Differential Analysis of Personality Disorders and Affective Disorders

Keywords: affective disorders, bipolar affective disorder, identity, borderline personality disorder, personality, personality disorders

Abstract

The article considers the problem of differential differences between severe personality disorders and affective spectrum disorders. A comparative analysis of symptoms, behavioral manifestations, and features of the development of these disorders is conducted. The leading differences in the structure of personality functioning are identified, as well as common internal mental processes inherent in both personality and affective disorders. Severe personality disorders of the borderline level of organization are characterized by a stable diffusion of identity in the personality structure, which is associated with traumatic or stressful conditions of development and disintegration of emotional experience. Affective spectrum disorders are determined by neurobiological disorders in mental functioning, which determine the periodicity of the occurrence of affective disorders and are associated with both genetic factors and stressful experience. Cognitive disorders of affective stimuli volitional control are defined as internal mental processes inherent in both personality and affective disorders, which determine the similarity of their symptoms and behavioral manifestations. Based on the results of the comparative analysis, it is proposed to consider the diffusion of identity in the structure of an adult personality as a differential sign of severe personality disorders. The article will be useful for practicing psychologists and psychotherapists who face difficulties in conducting differential diagnostics of severe personality disorders of the emotionally unstable type.

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References

Hrys, A., Chepeleva, N., Tkachuk, T., & Tor, L. (2024). Adaptive Potential of Adults with Attention Deficit/Hyperactivity Disorder (ADHD). Insight: the psychological dimensions of society, 12, 471–494. https://doi.org/10.32999/2663-970X/2024-12-14 [In Ukrainian]

Koval, I. A. (2019). Personality and personality disorders in modern treatment practice. Problems of modern psychology, 29, 286-294. http://nbuv.gov.ua/UJRN/Pspl_2015_29_27 [In Ukrainian]

Spytska, L. V. Mental disorders of personality: the current state of the problem. (2023). Scientific notes of the National University "Ostroh Academy". Series "Psychology": 16, 84–89. [In Ukrainian]

Verbenko, G.M. Bipolar affective disorder (present clinical evaluation). (2013). “Bulletin of Psychiatry and Psychopharmacotherapy”, 2(24), 73-80. [In Ukrainian]

Mysula, Yu. Comprehensive assessment of the quality of life in primary episode of bipolar affective disorder. (2020). Ukrainian Bulletin of Psychoneurology, 28(102), 60-63. [In Ukrainian]

Akbari, V., Rahmatinejad, P., & Mohammadi, S. D. (2019). Comparing Neurocognitive Profile of Patients with Borderline Personality and Bipolar-II Disorders. Iranian journal of psychiatry, 14(2), 113–119.

American Psychiatric Association, DSM-5 Task Force. (2013). Diagnostic and statistical manual of mental disorders: DSM-5™ (5th ed.). American Psychiatric Publishing, Inc. https://doi.org/10.1176/appi.books.9780890425596

Angst, J., Gamma, A., Benazzi, F., Ajdacic, V., Eich, D., & Rössler, W. (2003). Toward a re-definition of subthreshold bipolarity: epidemiology and proposed criteria for bipolar-II, minor bipolar disorders and hypomania. Journal of affective disorders, 73(1-2), 133 146. https://doi.org/10.1016/s0165-0327(02)00322-1

Bayes, A., Spoelma, M., & Parker, G. (2022). Comorbid bipolar disorder and borderline personality disorder: Diagnosis using machine learning. Journal of psychiatric research, 152, 1–6. https://doi.org/10.1016/j.jpsychires.2022.05.032

Brady, Ju.E., Miller, C.J., Connolly, S.L. (2025). Bipolar Disorders. Diagnostic Interviewing. Ed. Daniel L. Segal, Springer US, 6, 179-205. https://doi.org/10.1007/978-1-0716-4362-4

Brandes, M., & Bienvenu, O. J. (2006). Personality and anxiety disorders. Current psychiatry reports, 8(4), 263–269. https://doi.org/10.1007/s11920-006-0061-8

Chen, F., Chen, C., Wu, M., Luo, B., Cai, H., Yu, F., & Wang, L. (2025). Impaired emotional response inhibition among adolescents with bipolar depression: evidence from event-related potentials and behavioral performance. BMC psychiatry, 25(1), 303. https://doi.org/10.1186/s12888-025-06748-w

Feichtinger, K., Laczkovics, C., Alexopoulos, J., Gruber, M., Klauser, M., Parth, K., Wininger, A., Ossege, M., Baumgartner, J., Doering, S., & Blüml, V. (2024). Personality functioning in bipolar 1 disorder and borderline personality disorder. BMC psychiatry, 24(1), 846. https://doi.org/10.1186/s12888-024-06297-8

