Borderline personality disorder among chronic pain patients?

This “study” is so garbled it would be comical if it weren’t insinuating that chronic pain patients are mentally ill.  Notice the uncorrected misspelling of the very first word, which is supposed to be “AAPM”

FAAPM [?] 36th Annual Meeting Scientific Poster Abstracts annualmeeting.painmed.org | #AAPM2020 505 | Psychosocial Borderline personality features among patients with chronic non-cancer pain, barrier versus unexploited targets for effective pain management: a systemic review

Because two pain-oriented medical websites both had fairly demeaning (to pain patients) articles about the implications of this “abstract”, and it was deemed significant enough to be presented at this renowned pain association’s annual meeting, I decided to take a closer look.

It’s a total mess.

It lamely rehashes the “literature” found in multiple medical databases, uses odd criteria to select (fish for) studies, and looks for an association which (surprise!) was then found.

And, to top it all, it’s written with such horribly bad grammar that it’s almost incomprehensible.

Why wouldn’t these “scientists” use the grammar and spell-check tools so readily available when their English is so poor? Do they perhaps not even know how bad their writing is?

Could this “study” really be as awful, illogical, and pointless as it seems?

Objective: 

Borderline personality disorder (BPD) is common in patients with chronic non-cancer pain (CNCP).

BPD patients with CNCP often report worse severity and are more likely to abuse opioids, which further complicates their pain assessment and management. 

This study would systemically check association between BPD and CNCP, to provide some unexploited targets for effectively managing CNCP.

Method: a comprehensive literature search was performed through multiple databases, including Pubmed, PsychINFO and Google Scholar. 

Combination of following search terms were used:

  • borderline personality disorder,
  • chronic pain,
  • chronic non-cancer pain,
  • headache,
  • fibromyalgia, and
  • arthritis.

Why were headache, fibromyalgia, and arthritis singled out? It makes no logical sense – shouldn’t they already be included in the search for “chronic pain”?

This is a very strange list and certainly can’t be generalized to apply to chronic pain patients as a group.

The reference lists of relevant articles were also searched for appropriate studies. 

If they already ran a literature search through every known medical database of at least some repute, why would they not already have found the articles referenced? Where else would such articles reside?

Results:

Our results showed the pool prevalence of BPD among CNCP was 23.3% (including 11.3% in chronic headache, 27.5% in arthritis, and 24.3% in chronic spinal pain), which suggested there was a significant portion of CNCP patients had co-occurring BPD. 

Conclusions:

Our results emphasize approximately one fourth of individuals with CNCP could have co-occurring BPD, which necessitates paying extra attention to manage BPD in patient with CNCP. 

A growing literature showed that in patients with BPD and co-occurring mood and/or anxiety disorders, treatment should focus principally on BPD, because effective treating BPD, rather than co-occurring disorders, is more likely to lead to remission of both mood and anxiety disorders.

This is only about anxiety and doesn’t even mention pain of any kind.

Similarly, for CNCP co-occurring BPD, CNCP should be treated through multiple approaches, but not to the exclusion of BPD treatments if patients exhibit some BPD features.

Similarly? To what? This last “sentence” is incomprehensible.

It seems they’re trying to say that if a CNCP patient has BPD, BPD treatment should not be excluded. While this is completely obvious, nothing they “found” in their review supports this “conclusion”. 

The one and only “finding” of this “review” was that chronic pain patients suffer mentally too.

5 thoughts on “Borderline personality disorder among chronic pain patients?

  1. Mary

    People are hating on this study because no one wants to be associated with BPD, and chronic pain patients feel this will delegitimize their complaints…which is totally fair given BPD’s stigma. But instead of perpetuating the stigma, why don’t we recognize that it’s bullshit and that there’s obviously some sort of important connection between mental illness and chronic pain. I totally believe this study’s results given my exposure to psychiatric and pain patients, which doesn’t mean I’m dismissive of them, by the way; on the contrary, I believe they are suffering quite a bit and need more intervention than we’re offering.

    Liked by 1 person

    Reply
    1. Zyp Czyk Post author

      I think dealing with chronic pain and trying to get it validated by the people around you (including doctors) will cause people to behave in ways they would normally not. The rising panic I felt each time my pain was denied definitely resulted in some spectacular meltdowns, the kind I’ve never experienced in any other situation.

      Like

      Reply
    2. canarensis

      Gee, maybe we have mental issues BECAUSE we’re in Hell & no one will do squat to help us, but society ^& the medical establishment is doing everything it can to destroy us.

      No, I haven’t read the study, have been too sick for weeks to think. But have been dealing with chronic pain for decades, & sure know it’s mangled my psyche in all sorts of interesting ways.

      Liked by 1 person

      Reply
      1. Zyp Czyk Post author

        I’m so glad to “see” you again after a disturbingly long absence! I assumed that you’ve been doing what I’m doing: laying low, waiting for brief periods of clean air to do a few errands now and then, and trying not to freak out about everything going on. I’m constantly exhausted, drained just from being aware of the toxic “unreal reality” all around us, churning up human beings, stripping away their humanity, and molding them into toy soldiers.

        And I agree, chronic pain mangles the psyche when the suffering is always denied and never validated.

        Like

        Reply

Other thoughts?

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.