Racial Differences Between African and White Americans in the Presentation of Borderline Personality Disorder

Borderline personality disorder (BPD) is commonly thought of as a disorder of White females. Despite evidence indicating similar prevalence rates across races and genders, no study has examined the experience of BPD among ethnic minorities and how this differs from Whites. The affective and behavioral symptoms of BPD were studied in 17 African Americans and 27 White Americans with the disorder. Results indicated that African Americans experience greater affective intensity and emotional dysregulation, fewer self-harming behaviors, and more thoughts of interpersonal aggression than Whites. Differences in affective symptoms were accounted for by group differences in substance use and receipt of inpatient services, whereas differences in behavioral symptomatology persisted after adjusting for potential confounders. These findings suggest that not only is BPD not a disorder exclusive to White females, but that the experience of the disorder may differ substantially across races. Implications for future research and directions for developing culturally relevant treatments are discussed. © 2009 Springer Science+Business Media, LLC.