioning between two groups of older depressed adults with BPD and older depressed adults without BPD. Patients were assessed using the Structured Clinical Interview for DSM-IV (SCID).Results Analyses showed that suicide attempts, suicidal ideation, psychiatric hospitalizations were higher in the BPD-MDD group. Similarly, the presence of additional diagnoses, longer depressive episodes, and earlier age of MDD onset was significant in the BPD-MDD group.Conclusions Consistent with our hypothesis, suicide attempts, suicidal ideation, and psychiatric hospitalizations were higher in the BPD-MDD group. These findings highlight the importance of routine assessment and treatment of BPD in older depressed patients.
Objective To examine the relationships between obsessive-compulsive disorder (OCD) symptom severity, rumination, and problematic social media use. Methods A total of 220 participants (112 patients with OCD and 108 healthy controls) completed the Positive and Negative Rumination Scale (PANRS) and the Bergen Social Media Addiction Scale (BSMAS). OCD diagnoses were confirmed using the SCID-5-CV, and symptom severity was assessed with the Yale-Brown Obsessive Compulsive Scale. Between-group comparisons, correlation, mediation, and hierarchical regression analyses were performed. Results Patients with OCD showed significantly higher problematic social media use and negative rumination, and lower positive rumination than controls (all P < 0.001). Problematic social media use was positively correlated with OCD symptom severity and negative rumination and negatively correlated with positive rumination. Negative rumination partially mediated the relationship between OCD symptom severity and problematic social media use and remained a significant predictor independent of age and OCD severity. Conclusions Problematic social media use is elevated in OCD and is associated with symptom severity and maladaptive ruminative processes. Negative rumination may represent a cognitive mechanism linking OCD symptoms to problematic social media use.