Fornaro, M., Orsolini, L., Marini, S., De Berardis, D., Perna, G., Valchera, A., Ganança, L., Solmi, M., Veronese, N., & Stubbs, B. (2016). The prevalence and predictors of bipolar and borderline personality disorders comorbidity: Systematic review and meta-analysis. Journal of affective disorders, 195, 105–118. https://doi.org/10.1016/j.jad.2016.01.040

Frías, Á., Baltasar, I., & Birmaher, B. (2016). Comorbidity between bipolar disorder and borderline personality disorder: Prevalence, explanatory theories, and clinical impact. Journal of affective disorders, 202, 210–219. https://doi.org/10.1016/j.jad.2016.05.048

Ghaemi, S. N., Dalley, S., Catania, C., & Barroilhet, S. (2014). Bipolar or borderline: a clinical overview. Acta psychiatrica Scandinavica, 130(2), 99–108. https://doi.org/10.1111/acps.12257

Harned, M. S., & Valenstein, H. R. (2013). Treatment of borderline personality disorder and co-occurring anxiety disorders. F1000prime reports, 5, 15. https://doi.org/10.12703/P5-15

Kernberg, O. F., & Caligor, E. (2005). A Psychoanalytic Theory of Personality Disorders. In M. F. Lenzenweger & J. F. Clarkin (Eds.), Major theories of personality disorder (2nd ed., pp. 114–156). The Guilford Press.

Kouros, I., Isaksson, M., Ekselius, L., & Ramklint, M. (2024). A cluster analysis of attachment styles in patients with borderline personality disorder, bipolar disorder and ADHD. Borderline personality disorder and emotion dysregulation, 11(1), 26. https://doi.org/10.1186/s40479-024-00271-2

Lenzenweger, M. F., & Clarkin, J. F. (Eds.). (2005). Major theories of personality disorder (2nd ed.). The Guilford Press.

Lopes, L. M., Matias, M., Marques, M., Lopes, I. M., & Reis, J. (2023). Bipolar Disorder and Borderline Personality Disorder: A Diagnostic Challenge. European Psychiatry, 66(Suppl 1), S701. https://doi.org/10.1192/j.eurpsy.2023.1467

Pålsson, E., & Landén, M. (2025). Sense of coherence in bipolar disorder- a longitudinal study. BMC psychiatry, 25(1), 324. https://doi.org/10.1186/s12888-025-06779-3

Qadeer Shah, A., Prasad, D., Caropreso, L., Frey, B. N., & de Azevedo Cardoso, T. (2023). The comorbidity between Borderline Personality Disorder (BPD) and Generalized Anxiety Disorder (GAD): A systematic review and meta-analysis. Journal of psychiatric research, 164, 304–314. https://doi.org/10.1016/j.jpsychires.2023.06.009

Saxena, K., Verrico, C. D., Kahlon, R., Amin, P., Arvind, R. P., Patel, M., Sharp, C., Williams, L., & Shah, A. (2018). Borderline features in youth with bipolar spectrum disorders. Adolescent Psychiatry, 8(3), 174–184. https://doi.org/10.2174/2210676609666181203103443

Sharma, A. N., Barron, E., Le Couteur, J., Close, A., Rushton, S., Grunze, H., Kelly, T., Nicol Ferrier, I., & Le Couteur, A. S. (2017). Facial emotion labeling in unaffected offspring of adults with bipolar I disorder. Journal of affective disorders, 208, 198–204. https://doi.org/10.1016/j.jad.2016.10.006

Weiner, L., Perroud, N., & Weibel, S. (2019). Attention Deficit Hyperactivity Disorder And Borderline Personality Disorder In Adults: A Review Of Their Links And Risks. Neuropsychiatric disease and treatment, 15, 3115–3129. https://doi.org/10.2147/NDT.S192871

Yeomans, Frank E et al. Transference-Focused Psychotherapy for Borderline Personality Disorder : A Clinical Guide. First edition. Washington, DC: American Psychiatric Publishing, 2015. Print.

Published
2025-12-30
Cited
How to Cite
Zinchenko, Y. (2025). Differential Analysis of Personality Disorders and Affective Disorders. Visnyk of V.N. Karazin Kharkiv National University. Series Psychology, (79), 28-34. https://doi.org/10.26565/2225-7756-2025-79-04
Section
PSYCHOLOGY OF HEALTH AND CLINICAL PSYCHOLOGY